Psychosocial intervention for schizophrenia

Sun, Xinghuai; Yue, Suping; Duan, Mingjun; Yao, Dezhong; Chen, Luo

doi:10.1080/27706710.2023.2178266

Cited by 4 publications

(3 citation statements)

References 54 publications

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“…Absence of psychological intervention in the treatment of schizophrenia patients is a main lacking which increases the chance of relapse and symptoms severity ( 60 ). In long term, lack of psychoeducation increases the risk of psychotic episodes, prodromal phases, and sporadic symptoms can contribute to an increase in symptom severity, eventually manifesting as negative symptoms and serious functional impairment ( 61 – 63 ). Psychological treatment with early onset play a significant role in symptom management ( 64 ).…”

Section: Discussionmentioning

confidence: 99%

Attitude towards mental help-seeking, motivation, and economic resources in connection with positive, negative, and general psychopathological symptoms of schizophrenia: a pilot study of a psychoeducation program

Abbas,

Baig,

Sadiq

et al. 2024

Front. Psychiatry

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IntroductionSchizophrenia is typically treated with medication as the first approach, but additional strategies are necessary to enhance the effectiveness of this treatment for better outcomes. However, it is crucial to explore methods, alongside medication, that promote a positive attitude towards seeking mental health support and alleviate symptom severity among non-institutionalized individuals of different age groups in Pakistan. Thus, this pilot study aimed to utilize a psychoeducation program to enhance patients’ motivation and attitudes toward seeking treatment, decrease symptom severity, and investigate the role of financial factors in their illness journey.MethodsIn this preliminary investigation, our focus was on individuals who had been diagnosed with schizophrenia and were receiving treatment from various hospitals and primary care clinics. Following a thorough screening process, 255 participants met the eligibility criteria, and 220 completed the psychoeducation program. The study included both male and female participants, with 143 (56.08%) being men and 112 (43.82%) being women. Regarding marital status, 123 (48.24%) were single, 98 (38.43%) were married, and 34 (13.33%) were divorced widowers or widows. The age range of the respondents varied from 18 to 52 years, with a mean age of 35.45 and a standard deviation of 10.27.ResultsThe results indicated a decrease in symptom severity following a 16-week psychoeducation program. The psychoeducation program significantly reduced the positive symptoms, negative symptoms, and general psychopathological symptoms among patients. Similarly, significant improvement was observed in patients’ motivation toward treatment and they actively participated in treatment after getting psychoeducation about the treatment. Similarly, after the psychoeducation program significant improvement was seen in patients’ attitudes towards help-seeking and perceived mental health functioning.ConclusionIn summary, the findings suggest that our psychoeducation program has the potential to positively impact the motivation and help-seeking attitudes of schizophrenia patients towards treatment. Moreover, there is a need for further exploration of psychoeducation programs for schizophrenia, particularly in countries facing economic challenges. This study paves the way for the development of an indigenous psychoeducation program tailored to Pakistani schizophrenia patients, with potential applicability for Urdu-speaking individuals.Clinical Trial Registrationhttps://www.thaiclinicaltrials.org/show/TCTR20210208003, identifier TCTR20210208003.

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Section: Discussionmentioning

confidence: 99%

Attitude towards mental help-seeking, motivation, and economic resources in connection with positive, negative, and general psychopathological symptoms of schizophrenia: a pilot study of a psychoeducation program

Abbas,

Baig,

Sadiq

et al. 2024

Front. Psychiatry

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“…Schizophrenia is a common and complex psychiatric disorder with overall symptoms (mainly including negative, positive, and emotional symptoms) that may related to deficits in cognitive function ( 1 – 3 ). Currently, antipsychotic medication is the main treatment for schizophrenia, but cognitive impairment and some clinical symptoms may persist after medication ( 4 ), so it is urgent to find suitable psychosocial adjunctive therapies to improve overall symptoms and cognitive impairment.…”

Section: Introductionmentioning

confidence: 99%

Five-week music therapy improves overall symptoms in schizophrenia by modulating theta and gamma oscillations

