The treatment of acute psychosis without neuroleptics: six-week psychopathology outcome data from The Soteria Project
| Autor: | Alma Z. Menn, Loren R. Mosher, Robert Vallone |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Social Environment 050105 experimental psychology 03 medical and health sciences Drug treatment 0302 clinical medicine Patient Admission medicine Humans 0501 psychology and cognitive sciences Psychiatry 05 social sciences Soteria Outcome measures Social environment Milieu Therapy Length of Stay medicine.disease Acute Psychosis 030227 psychiatry Psychiatry and Mental health Treatment Outcome Schizophrenia Acute Disease Female Schizophrenic Psychology Outcome data Psychology Clinical psychology Psychopathology Antipsychotic Agents Socioenvironmental Therapy |
| Zdroj: | The International journal of social psychiatry. 41(3) |
| ISSN: | 0020-7640 |
| Popis: | Background: Today's treatment of acute psychosis usually includes short-term hospitalization and anti-psychotic drug treatment. The Soteria project compared this form of treatment (control) with that of a small, home-like social environment, usually without neuroleptics (experimental). Method: Newly diagnosed, young, unmarried persons with DSM-11 schizophrenia were randomly assigned to treatment in two experimental and two control settings. Subjects and families were assessed at admission on 29 independent variables. Treatment environments were studied by means of Moos', COPES or WAS scales. Three dependent six week psychopathology outcome measures were collected. Results: The groups were comparable on 25 of 29 admission variables. The environments of the two experimental and two control settings were different from each other. The milieus were similar to each other within each condition. At six weeks, psychopathology in both groups had improved significantly, and similarly, and overall change was the same. Conclusion: Specially designed, replicable milieus were able to reduce acute psychotic symptomatology within six weeks, usually without antipsychotic drugs, as effectively as usual hospital ward treatment that included routine neuroleptic drug use. |
| Databáze: | OpenAIRE |
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