Evidence-based psychotherapy of schizophrenic disorders

In the past, treatment of schizophrenic disorders was limited to pharmacotherapy. Psychotherapy was not regarded as evidence-based. A number of randomised clinical trials have led to a different perspective during the last two decades. This paper highlights and discusses evidence-based strategies. I...

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Bibliographic Details
Published in:Nervenarzt 2006-11, Vol.77 Suppl 2, p.S99-109; quiz S110
Main Authors: Klingberg, S, Borbé, R, Buchkremer, G
Format: Article
Language:ger
Subjects:
Adult
Algorithms
Cognitive Therapy - methods
Combined Modality Therapy
Evidence-Based Medicine
Family Therapy - methods
Female
Humans
Male
Patient Education as Topic
Psychotherapy - methods
Schizophrenia - diagnosis
Schizophrenia - therapy
Schizophrenic Psychology
Social Adjustment
Treatment Outcome
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Summary:In the past, treatment of schizophrenic disorders was limited to pharmacotherapy. Psychotherapy was not regarded as evidence-based. A number of randomised clinical trials have led to a different perspective during the last two decades. This paper highlights and discusses evidence-based strategies. In particular, cognitive behavioural therapy and family intervention have recently been recommended in evidence-based treatment guidelines. Additionally, psychoeducation and social skills training showed treatment effects. Psychotherapeutic treatment requires an individual case concept. Neuropsychological testing for cognitive deficits should be included in comprehensive assessment in order to avoid overstimulation and optimise rehabilitation. Major treatment goals are to reduce persistent symptoms and relapse rates.
ISSN:0028-2804
DOI:10.1007/s00115-006-2193-9