Clark Cameron M
Clin Schizophr Relat Psychoses. 2016 spring;10(1):41-50. doi: 10.3371/CSRP.CL.061213. Epub 2013 Jun 17.
General Purpose: This paper chronologically examines four theoretically divergent psychosocial treatments for schizophrenia, each intended to augment pharmacological treatment. The goal is to familiarize readers with a sample of well-established psychosocial treatments to provide an enhanced perspective on newer and future psychosocial treatments for schizophrenia. Clinical implications and future research directions are discussed.
Social skills training, cognitive behavioral therapy, cognitive remediation, and social cognitive training therapy paradigms were searched and the extant literature is summarized for each, with particular focus on: 1) the rationale for treatment methodology; 2) particular methods of treatment; and, 3) meta-analytic data regarding their efficacy and/or effectiveness.
RESULTS/CONCLUSIONS: Each of the four treatment methodologies discussed evinces particular strengths and specific weaknesses for clinical practice, with no clear superior methodology across all clinical populations/situations. Future research must continue to examine social cognitive treatments, as well as the effects of combined psychosocial treatments.
本文按时间顺序考察了四种理论上不同的精神分裂症心理社会治疗方法，每种方法都旨在增强药物治疗效果。目的是让读者熟悉一些成熟的心理社会治疗方法，以便对精神分裂症的更新及未来心理社会治疗方法有更深入的了解。文中还讨论了临床意义和未来研究方向。
检索了社交技能训练、认知行为疗法、认知康复和社会认知训练治疗范式，并对现有文献进行了总结，特别关注：1）治疗方法的理论依据；2）具体治疗方法；3）关于其疗效和/或有效性的荟萃分析数据。
结果/结论：所讨论的四种治疗方法在临床实践中各有优势和特定弱点，在所有临床人群/情况下没有明显的最佳方法。未来研究必须继续考察社会认知治疗以及联合心理社会治疗的效果。
