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Psychosocial Rehabilitation and Psychosocial Treatment in Schizophrenia: Goals, Stages, Evaluation of the Efectiveness

https://doi.org/10.30629/2618-6667-2019-17-3-62-74

Abstract

Purpose: to present an analysis of scientific publications on psychosocial rehabilitation and psychosocial treatment with an emphasis on its targets, stages of implementation, effectiveness of the interventions and criteria of the effectiveness.

Material and method: a set of domestic and foreign publications on the problem of psychosocial rehabilitation and psychosocial treatment over the past two decades.

Results: the goals and stages of psychosocial rehabilitation are analyzed, the results of the evaluation of the effectiveness of different types of psychosocial treatment and comprehensive rehabilitation programs are presented. Analysis of scientific publications shows that the targets of pathogenetic psychosocial therapy and psychosocial rehabilitation of patients with schizophrenia are neurocognitive deficit, impaired social cognition, motivation, emotional sphere, social functioning, as well as negative symptoms, social and psychological vulnerability, family disadaptation. The use of specific psychosocial interventions, comprehensive rehabilitation programs and modules helps to reduce recurrence of the disease and the number of hospitalizations, reduce cognitive and socio-cognitive impairment, increase social competence, social functioning and quality of life that can transform into more adaptive social functioning in a community of schizophrenic patients.

Conclusion: psychosocial interventions with scientific evidence of effectiveness should be implemented in practical activities and are available to most patients with schizophrenia.

About the Authors

T. A. Solokhina
FSBSI Mental Health Research Centre
Russian Federation

Tatyana A. Solokhina - Dr. of Sci. (Med.), Head of Department, Department of Mental Health Services.

Moscow


V. V. Yastrebova
FSBSI Mental Health Research Centre
Russian Federation

Valeriya V. Yastrebova - PhD, MD, Сand. of Sci. (Med.), Researcher, Department of Mental Health Services.

Moscow


V. G. Mitikhin
FSBSI Mental Health Research Centre
Russian Federation

VyacheslavG. Mitikhin - Cand. of Sci. (Physic. and Mathema.), Leading Researcher, Department of Mental Health Services.

Moscow


G. V. Tiumenkova
FSBSI Mental Health Research Centre
Russian Federation

Galina V. Tiumenkova - PhD, MD, Cand. of Sci. (Med.), Researcher, Department of Mental Health Services.

Moscow


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Solokhina T.A., Yastrebova V.V., Mitikhin V.G., Tiumenkova G.V. Psychosocial Rehabilitation and Psychosocial Treatment in Schizophrenia: Goals, Stages, Evaluation of the Efectiveness. Psychiatry (Moscow) (Psikhiatriya). 2019;17(3):62-74. (In Russ.) https://doi.org/10.30629/2618-6667-2019-17-3-62-74

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