Including integrated psychological treatment as part of standard medical therapy for patients with schizophrenia: clinical outcomes.
ABSTRACT To assess the clinical outcomes associated with the inclusion of Integrated Psychological Treatment (IPT) standard medical therapy in nine regular clinical settings, nine clinical teams integrated the complete IPT program (six hierarchically arranged subprograms) with their respective standard medical therapies for outpatients with schizophrenia. A total of 90 patients, young adults to long-term mentally ill patients, participated in the program. Patients were evaluated using standardized instruments at four time points: (1) prior to including the IPT program, (2) after the first three IPT subprograms, (3) at the end of IPT, and (4) 3 to 4 months post-IPT. The IPT program was associated with positive results. Patients improved in terms of overall symptoms, subjective experiences, cognitive and social functioning, and quality of life. IPT is one of the most up-to-date programs to address the rehabilitation needs of persons suffering from schizophrenia. Our experience in nine clinical settings suggests that IPT can successfully be included as part of standard medical therapy in the rehabilitation of patients with schizophrenia.
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ABSTRACT: The assessment of quality of life in clinical practice in patients with schizophrenia The aim of the present article is to review QoL scales used in studies investigating patients with schizophrenia over the past 5 years, and to summarize the results of QoL assessment in clinical practice in these patients.. Literature available from January 2009 to December 2013 was identified in a PubMed search using the key words "quality of life" and "schizophrenia" and in a cross-reference search for articles that were particularly relevant. A total of n=432 studies used 35 different standardized generic and specific QoL scales in patients with schizophrenia. Affect-ive symptoms were major obstacles for QoL improvement in patients with schizophrenia. Though positive symp-toms, negative symptoms, and cognitive functioning may be seen as largely independent parameters from subjec-tive QoL, especially in cross-sectional trials, long-term studies confirmed a critical impact of early QoL improvement on long-term symptomatic and functional remission, as well as of early symptomatic response on long-term QoL. Results of the present review suggest that QoL is a valid and useful outcome criterion in patients with schizophrenia. As such, it should be consistently applied in clinical trials. Understanding the relationship between symptoms and functioning with QoL is important because interventions that focus on symptoms of psychosis or functioning alone may fail to improve subjective QoL to the same level. However, the lack of consensus on QoL scales hampers research on its predictive validity. Future research needs to find a consensus on the concept and measures of QoL and to test whether QoL predicts better outcomes with respect to remission and recovery under consideration of different treatment approaches in patients with schizophrenia.Dialogues in clinical neuroscience 06/2014; 16(2):185-195.
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ABSTRACT: This study was to assess the effects of a recovery oriented integrated rehabilitation program on cognitive social function, rehabilitation motivation, and mental health recovery. This program is involved motivation enhancement program with 4 subprograms composed of cognitive rehabilitation, emotion management, vocational rehabilitation, family education program. The subjects were 34 patirents with schizophrenia who had been hospitalized at National Mental Hospital on local area. The study was a non-equivalent control group non-synchronized design with two groups, an experimental group(18 patients) and a control group(16 patients). The collected data were analyzed using SPSS 12. 0. The results of the data show that there was not a significant increase in the symptom, cognitive and social function. But there was a significant increase in readiness of rehabilitation(maintenance, p=.027) and mental health recovery (p=.039). Short term recovery oriented integrated rehabilitation programs in inpatient settings are more available for motivation of rehabilitation and mental health recovery than symptom reduction or functional improvement. Therefore there should be more efforts to create more recovery oriented service provision in clinical settings.01/2012; 12(1). DOI:10.5392/JKCA.2012.12.01.416
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ABSTRACT: For disclosing the effects of seed priming with water and polyethylene glycol (PEG) on physiological characteristics in rice (Oryza sativa L.), the seeds of 4 rice cultivars were treated with H2O and different concentrations of PEG before germination. Primed or nonprimed (control) seeds were then germinated under drought stress conditions simulated with PEG in a serious of concentrations. The contents of proline, soluble protein (SP), total soluble sugar (SS), malonicdialdehyde (MDA), and the activities of phenylalanine ammonia lyase (PAL), superoxide dismutase (SOD), catalase (CAT), and peroxidase (POD) in the seeds or seedlings after 10-day stress were tested, and the indices for seed germination and seedling characteristics were determined. In seeds with priming treatments, the contents of proline and SP were significantly higher than those in the corresponding controls, and the contents of SS and MDA were significantly lower than those in the controls. Seed priming accelerated the process of glucose metabolism, enhanced the activities of PAL, SOD, CAT, and POD in the stressed seeds of all cultivars. Compared to hydro-priming, priming with PEG in a proper concentration had a better effect on seed germination and seedling growth under drought stress, and the optimal priming concentrations of PEG were 20% for Gangyou 527 (indica hybrid rice) and 10%–15% for Nongken 57 (conventional japonica rice). Even higher concentrations of PEG had negative effects on seed germination. Moderate priming intensity improved metabolism of rice seed, germination indices, seedling quality, and drought tolerance of seedlings under drought stress for all cultivars. However, such effects had limited capability, and severe drought stress inhibited germination and caused damages of rice seedlings. Rice cultivars had significant impact on priming effect, and indica rice showed better performance than japonica rice.Acta Agronomica Sinica 11/2010; 36(11):1931-1940. DOI:10.1016/S1875-2780(09)60085-7