title: [Psychotherapeutic Interventions in Acute and Maintenance Treatment of Adult Patients Diagnosed With Schizophrenia].
abstract: OBJECTIVE
  To determine the effectiveness of the psychotherapeutic strategies designed to improve the outcomes in adults with schizophrenia in both, acute and stable phase of disease. This evidence is used to propose recommendation in the guidelines of integral attention for the diagnosis, treatment and psychosocial rehabilitation of adults with schizophrenia.
  
  
  METHODS
  A guideline for clinical practice was developed using the methodological framework of the Ministerio de la Protección Social to collect evidence and grading recommendations. A search, evaluation and synthesis of evidence were carried out. The evidence was presented to the Guideline Developing Group and recommendations, employing the GRADE system, were produced.
  
  
  RESULTS
  The cognitive behavioral therapy showed higher efficacy, compared with the usual treatment, to reduce positive symptoms, prevent relapses and hospital readmissions and to improve the occupational stats. However, the quality of evidence was low. There was not enough evidence about the efficacy of adherence, psychodynamic and support therapy.
  
  
  CONCLUSIONS
  Psychotherapeutic management must be offered to the patients with schizophrenia according to their needs and clinical characteristics. Among the different psychotherapeutic modalities, cognitive behavioral therapy is recommended.
authors.affiliation: Médica Psiquiatra, Magíster y Doctora en Epidemiología. Profesora Asociada del Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia., Medellín, Antioquia, Colombia. Electronic address: jenny.garcia@udea.edu.co.
authors.forename: Jenny
authors.initials: J
authors.lastname: García Valencia
authors.affiliation: Médica Psiquiatra, subespecialista en Neuropsiquiatría. Estudiante de Maestría en Ciencias Clínicas, Facultad de Medicina, Universidad de Antioquia, Delegada Asociación Colombiana de Psiquiatría, Medellín, Antioquia, Colombia.
authors.forename: Luisa Fernanda
authors.initials: LF
authors.lastname: Ahunca Velásquez
authors.affiliation: Médica Psiquiatra, Magíster en Epidemiología Clínica. Profesora Titular del Departamento de Psiquiatría y Salud Mental. Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Adriana
authors.initials: A
authors.lastname: Bohórquez Peñaranda
authors.affiliation: Médico Psiquiatra, Psicoanalista, Psiquiatra de Enlace, Magíster en Epidemiología Clínica. Profesor Titular y Director del Departamento de Epidemiología Clínica y Bioestadística. Pontificia Universidad Javeriana. Hospital Universitario San Ignacio, Bogotá, Colombia.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gómez Restrepo
authors.affiliation: Médico Psiquiatra, Master en Farmacología. Profesor Universidad Nacional de Colombia, Bogotá, Colombia.
authors.forename: Luis Eduardo
authors.initials: LE
authors.lastname: Jaramillo González
authors.affiliation: Médico Psiquiatra, Magíster en Epidemiología. Profesor Titular del Departamento de Psiquiatría, Decano de la Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia.
authors.forename: Carlos
authors.initials: C
authors.lastname: Palacio Acosta
keywords: Adherence Therapy; Clinical Practice Guideline; Cognitive Behavioral Therapy; Consejería y terapia de apoyo; Counseling; Esquizofrenia; Guía de práctica clínica; Psychodynamic Psychotherapy; Schizophrenia; Support Therapy; Terapia cognitivo conductual; Terapia de adherencia; Terapia de orientación psicodinámica