Supportive therapy for schizophrenia

Abstract

There are insufficient data to identify a difference in outcome between supportive therapy and standard care. There are several outcomes, including hospitalisation and general mental state, indicating advantages for other psychological therapies over supportive therapy but these findings are based on a few small studies. Future research would benefit from larger trials that use supportive therapy as the main treatment arm rather than the comparator.

Cognitive Behavioral Therapy Compared with Non-specialized Therapy for Alleviating the Effect of Auditory Hallucinations in People with Reoccurring Schizophrenia: A Systematic Review and Meta-analysis

“…A gap in appropriately powered RCTs was revealed through this search, which may reflect a known general difficulty with recruiting people with schizophrenia into research (Thornley and Adams 1998). There is also a lack of RCTs that include an active comparison that could be defined as a non-specialized therapy (Buckley et al 2007). Penn et al (2009) andShawyer et al (2012) were the two studies that met the inclusion criteria for this review; both studies are single assessor-blind RCTs with a combined sample size of 105 (Table 2).…”

“…Unlike CBT, these interventions contain skills and resources that can be reproduced by the general community mental health teams (Buckley et al 2007;Krakvik et al 2013). …”

“…This longer-term approach could be more beneficial and sustainable for this specific patient population. However, currently there is limited research and data to explore the potential role and effectiveness of such interventions for community patients with schizophrenia and persistent auditory hallucinations (Buckley et al 2007). Krakvik et al (2013) noted that current research into CBT interventions does not reflect the capabilities of a general mental health team as it employs well-trained and highly motivated CBT therapists.…”

Cochrane Reviews of non‐medication‐based psychotherapeutic and other interventions for schizophrenia, psychosis, and bipolar disorder: A systematic literature review

“…2. ) To measure the effects of supportive therapy for patients with schizophrenia Not enough data collected to make any reasonable assumptions (Buckley et al 2007) CMHT, community mental health teams.…”

Tratamiento con intervenciones psicoterapéuticas en la fase aguda y de mantenimiento del paciente adulto con diagnóstico de esquizofrenia

“…7 Medidos con la Positive and Negative Syndrome Scale (PANSS) y la Scale for the Assessment of Negative Symptoms (SANS). 8 Heterogeneidad: Chi 2 = 1,62, df = 3 (p = 0,66); I 2 = 0% 9. Heterogeneidad: Chi 2 = 4,97, df = 3 (p = 0,17); I 2 = 40% 10.…”