Puschner B, Vauth R, Jacobi F, Becker T
Abteilung Psychiatrie II, Universität Ulm, Ludwig-Heilmeyer-Strasse 2, 89312 Günzburg.
Nervenarzt. 2006 Nov;77(11):1301-2, 1304-9. doi: 10.1007/s00115-006-2102-2.
Little is known about the degree of implementation of evidence-based psychotherapy in routine care of people with schizophrenia in Germany.
First, results of studies on the efficacy of psychotherapy in the treatment of schizophrenia are summarised. Second, the degree of implementation of psychotherapeutic practices in the routine care of schizophrenics is assessed through a systematic literature search and analyses of several data sets.
There is substantial evidence for the efficacy of cognitive-behavioural interventions in the treatment of schizophrenia. The paucity of data on the degree of implementation suggests a wide gap between evidence and practice.
Barriers to implementation are outlined and discussed. There is a need for more studies on epidemiological and long-term effectiveness of health care.
在德国，对于精神分裂症患者常规护理中基于证据的心理治疗的实施程度知之甚少。
首先，总结心理治疗在精神分裂症治疗中疗效的研究结果。其次，通过系统的文献检索和对多个数据集的分析，评估心理治疗方法在精神分裂症患者常规护理中的实施程度。
有大量证据表明认知行为干预对精神分裂症治疗有效。关于实施程度的数据匮乏表明证据与实践之间存在巨大差距。
概述并讨论了实施的障碍。需要更多关于医疗保健的流行病学和长期有效性的研究。
