Do Psychological Interventions Work for Psychosis in Adolescents?
| Autor: | Ajit Kumar, Rhea Daruvala, Soumitra Shankar Datta |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Family therapy
Psychosis Adolescent medicine.medical_treatment Psychological intervention law.invention 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial law Outcome Assessment Health Care medicine Psychoeducation Humans business.industry medicine.disease Cognitive Remediation 030227 psychiatry Psychiatry and Mental health Psychotic Disorders Schizophrenia Cognitive remediation therapy Relative risk Psychotherapy Group Family Therapy business 030217 neurology & neurosurgery Regular Articles Clinical psychology |
| Zdroj: | Schizophr Bull |
| ISSN: | 1745-1701 0586-7614 |
| DOI: | 10.1093/schbul/sbaa132 |
| Popis: | Background There is emerging evidence to show that psychological interventions such as cognitive remediation therapy (CRT), psychoeducation, family therapy, and group psychotherapies may be useful for adolescents with psychosis. The current review is on the effects of various psychological interventions for adolescents with psychosis compared with treatment as usual (TAU) or other psychological interventions. Methods We undertook a comprehensive search for all randomized controlled trials on the topic as per predefined criteria. For binary data, a standard estimation of risk ratio, and, for continuous data, the mean difference between groups were estimated. GRADE approach was used to assess studies. “Risk of Bias” was calculated, and finally random-effects model was used for analyses. Results The review included 7 studies (n = 317). Two studies compared CRT and TAU with TAU alone. CRT showed improvement in short-term memory compared with those in the TAU group (relative risk 0.58, 95% CI 0.37 to 0.89, participants = 31, very low-certainty evidence). When comparing group psychosocial therapy with TAU, global state scores measured using Children’s Global Assessment Scale (CGAS) were clearly higher in the intervention arm (mean difference 5.10, 95% CI 1.35 to 8.85, participants = 56, very low-certainty evidence) as compared with the TAU group. None of the other interventions were found to be significantly effective for the treatment of psychosis in adolescents. Conclusions Evidence suggests that psychological interventions may have beneficial effects in the treatment of adolescents with psychosis, but the evidence is of low or very low certainty. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|