TY - JOUR

T1 - Psychosocial interventions in schizophrenia: Focus on guidelines

AU - Ventriglio, Antonio

AU - Ricci, Fabiana

AU - Magnifico, Giuseppe

AU - Чумаков, Егор Максимович

AU - Torales, Julio

AU - Watson, Cameron

AU - Castaldelli-Maia, João Mauricio

AU - Petito, Annamaria

AU - Bellomo, Antonello

N1 - Publisher Copyright: © The Author(s) 2020.

PY - 2020/12/1

Y1 - 2020/12/1

N2 - Background: Schizophrenia is a lifelong condition with acute exacerbations and varying degrees of functional disability. Acute and long-term treatments are based on antipsychotic drugs, even if some domains of personal and social functioning are not addressed by psychopharmacotherapy. In fact, psychosocial interventions show a positive impact on patient’s functioning and clinical outcome. In addition, psychosocial interventions are significantly associated with a lower number of relapses and hospitalizations in schizophrenia. Methods: An analytical review of the International Guidelines on Psychosocial Interventions in Schizophrenia has been performed; we included the National Institute for Health and Care Excellence (NICE) guidelines, the Scottish Intercollegiate Guidelines Network (SIGN) guidelines, the Royal Australian and New Zealand College of Psychiatrists (RANZCP) guidelines, the Schizophrenia Patient Outcomes Research Team (PORT) guidelines and the American Psychiatric Association (APA) guidelines. Results: The international guidelines recommend psychosocial interventions as supportive treatments alongside pharmaceutical or psychotherapeutic ones. Conclusion: More research studies need to be conducted and included in the updated version of the international guidelines to confirm the effectiveness of psychosocial interventions in the long-term outcome of schizophrenia.

AB - Background: Schizophrenia is a lifelong condition with acute exacerbations and varying degrees of functional disability. Acute and long-term treatments are based on antipsychotic drugs, even if some domains of personal and social functioning are not addressed by psychopharmacotherapy. In fact, psychosocial interventions show a positive impact on patient’s functioning and clinical outcome. In addition, psychosocial interventions are significantly associated with a lower number of relapses and hospitalizations in schizophrenia. Methods: An analytical review of the International Guidelines on Psychosocial Interventions in Schizophrenia has been performed; we included the National Institute for Health and Care Excellence (NICE) guidelines, the Scottish Intercollegiate Guidelines Network (SIGN) guidelines, the Royal Australian and New Zealand College of Psychiatrists (RANZCP) guidelines, the Schizophrenia Patient Outcomes Research Team (PORT) guidelines and the American Psychiatric Association (APA) guidelines. Results: The international guidelines recommend psychosocial interventions as supportive treatments alongside pharmaceutical or psychotherapeutic ones. Conclusion: More research studies need to be conducted and included in the updated version of the international guidelines to confirm the effectiveness of psychosocial interventions in the long-term outcome of schizophrenia.

KW - Guidelines

KW - psychosocial interventions

KW - recovery

KW - schizophrenia

KW - social functioning

KW - VOCATIONAL-REHABILITATION

KW - ASSERTIVE COMMUNITY TREATMENT

KW - INTEGRATED TREATMENT

KW - RANDOMIZED CONTROLLED-TRIAL

KW - FAMILY PSYCHOEDUCATION

KW - INTENSIVE CASE-MANAGEMENT

KW - PEER SUPPORT

KW - SELF-MANAGEMENT

KW - COGNITIVE-BEHAVIORAL THERAPY

KW - SEVERE MENTAL-ILLNESS

UR - http://www.scopus.com/inward/record.url?scp=85086918821&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/0c4c23a0-63db-3e5a-a818-c054a7ad869a/

U2 - 10.1177/0020764020934827

DO - 10.1177/0020764020934827

M3 - Review article

VL - 66

SP - 735

EP - 747

JO - International Journal of Social Psychiatry

JF - International Journal of Social Psychiatry

SN - 0020-7640

IS - 8

M1 - 0020764020934827

ER -