Pomorski Uniwersytet Medyczny w Szczecinie, Katedra i Klinika Psychiatrii.
Warszawski Uniwersytet Medyczny, Wydział Nauk o Zdrowiu, Klinika Psychiatryczna.
Psychiatr Pol. 2021 Aug 31;55(4):719-742. doi: 10.12740/PP/OnlineFirst/135527.
This consensus statement has been prepared by a group of experts consisting of professionals with long experience in the treatment of psychiatric disorders, who were appointed by the Management Board of the Polish Psychiatric Association. The evaluation involved the analysis of literature databases and information derived from meta-analyses of these data for years 2010-2020. The searched publications were in English, German and Polish language versions and involved interventions performed in groups of adult patients. The efficacy of nonpharmacological methods applied for treatment of negative symptoms of schizophrenia were compared with effects of adifferent treatment/combined treatment/a group with no intervention. When formulating the recommendations, the experts analysed the source data in terms of their application in the Polish conditions. The current recommendations of academic societies and literature on the treatment of schizophrenia with predominant negative symptoms were taken into account. The experts included items that involved a comparison of a study group in terms of non-pharmacological interventions, and pharmacologically treated cases were taken into account only when divisions were made into standard treatment and additional intervention. The results were divided into 7 sections: 1. Psychoeducation, 2. Psychotherapy (individual, group and family therapy), 3. Psychiatric rehabilitation, 4. Emotional intelligence, social skills and mindfulness training, 5. Cognitive remediation/rehabilitation, cognitive training, 6. Clinical efficacy of physical activity, behavioral activation and metacognitive training, 7. Other rehabilitation methods (including biological methods). The recommendations were debated by experts, approved by the Management Board of the Polish Psychiatric Association,and -upon consideration of the submitted comments - adopted as aconsensus statement of the Association with the recommendation of their application in the treatment of schizophrenic patients in Poland.
这份共识声明由一组专家组成，他们由在精神障碍治疗方面拥有丰富经验的专业人员组成，由波兰精神病学协会理事会任命。评估涉及对 2010 年至 2020 年期间的文献数据库和这些数据的荟萃分析信息的分析。搜索的出版物有英文、德文和波兰文版本，涉及对成年患者群体进行的干预。与不同的治疗/联合治疗/无干预组相比，非药物治疗方法治疗精神分裂症阴性症状的疗效进行了比较。在制定建议时，专家们根据其在波兰条件下的应用分析了原始数据。考虑到学术协会的当前建议和关于以阴性症状为主的精神分裂症治疗的文献。专家们纳入了涉及非药物干预研究组比较的项目，仅当将病例分为标准治疗和附加干预时，才考虑药物治疗病例。结果分为 7 个部分：1. 心理教育，2. 心理治疗（个体、团体和家庭治疗），3. 精神康复，4. 情绪智力、社交技能和正念训练，5. 认知矫正/康复、认知训练，6. 身体活动、行为激活和元认知训练的临床疗效，7. 其他康复方法（包括生物方法）。这些建议由专家进行了辩论，经波兰精神病学协会理事会批准，并在考虑提交的意见后，被采纳为协会的共识声明，建议在波兰对精神分裂症患者的治疗中应用。
