Acute treatment with a psychological/psychosocial intervention

No.Updated clinical question
3.1.1bFor people with an acute exacerbation or recurrence of schizophrenia, what are the benefits and downsides of psychological/psychosocial interventions41 when compared to alternative management strategies?
Secondary clinical questions
3.1.4bFor people with an acute exacerbation or recurrence of schizophrenia, are there any relevant factors (including patient populations) which predict the nature and degree of response to an initial psychological/psychosocial intervention?
3.1.5bFor people with an acute exacerbation or recurrence of schizophrenia, what should be the dose/duration (and where relevant frequency) of an initial intervention?
3.3.2For people with an acute exacerbation or recurrence of schizophrenia, what are the most effective formats for psychological/psychosocial interventions (e.g. group or individual)?
3.3.3For people with an acute exacerbation or recurrence of schizophrenia, are there any advantages of combining a psychological/ psychosocial intervention with an antipsychotic, either concurrently or sequentially?
41

The analysis will be conducted separately for each intervention (CBT, cognitive remediation, counselling and supportive psychotherapy, family interventions, psychodynamic psychotherapy and psychoanalysis, psychoeducation, social skills training, arts therapies)

From: Appendix 6, Analytic framework and clinical questions

Cover of Schizophrenia
Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care (Update) [Internet].
NICE Clinical Guidelines, No. 82.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2009 Mar.
Copyright © 2009, National Collaborating Centre for Mental Health.

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