Modesti Martina Nicole, Arena Jan Francesco, Palermo Natalia, Del Casale Antonio
Faculty of Medicine and Psychology, Sapienza University of Rome, Via di Grottarossa 1035, 00189 Rome, Italy.
Department of Dynamic and Clinical Psychology and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.
J Clin Med. 2023 Jan 28;12(3):1021. doi: 10.3390/jcm12031021.
Schizophrenia spectrum disorders represent a varied class of mental illnesses characterised by psychosis. In addition to negative and positive symptoms, a significant lack of insight often hinders the therapeutic process. We performed an overview of the existing literature concerning these disorders to summarise the state of knowledge in the psychotherapies applied to treating psychotic symptoms. We searched the PubMed database, including randomised controlled and clinical trials, including 17 studies conducted on 1203 subjects. Psychotherapy of schizophrenia spectrum disorders can improve social functioning and positive symptoms, as well as many other symptomatic areas, and could therefore be considered a helpful adjunctive treatment of schizophrenia spectrum disorders. Among cognitive-behavioural therapies and the newest derived approaches, there is evidence that they can improve different psychotic symptoms. On the other hand, psychodynamic psychotherapies can have a positive influence on psychotic symptoms as well. Further studies are needed to identify better-tailored treatment protocols for schizophrenia spectrum disorders.
精神分裂症谱系障碍是一类以精神病性症状为特征的多种精神疾病。除了阴性和阳性症状外，洞察力的严重缺乏常常阻碍治疗进程。我们对有关这些障碍的现有文献进行了综述，以总结应用于治疗精神病性症状的心理治疗的知识现状。我们检索了PubMed数据库，包括随机对照试验和临床试验，涉及对1203名受试者进行的17项研究。精神分裂症谱系障碍的心理治疗可以改善社会功能和阳性症状，以及许多其他症状领域，因此可被视为精神分裂症谱系障碍的一种有益辅助治疗。在认知行为疗法及其最新衍生方法中，有证据表明它们可以改善不同的精神病性症状。另一方面，精神动力心理治疗对精神病性症状也可产生积极影响。需要进一步研究以确定针对精神分裂症谱系障碍更具针对性的治疗方案。
