Model of complex rehabilitation for patients with a simple form of schizophrenia
DOI:
https://doi.org/10.14739/2310-1210.2021.1.224910Keywords:
rehabilitation, psychotherapy, occupational therapy, schizophrenia, psychiatryAbstract
Psychosocial rehabilitation for patients with mental disorders is one of the priority areas of scientific research in modern psychiatric discourse. The key to solving this problem is a multidisciplinary approach, within which it becomes possible to select congruent rehabilitation and psychoeducational techniques, taking into account the clinical and psychopathological content of this nosological form. In this context endogenous procedural mental disorders deserve special attention, as they are characterized by the highest level of social and labor maladjustment.
Aim. To investigate the effectiveness of the developed model of complex psychosocial rehabilitation for patients with schizophrenia.
Materials and methods. On the basis of Municipal Non-Commercial Enterprise “Regional Clinical Institution for Provision of Psychiatric Care” of Zaporizhzhia Regional Council, 80 patients with a simple form of schizophrenia were selected at the outpatient stage of treatment for the purpose of further examination. Clinical diagnostics of the studied mental pathology was carried out in accordance with the differential diagnostic criteria of the International Classification of Diseases 10 revision (ICD-10). The inclusion criteria for the study contingent were: informed consent to participate in the study, the absence of severe somatic pathology and information about craniocerebral trauma. In order to analyze the effectiveness of the developed model, the study contingent was randomized into the study group (SG) – 40 patients who received complex therapy within the framework of the developed model of psychosocial rehabilitation, and the comparison group (CG) – 40 patients who received treatment in accordance with the current protocols.
Results. Based on the formed principles of psychosocial rehabilitation for patients with a simple form of schizophrenia, a comprehensive model of psycho-rehabilitation support for this patient contingent was generated including four stages: psychopharmacological, family intervention, cognitive-behavioural and ergotherapeutic.
Analysing the effectiveness of the developed model, statistically significant differences (P < 0.05) were established between the average indicators in the studied groups according to the criteria “socially useful activity, including work and study” (4.18 ± 0.25 and 3.33 ± 0.27 points in SG and CG, respectively) and “relationships with family and other social relations” (4.35 ± 0.24 and 3.60 ± 0.25 points in SG and CG, respectively) in the absence of statistically significant differences in the criteria for “self-care” and “bothering others and aggressive behaviour”.
Conclusions. The effectiveness of the complex model of psychosocial rehabilitation for patients with a simple form of schizophrenia in the areas of socially useful activities (study and work) and social relations was developed and proved, which made it possible to increase the effectiveness of therapy for this contingent of patients.
References
Aymedov, K., & Stakhanov, K. (2016). Problemy simeinoho funktsionuvannia khvorykh na shyzofreniiu [Family functioning of schizophrenia patients]. Visnyk morskoi medytsyny, (4), 41-47. [in Ukrainian].
Buzdyhan, O. G. (2016). Dyferentsiiovani pidkhody do psykhosotsialnoi reabilitatsii khvorykh na shyzofreniiu z urakhuvanniam kliniko-funktsionalnykh hendernykh osoblyvostei [Differentiated approaches to psychosocial rehabilitation of patients with schizophrenia in view of clinical and functional gender peculiarities]. Ukrainskyi visnyk psykhonevrolohii, 24(4), 47-53. [in Ukrainian].
Crystal, V. E., Crystal, A. A., & Sukhoivanova, O. I. (2014). Kompleksnaya sistema reabilitatsii bol'nykh shizofreniei [Complex system of rehabilitation of patients with schizophrenia]. Tavricheskii zhurnal psikhiatrii, 18(1), 32-35. [in Russian].
Kushnir, A. N. (2015). Osoblyvosti sotsialnoho funktsionuvannia suspilno nebezpechnykh khvorykh na shyzofreniiu yak markery-misheni yikh reabilitatsii [The features of social functioning under schizophrenic patients corresponds the special public danger]. Ukrainskyi visnyk psykhonevrolohii, 23(3), 83-88. [in Ukrainian].
Kushnir, A. M. (2017). Suchasni pidkhody do medyko-sotsialnoi reabilitatsii suspilno nebezpechnykh khvorykh na shyzofreniiu [Modern approach to medical and social rehabilitation in socially dangerous schizophrenic patients]. Ukrainskyi visnyk psykhonevrolohii, 25(2), 57-61. [in Ukrainian].
