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The psychosocial treatment of schizophrenia: an update.
Am J Psychiatry 2001; 158(2):163-75AJ

Abstract

OBJECTIVE

The authors sought to update the randomized controlled trial literature of psychosocial treatments for schizophrenia.

METHOD

Computerized literature searches were conducted to identify randomized controlled trials of various psychosocial interventions, with emphasis on studies published since a previous review of psychosocial treatments for schizophrenia in 1996.

RESULTS

Family therapy and assertive community treatment have clear effects on the prevention of psychotic relapse and rehospitalization. However, these treatments have no consistent effects on other outcome measures (e.g., pervasive positive and negative symptoms, overall social functioning, and ability to obtain competitive employment). Social skills training improves social skills but has no clear effects on relapse prevention, psychopathology, or employment status. Supportive employment programs that use the place-and-train vocational model have important effects on obtaining competitive employment. Some studies have shown improvements in delusions and hallucinations following cognitive behavior therapy. Preliminary research indicates that personal therapy may improve social functioning.

CONCLUSIONS

Relatively simple, long-term psychoeducational family therapy should be available to the majority of persons suffering from schizophrenia. Assertive community training programs ought to be offered to patients with frequent relapses and hospitalizations, especially if they have limited family support. Patients with schizophrenia can clearly improve their social competence with social skills training, which may translate into a more adaptive functioning in the community. For patients interested in working, rapid placement with ongoing support offers the best opportunity for maintaining a regular job in the community. Cognitive behavior therapy may benefit the large number of patients who continue to experience disabling psychotic symptoms despite optimal pharmacological treatment.

Authors+Show Affiliations

Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA. jbustillo@salud.unm.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11156795

Citation

Bustillo, J, et al. "The Psychosocial Treatment of Schizophrenia: an Update." The American Journal of Psychiatry, vol. 158, no. 2, 2001, pp. 163-75.
Bustillo J, Lauriello J, Horan W, et al. The psychosocial treatment of schizophrenia: an update. Am J Psychiatry. 2001;158(2):163-75.
Bustillo, J., Lauriello, J., Horan, W., & Keith, S. (2001). The psychosocial treatment of schizophrenia: an update. The American Journal of Psychiatry, 158(2), pp. 163-75.
Bustillo J, et al. The Psychosocial Treatment of Schizophrenia: an Update. Am J Psychiatry. 2001;158(2):163-75. PubMed PMID: 11156795.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The psychosocial treatment of schizophrenia: an update. AU - Bustillo,J, AU - Lauriello,J, AU - Horan,W, AU - Keith,S, PY - 2001/2/7/pubmed PY - 2001/3/10/medline PY - 2001/2/7/entrez SP - 163 EP - 75 JF - The American journal of psychiatry JO - Am J Psychiatry VL - 158 IS - 2 N2 - OBJECTIVE: The authors sought to update the randomized controlled trial literature of psychosocial treatments for schizophrenia. METHOD: Computerized literature searches were conducted to identify randomized controlled trials of various psychosocial interventions, with emphasis on studies published since a previous review of psychosocial treatments for schizophrenia in 1996. RESULTS: Family therapy and assertive community treatment have clear effects on the prevention of psychotic relapse and rehospitalization. However, these treatments have no consistent effects on other outcome measures (e.g., pervasive positive and negative symptoms, overall social functioning, and ability to obtain competitive employment). Social skills training improves social skills but has no clear effects on relapse prevention, psychopathology, or employment status. Supportive employment programs that use the place-and-train vocational model have important effects on obtaining competitive employment. Some studies have shown improvements in delusions and hallucinations following cognitive behavior therapy. Preliminary research indicates that personal therapy may improve social functioning. CONCLUSIONS: Relatively simple, long-term psychoeducational family therapy should be available to the majority of persons suffering from schizophrenia. Assertive community training programs ought to be offered to patients with frequent relapses and hospitalizations, especially if they have limited family support. Patients with schizophrenia can clearly improve their social competence with social skills training, which may translate into a more adaptive functioning in the community. For patients interested in working, rapid placement with ongoing support offers the best opportunity for maintaining a regular job in the community. Cognitive behavior therapy may benefit the large number of patients who continue to experience disabling psychotic symptoms despite optimal pharmacological treatment. SN - 0002-953X UR - https://www.unboundmedicine.com/medline/citation/11156795/full_citation L2 - https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.158.2.163?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -