정신분열병 심리사회적 치료의 역사와 성과

• 영문명: The History and Achievement of Psychosocial Treatment for Patients with Schizophrenia
• 발행기관: 대한신경정신의학회
• 저자명: 이동은 최용성
• 간행물 정보: 『신경정신의학』제48권 제6호, 411~422쪽, 전체 12쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2009.11.30

영문 초록

ObjectivesZZPsychosocial treatment combined with pharmacological treatment has been established as one of the most important interventions for schizophrenia. However, it still does not show Editor’s note：I was not certain whether you intended the highlighted text to convey “psychosocial treatment + pharmacological treatment is an important treatment” or “psychosocial treatment is an important treatment, and pharmacological treatment is also an important treatment.” My edit reflects the former. If you actually intended the latter meaning, please change this sentence to read, “Psychosocial treatment has been established alongside pharmacological treatment as one of the most important interventions for schizophrenia.” satisfactory results with regard to patients’ social adjustment and independent living abilities. For this study, we reviewed the psychosocial treatment of schizophrenia: its therapeutic concepts, methods, effects of clinical application, and therapeutic limitations. Methods We searched four areas of the English website Pubmed：family therapy, social skills training, cognitive remediation, and vocational rehabilitation, which are the main psychosocial treatment areas for schizophrenia. Results Family therapy can reduce the relapse rate through psychoeducation, stress management, and behavioral intervention for family members when the therapy lasts longer than 9 months. This effect seems to last longer than 2 years. Social skills training allows patients to acquire specific skills but shows a relatively small effect on symptom improvement and relapse prevention. However, it is possible that social skills training has a lasting or generalized effect on the obtained skills if practiced long term (longer than 1 year). Basic neurocognitive function training shows a relatively small effect on social functioning, while additive and comprehensive social interventions, such as social cognition, social skill training, and context appraisal show a moderate effect on patients social functioning. The success of vocational adjustment is related to premorbid functioning, negative symptoms, and cognitive functioning, and direct expert support can help patients’ vocational functioning in the workplace. Conclusion The psychosocial treatment of schizophrenia has many important achievements during the past 30 years. However, several limitations of each type of psychosocial therapy have been ascertained during this same period. Researchers in the field of psychosocial treatment for schizophrenia have recently been trying to find more efficient treatments, by correcting distortions of social cognition, combining various treatment modules, and attempting new therapeutic approaches to psychosocial treatment

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키워드

Schizophrenia Psychosocial treatment Family therapy Social skill training Cognitive remediation Vocational rehabilitation