Wang,

Chen

et al. 2024

Front. Psychiatry

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IntroductionSome clinical studies have shown that music therapy as an adjunctive therapy can improve overall symptoms in patients with schizophrenia. However, the neural mechanisms of this improvement remain unclear due to insufficient neuroimaging evidence.MethodsIn this work, 17 patients with schizophrenia accepted a five-week music therapy (music group) that integrated listening, singing, and composing, and required patients to cooperate in a group to complete music therapy tasks. Meanwhile, 15 patients with schizophrenia received a five-week visual art intervention as the control group including handicraft and painting activities. We collected the Manchester Scale (MS) and Positive and Negative Symptom Scale (PANSS) scores and electroencephalography (EEG) data before and after intervention in two groups.ResultsBehavioral results showed that both interventions mentioned above can effectively help patients with schizophrenia relieve their overall symptoms, while a trend-level effect was observed in favor of music therapy. The EEG results indicated that music therapy can improve abnormal neural oscillations in schizophrenia which is reflected by a decrease in theta oscillation in the parietal lobe and an increase in gamma oscillation in the prefrontal lobe. In addition, correlation analysis showed that in the music group, both reductions in theta oscillations in the parietal lobe and increases in gamma oscillations in the prefrontal lobe were positively correlated with the improvement of overall symptoms.DiscussionThese findings help us to better understand the neural mechanisms by which music therapy improves overall symptoms in schizophrenia and provide more evidence for the application of music therapy in other psychiatric disorders.

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“…Working memory (WM) conceptualizes a cognitive system that has been referred to as the “sketchpad of conscious thought”, given its essential role in all complex cognitive processes, ranging from problem-solving and decisionmaking to social cognition and language processing. Impairments in WM have been reported in a range of neurological and mental disorders, such as Alzheimer’s and Parkinson’s disease, schizophrenia, major depression, and substance use disorders (Lee and Park 2005; Forbes et al 2009; Becker et al 2010; Jahn 2013; Wang et al 2015; Nikolin et al 2021; Ramos and Machado 2021), and have been associated with impaired social and daily life functioning (Huang et al 2014; Xu et al 2022; Sun et al 2023). WM thus represents a promising treatment target and initial studies have developed and evaluated behavioral and pharmacological interventions to enhance WM (Hernaus et al 2017; Kaser et al 2017; Teixeira-Santos et al 2019; Zhao, Becker, et al 2019; Afsaneh and Zarei Ghobadi 2022).…”

Section: Introductionmentioning

confidence: 99%

A brief real-time fNIRS-informed neurofeedback training of the prefrontal cortex changes brain activity and connectivity during subsequent working memory challenge

Yang

Zeng

Jiao

et al. 2023

Preprint

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Working memory (WM) represents a building-block of higher cognitive functions and a wide range of mental disorders are associated with WM impairments. Initial studies have shown that several sessions of functional near-infrared spectroscopy (fNIRS) informed real-time neurofeedback (NF) allow healthy individuals to volitionally increase activity in the dorsolateral prefrontal cortex (DLPFC), a region critically involved in WM. For the translation to therapeutic or neuroenhancement applications, however, it is critical to assess whether fNIRS-NF success transfers into neural and behavioral WM enhancement in the absence of feedback. We therefore combined single-session fNIRS-NF of the left DLPFC with a randomized sham-controlled design (N = 62 participants) and a subsequent WM challenge with concomitant functional MRI. Over four runs of fNIRS-NF, the left DLPFC NF training group demonstrated enhanced neural activity in this region, reflecting successful acquisition of neural self-regulation. During the subsequent WM challenge, we observed no evidence for performance differences between the training and the sham group. Importantly, however, examination of the fMRI data revealed that - compared to the sham group - the training group exhibited significantly increased regional activity in the bilateral DLPFC and decreased left DLPFC - left anterior insula functional connectivity during the WM challenge. Exploratory analyses revealed a negative association between DLPFC activity and WM reaction times in the NF group. Together, these findings indicate that healthy individuals can learn to volitionally increase left DLPFC activity in a single training session and that the training success translates into WM-related neural activation and connectivity changes in the absence of feedback. This renders fNIRS-NF as a promising and scalable WM intervention approach that could be applied to various mental disorders.

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Psychosocial intervention for schizophrenia

Cited by 4 publications

References 54 publications

Attitude towards mental help-seeking, motivation, and economic resources in connection with positive, negative, and general psychopathological symptoms of schizophrenia: a pilot study of a psychoeducation program

Attitude towards mental help-seeking, motivation, and economic resources in connection with positive, negative, and general psychopathological symptoms of schizophrenia: a pilot study of a psychoeducation program

Five-week music therapy improves overall symptoms in schizophrenia by modulating theta and gamma oscillations

A brief real-time fNIRS-informed neurofeedback training of the prefrontal cortex changes brain activity and connectivity during subsequent working memory challenge

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