Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/6005
Title: Current approaches to treatments for schizophrenia spectrum disorders, part II : psychosocial interventions and patient-focused perspectives in psychiatric care
Authors: Chien, WT 
Leung, SF 
Yeung, FKK
Wong, WK
Keywords: Schizophrenia
Psychosocial intervention
Patient-focused perspectives
Issue Date: 25-Sep-2013
Publisher: Dove Medical Press
Source: Neuropsychiatric disease and treatment, 25 Sept. 2013, v. 9, p. 1463-1481 How to cite?
Journal: Neuropsychiatric disease and treatment 
Abstract: Schizophrenia is a disabling psychiatric illness associated with disruptions in cognition, emotion, and psychosocial and occupational functioning. Increasing evidence shows that psychosocial interventions for people with schizophrenia, as an adjunct to medications or usual psychiatric care, can reduce psychotic symptoms and relapse and improve patients' long-term outcomes such as recovery, remission, and illness progression. This critical review of the literature was conducted to identify the common approaches to psychosocial interventions for people with schizophrenia. Treatment planning and outcomes were also explored and discussed to better understand the effects of these interventions in terms of person-focused perspectives such as their perceived quality of life and satisfaction and their acceptability and adherence to treatments or services received. We searched major healthcare databases such as EMBASE, MEDLINE, and PsycLIT and identified relevant literature in English from these databases. Their reference lists were screened, and studies were selected if they met the criteria of using a randomized controlled trial or systematic review design, giving a clear description of the interventions used, and having a study sample of people primarily diagnosed with schizophrenia. Five main approaches to psychosocial intervention had been used for the treatment of schizophrenia: cognitive therapy (cognitive behavioral and cognitive remediation therapy), psychoeducation, family intervention, social skills training, and assertive community treatment. Most of these five approaches applied to people with schizophrenia have demonstrated satisfactory levels of short- to medium-term clinical efficacy in terms of symptom control or reduction, level of functioning, and/or relapse rate. However, the comparative effects between these five approaches have not been well studied; thus, we are not able to clearly understand the superiority of any of these interventions. With the exception of patient relapse, the longer-term (eg, >2 years) effects of these approaches on most psychosocial outcomes are not well-established among these patients. Despite the fact that patients' perspectives on treatment and care have been increasingly concerned, not many studies have evaluated the effect of interventions on this perspective, and where they did, the findings were inconclusive. To conclude, current approaches to psychosocial interventions for schizophrenia have their strengths and weaknesses, particularly indicating limited evidence on long-term effects. To improve the longer-term outcomes of people with schizophrenia, future treatment strategies should focus on risk identification, early intervention, person-focused therapy, partnership with family caregivers, and the integration of evidence-based psychosocial interventions into existing services.
URI: http://hdl.handle.net/10397/6005
ISSN: 1178-2021 (online)
DOI: 10.2147/NDT.S49263
Rights: © 2013 Chien et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php
"Chien, W. T., Leung, S. F., Yeung, F. K. K., & Wong, W. K. (2013). Current approaches to treatments for schizophrenia, Part II: Psychosocial interventions and patient-focused perspectives in psychiatric care. Neuropsychiatric Disease and Treatment, 9, 1463-1481." is available online at http://dx.doi.org/10.2147/NDT.S49263
Appears in Collections:Journal/Magazine Article

Files in This Item:
File Description SizeFormat 
Chien_Treatments_Schizophrenia_II.pdf376.56 kBAdobe PDFView/Open
Access
View full-text via PolyU eLinks SFX Query
Show full item record

SCOPUSTM   
Citations

13
Last Week
1
Last month
0
Citations as of Feb 23, 2017

WEB OF SCIENCETM
Citations

10
Last Week
0
Last month
0
Citations as of Feb 24, 2017

Page view(s)

380
Last Week
7
Last month
Checked on Feb 19, 2017

Download(s)

514
Checked on Feb 19, 2017

Google ScholarTM

Check

Altmetric



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.