[Do the effects of inpatient vocational therapy and ergotherapy approaches differ in schizophrenic patients? Results of a controlled multicenter study of the german research network on schizophrenia].
For some decades, vocational therapy approaches have been an integral part of inpatient psychiatric treatment of patients with schizophrenia. Like most sociotherapeutic measures, they are largely hypothesis-based. So far, their effectiveness has been subjected to very little scientific scrutiny. The results of a multicenter study in which five vocational therapy models were compared with creativity-oriented ergotherapy in a prospective, randomized control group design are presented. Target criteria were job-relevant skills, psychopathology, general level of functioning, quality of life, self-efficacy, and speed of cognitive performance. 227 patients were enrolled in the study, which was carried out within the framework of the German Research Network on Schizophrenia funded by the German Federal Ministry for Education and Research (BMBF). Multicenter analyses in a pre-post comparison revealed only minimum differences between the experimental and the control group over a four-week intervention period. Job-oriented approaches cannot currently be assumed to be superior to creativity-oriented ergotherapy.
Längle
Gerhard
G
Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen. gerhard.laengle@med.uni-tuebingen.de
Bayer
Wiltrud
W
Köster
Margitta
M
Salize
Hans Joachim
HJ
Höhl
Werner
W
Machleidt
Wielant
W
Wiedl
Karl H
KH
Buchkremer
Gerhard
G
D000328:Adult; D003131:Combined Modality Therapy; D003142:Communication; D003405:Creativity; D005260:Female; D005858:Germany; D006801:Humans; D007902:Length of Stay; D008297:Male; D009788:Occupational Therapy; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012050:Rehabilitation, Vocational; D012559:Schizophrenia / Q000175:diagnosis / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012917:Social Adjustment