Mishiev, V. D., Grynevych, Ye. G., & Kushnir, A. M. (2015). Osobystisni osoblyvosti khvorykh na shyzofreniiu z riznymy mekhanizmamy realizatsii suspilno nebezpechnykh diian yak markery yikh psykhosotsialnoi reabilitatsii [Personal Characteristic of Schizophrenic Patients Committed Especially Dangerous Acts in Different Psychopathological Mechanisms as Markers of Their Psychosocial Rehabilitation]. Zbirnyk naukovykh prats spivrobitnykiv NMAPO im. P. L. Shupyka, 24(3), 164-169. [in Ukrainian].
Chugunov, V. V., & Moseyko, O. V. (2017). Kliniko-psykhopatolohichna struktura atypovykh variantiv perebihu prostoi formy shyzofrenii [Clinical-psychopathological structure of atypical forms of the simple-type schizophrenia]. Ukrainskyi visnyk psykhonevrolohii, 25(2), 85-87. [in Ukrainian].
Yurieva, N. M. (2014). Hendernospetsyfichna dezadaptatsiia sotsialnoho funktsionuvannia u zhinok, khvorykh na paranoidnu shyzofreniiu: analiz fenomenu ta osoblyvosti terapii i psykhosotsialnoi reabilitatsii [Gender due to specific exclusion of social functioning in women afflicted with paranoid schizophrenia: analysis of the phenomenon and features therapy and psychosocial rehabilitation]. Ukrainskyi visnyk psykhonevrolohii, 22(2), 139-146. [in Ukrainian].
Buckley, L. A., Maayan, N., Soares-Weiser, K., & Adams, C. E. (2015). Supportive therapy for schizophrenia. Cochrane Database of Systematic Reviews, 2015(4), Article CD004716. https://doi.org/10.1002/14651858.CD004716.pub4
Cichocki, Ł., Arciszewska, A., Błądziński, P., Hat, M., Kalisz, A., & Cechnicki, A. (2019). Differences in subjective quality of life of people with a schizophrenia diagnosis between participants in Occupational Therapy Workshops and those working in a Sheltered Employment Establishment. Psychiatria polska, 53(1), 81-92. https://doi.org/10.12740/PP/91915
Firth, J., Cotter, J., Elliott, R., French, P., & Yung, A. R. (2015). A systematic review and meta-analysis of exercise interventions in schizophrenia patients. Psychological Medicine, 45(7), 1343-1361. https://doi.org/10.1017/S0033291714003110
Firth, J., Stubbs, B., Vancampfort, D., Schuch, F. B., Rosenbaum, S., Ward, P. B., Firth, J. A., Sarris, J., & Yung, A. R. (2018). The Validity and Value of Self-reported Physical Activity and Accelerometry in People With Schizophrenia: A Population-Scale Study of the UK Biobank. Schizophrenia Bulletin, 44(6), 1293-1300. https://doi.org/10.1093/schbul/sbx149
Jones, C., Hacker, D., Meaden, A., Cormac, I., Irving, C. B., Xia, J., Zhao, S., Shi, C., & Chen, J. (2018). Cognitive behavioural therapy plus standard care versus standard care plus other psychosocial treatments for people with schizophrenia. Cochrane Database of Systematic Reviews, 2018(11), Article CD008712. https://doi.org/10.1002/14651858.CD008712.pub3
Prat, G., Escandell, M. J., Garcia-Franco, M., Martín-Martínez, J. R., Tortades, I., Vilamala, S., Calderón, M., Torras, R., Ochoa, S., & Casas-Anguera, E. (2018). Gender differences in social functioning in people with schizophrenia in psychosocial rehabilitation services using one-dimensional and multidimensional instruments. Comprehensive Psychiatry, 87, 120-122. https://doi.org/10.1016/j.comppsych.2018.10.004
Spaulding, W. D., & Sullivan, M. E. (2016). Treatment of Cognition in the Schizophrenia Spectrum: The Context of Psychiatric Rehabilitation. Schizophrenia Bulletin, 42(Suppl. 1), S53-S61. https://doi.org/10.1093/schbul/sbv163
Vita, A., & Barlati, S. (2018). Recovery from schizophrenia: is it possible? Current Opinion in Psychiatry, 31(3), 246-255. https://doi.org/10.1097/YCO.0000000000000407
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
