[Evidence-based psychotherapy of schizophrenic disorders].
In the past, treatment of schizophrenic disorders was limited to pharmacotherapy. Psychotherapy was not regarded as evidence-based. A number of randomised clinical trials have led to a different perspective during the last two decades. This paper highlights and discusses evidence-based strategies. In particular, cognitive behavioural therapy and family intervention have recently been recommended in evidence-based treatment guidelines. Additionally, psychoeducation and social skills training showed treatment effects. Psychotherapeutic treatment requires an individual case concept. Neuropsychological testing for cognitive deficits should be included in comprehensive assessment in order to avoid overstimulation and optimise rehabilitation. Major treatment goals are to reduce persistent symptoms and relapse rates.
Klingberg
S
S
Universitätsklinik für Psychiatrie und Psychotherapie, Osianderstrasse 24, 72076 Tübingen. stefan.klingberg@med.uni-tuebingen.de
Borbé
R
R
Buchkremer
G
G
D000328:Adult; D000465:Algorithms; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003131:Combined Modality Therapy; D019317:Evidence-Based Medicine; D005196:Family Therapy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D011613:Psychotherapy / Q000379:methods*; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D012565:Schizophrenic Psychology; D012917:Social Adjustment; D016896:Treatment Outcome