Morin Laurent, Franck Nicolas
Resource Center of Psychosocial Rehabilitation and Cognitive Remediation, Le Vinatier Hospital, Lyon, France.
Centre Hospitalier Le Vinatier, Lyon, France.
Front Psychiatry. 2017 Jun 12;8:100. doi: 10.3389/fpsyt.2017.00100. eCollection 2017.
Only one out of seven patients recovers after a first episode of psychosis despite psychiatric care. Rehabilitation interventions have been developed to improve functional outcomes and to promote recovery. We conducted a systematic review of the effectiveness of the main psychiatric rehabilitation interventions following a search of the electronic databases Pubmed, ScienceDirect, and Google Scholar using combinations of terms relating to cognitive remediation, psychoeducation, cognitive-behavioral therapies, and schizophrenia. Eighty articles relevant to the topic of interest were found. According to results, cognitive remediation has been found to be effective in reducing the impact of cognitive impairment, social skills in the learning a variety of skills and to a lesser extent in reducing negative symptoms, psychoeducation in improving compliance and reducing relapses, and cognitive therapy in reducing the intensity of or distress related to positive symptoms. All psychosocial rehabilitation interventions should be considered as evidence-based practices for schizophrenia and need to become a major part of the standard treatment of the disease.
在接受精神病治疗后，七名患者中只有一人在首次精神病发作后康复。已经开发了康复干预措施以改善功能结果并促进康复。我们通过搜索电子数据库PubMed、ScienceDirect和谷歌学术，使用与认知康复、心理教育、认知行为疗法和精神分裂症相关的术语组合，对主要精神病康复干预措施的有效性进行了系统评价。发现了80篇与感兴趣主题相关的文章。根据结果，已发现认知康复在减少认知障碍的影响、学习各种技能的社交技能以及在较小程度上减少阴性症状方面有效，心理教育在提高依从性和减少复发方面有效，认知疗法在减少与阳性症状相关的强度或痛苦方面有效。所有心理社会康复干预措施都应被视为精神分裂症的循证实践，并且需要成为该疾病标准治疗的重要组成部分。
