The implementation and effectiveness of Integrated Psychological Therapy (IPT) in chronic middle-aged inpatients with schizophrenia.
| Autor: | Poulou A; Department of Psychology, Panteion University of Social and Political Sciences, Athens, Greece., Anagnostopoulos F; Department of Psychology, Panteion University of Social and Political Sciences, Athens, Greece., Vatakis A; Department of Psychology, Panteion University of Social and Political Sciences, Athens, Greece., Mellon RC; Department of Psychology, Panteion University of Social and Political Sciences, Athens, Greece., Mueller DR; University Clinic of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.; Department of Psychology, Faculty of Humanities, University of Fribourg, Fribourg, Switzerland. |
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| Jazyk: | angličtina |
| Zdroj: | Schizophrenia research. Cognition [Schizophr Res Cogn] 2024 Sep 21; Vol. 39, pp. 100330. Date of Electronic Publication: 2024 Sep 21 (Print Publication: 2025). |
| DOI: | 10.1016/j.scog.2024.100330 |
| Abstrakt: | Introduction: Cognitive rehabilitation is essential for schizophrenia treatment since it improves function. Moreover, the relationship between cognitive rehabilitation and functioning is significantly affected by negative symptoms and social cognition. Integrated Psychological Therapy (IPT) is a promising approach that integrates interventions in neurocognition, social cognition, and functional level. This study examines IPT's efficacy in chronic middle-aged inpatients. Methods: A randomized controlled study involved 44 individuals with schizophrenia. Twenty-one IPT participants received 50 biweekly sessions and medication, while twenty-three control participants received treatment as usual/supportive therapy and pharmacotherapy. Pre- and post-intervention and six- and twelve-month follow-ups were arranged to assess neurocognition, social perception, psychopathology, and functioning using the Matrics Consensus Cognitive Battery, Social Perception Scale, Positive and Negative Syndrome Scale, and Global Assessment of Functioning. Results: Speed of processing, attention/vigilance, overall composite, and neurocognitive composite scores improved significantly in the IPT group. Social Perception Scale performance improved in all areas after the intervention and persisted for 6 months. Positive, negative, and total psychopathology symptoms decreased significantly post-intervention and at the 12-month follow-up, whereas participants' functioning improved significantly. Conclusions: Middle-aged chronic inpatients with schizophrenia may benefit from IPT in neurocognition, social perception, psychopathology, and functioning. This field of study may provide insight into schizophrenia treatment, hence further research is encouraged. Competing Interests: The authors report there are no competing interests to declare. (© 2024 The Authors.) |
| Databáze: | MEDLINE |
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