Lamster Fabian, Jäger Matthias
1 Psychiatrische Universitätsklinik Zürich, Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Zentrum für Akute Psychische Erkrankungen.
2 Sanatorium Kilchberg, Privatklinik für Psychiatrie und Psychotherapie.
Ther Umsch. 2018 Jun;75(1):67-75. doi: 10.1024/0040-5930/a000968.
Psychotherapy of psychotic disorders Abstract. The efficacy of psychotherapy for individuals with psychotic disorders is well documented and its implementation is recommended by international guidelines. Goals of psychotherapeutic interventions are reduction of symptoms, prevention of relapse, improvement of cognitive, emotional and social functioning, social integration and participation, and enhancement of quality of life as well as self-perception. Cognitive-behavioral and family interventions, cognitive and social trainings as well as psychoeducation are particularly recommended according to the literature. Fundamental factors for a favorable treatment result are a profound therapeutic relationship, a therapeutic setting according to patients' needs, and a specific coordination with other interventions within the individual treatment concept. The implementation of evidence-based psychotherapeutic interventions for individuals with psychotic disorders in clinical routine practice seems to be most challenging for future mental health service organization and research.
精神障碍的心理治疗 摘要。心理治疗对患有精神障碍的个体的疗效已有充分记录，国际指南也建议实施心理治疗。心理治疗干预的目标包括减轻症状、预防复发、改善认知、情感和社会功能、社会融入与参与、提高生活质量以及自我认知。根据文献，特别推荐认知行为和家庭干预、认知和社会训练以及心理教育。取得良好治疗效果的基本因素包括深厚的治疗关系、根据患者需求的治疗环境，以及在个体治疗方案中与其他干预措施的具体协调。在临床常规实践中对患有精神障碍的个体实施循证心理治疗干预，对未来的心理健康服务组织和研究而言似乎是最具挑战性的。
