Application in Mexico of psychosocial rehabilitation with schizophrenia patients.
To determine whether evidence-based, psychosocial treatments developed in the United States and England are applicable to Mexican outpatients with schizophrenia, the present study was carried out to evaluate the relative effectiveness of family psycho-education and psychosocial skills training added to customary treatment vs. customary treatment alone. Clinically stable outpatients with schizophrenia participated in a 12-month randomized, controlled trial at the National Institute of Psychiatry in Mexico City. An experimental group (N = 47) received the combination of psychosocial skills training, family psycho-education and customary pharmacotherapy while the comparison group (N = 36) received customary treatment alone. Patients were assessed at baseline and one year after commencement of treatment. Significant differences favoring the group that received psychosocial rehabilitation were found in ratings of adherence to medication, attendance at appointments, symptoms, social functioning, relapse, and re-hospitalization. While some adaptations were made in the psychosocial treatments to resolve cultural differences, the results provide cross-national validation of evidence-based treatments for persons with schizophrenia.
Valencia
Marcelo
M
National Institute of Psychiatry, National University of Mexico School of Medicine, Mexico City, Mexico. valencm@imp.edu.mx
Rascon
Maria Luisa
ML
Juarez
Francisco
F
Escamilla
Raul
R
Saracco
Ricardo
R
Liberman
Robert Paul
RP
D000293:Adolescent; D000328:Adult; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D011613:Psychotherapy / Q000379:methods*; D012559:Schizophrenia / Q000175:diagnosis / Q000517:prevention & control* / Q000534:rehabilitation*; D055502:Secondary Prevention