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Efficacy of community treatments for schizophrenia and other psychotic disorders: A literature review
Indexado
Scopus SCOPUS_ID:84885414233
DOI 10.3389/FPSYT.2013.00116
Año 2013
Tipo

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background: In Chile, the clinical guidelines "for the treatment of people from first episode of schizophrenia" aim to support individuals with schizophrenia to live independently, establishment occupational goals, and gain an adequate quality of life and social interaction. This requires the implementation of a treatment model that integrates psychosocial and pharmacological dimensions. Community intervention strategies ensure the achievement of these goals. Objectives: This study compiles and synthesizes available scientific evidence from the last 14 years on the effectiveness of community intervention strategies for schizophrenia and related psychotic disorders. Methodology: An electronic search was carried out using PUBMED, LILACS, and Science Direct as databases. Criteria of inclusion: (i) randomized clinical trials, (ii) Community-based interventions, (iii) diagnosis of schizophrenia or related psychotic disorder (section F2 of ICD-10). Exclusion Criteria: (i) treatments exclusively pharmacological, (ii) interventions carried out in inpatient settings, (iii) bipolar affective disorder or substance-induced psychosis (greater than 50% of sample). Results: Sixty-six articles were reviewed. Community strategies for integrated treatment from the first outbreak of schizophrenia significantly reduced negative and psychotic symptoms, days of hospitalization, and comorbidity with substance abuse and improved global functioning and adherence to treatment. In other stages, there were improved outcomes in negative and positive symptoms and general psychopathology. Psychoeducation for patients and families reduced the levels of self-stigma and domestic abuse, as well as improved knowledge of the disease and treatment adherence. Training focused on cognitive, social, and labor skills has been shown to improve yields in social functioning and employment status. Conclusion: Community-based intervention strategies are widely supported in the treatment of patients with schizophrenia. © 2013 Armijo, Méndez, Morales, Schilling, Castro, Alvarado and Rojas.

Revista



Revista ISSN
Frontiers In Psychiatry 1664-0640

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Disciplinas de Investigación



WOS
Psychiatry
Scopus
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SciELO
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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

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Autores - Afiliación



Ord. Autor Género Institución - País
1 Armijo, Julio Hombre Universidad de Santiago de Chile - Chile
2 Méndez, Emmanuel Hombre Universidad de Chile - Chile
3 Morales, Ricardo Hombre Universidad de Santiago de Chile - Chile
4 Schilling, Sara Mujer Universidad de Chile - Chile
5 BELTRAN-BUENDIA, CAROLL JENNY Hombre Universidad de Chile - Chile
6 ALVARADO-MUNOZ, RUBEN VLADIMIR Hombre Universidad de Chile - Chile
7 ROJAS-ALCAYAGA, GONZALO ALBERTO Mujer Universidad de Chile - Chile

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Financiamiento



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