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September 13, 2006
Update on Integrated Psychological Treatment
Read more... Complementary Schizophrenia Treatments
Including Integrated Psychological Treatment as part of standard medical therapy for patients with schizophrenia
A Summary by Victoria Cosgrove, PhD Candidate, Clinical Psychology, University of Colorado
Why is this review of interest?
Furthermore, the effectiveness of psychological intervention for schizophrenia is often underreported or ignored. Research has shown that the hierarchical approach of IPT leads to substantive gains in cognitive and social functioning for schizophrenia sufferers. This knowledge is important to frequently revisit.
Who are the Authors?
How did the Authors Design the Study?
Consenting patients continued to receive their standard psychiatric care (i.e., visits with psychiatrists, psychologists, nurses, occupational therapists, and social workers). In addition, they received IPT. Patients were assessed at four time points: prior to IPT, after the first three IPT subsections, after completing six IPT subsections, and 3-4 months after the completion of IPT. Assessments at each time point included the Structured Clinical Interview for DSM-IV; the Cambridge Neuropsychological Test Automated Battery; the Client’s Assessment of Strengths, Interests, and Goals; the Multnomah Community Ability Scale, and the Frankfurt Complaint Questionnaire.
Analyses employed SAS statistical software in a nine group (clinical sites) by four repeated measures ANOVA, including time and group effect and their interaction.
What did they find?
55 of 90 patients completed the IPT program. Withdrawal was mainly during the follow-up period and due to illness-related reasons.
The longer that patients in all groups were involved in the IPT program, the more their symptoms improved. Patients reported that their overall symptoms abated at the beginning of the IPT program, whereas therapists rated improvement immediately after the program’s completion. Patients subjectively reported an improvement in their cognitive functioning after completing the IPT program, and objective cognitive evaluations confirmed improvements in visual-motor coordination, visual memory, and working memory and planning.
Results on social functioning were varied. At six of nine sites, results from therapist ratings showed improvement in the daily living skills, social competence, and behavior problems of patients who completed an IPT regimen. However, patients improved at different rates and to varying degrees at different sites. Patients who completed IPT, however, reported an overall improvement in their quality of life.
The Take-Home Message
The study is not without limitations. Most importantly, its quasi-experimental design did not allow for a “pure” control group. In other words, all participants in the study received IPT. State-of-the-art science calls for such control conditions in order that participants receiving IPT are easily compared with an IPT-naïve group at the same points in time.
However, like its predecessors, this study of IPT for schizophrenia suggests that psychosocial treatments enhance clinical outcomes. This fact is resoundingly important and often overlooked.
Source Document: Including Integrated Psychological Treatment as part of standard medical therapy for patients with schizophrenia. J Nerv Men Dis. 194(7): 463-470., Briand C, Vasiliadis HM, Lesage A, Lalonde P, Stip E, Nicole L, Reinharz D, Prouteau A, Hamel V & Villeneuve K (2006)
Additional Reading on Psychological Treatments for Schizophrenia:
Psychological Interventions for Schizophrenia (Schizophrenia Bulletin, 1995)
Posted by szadmin at September 13, 2006 04:29 PM
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