Literature Review On Schizophrenia

Literature Review On Schizophrenia-90
– Type of intervention: community mental health services.– Study design: prospective randomized controlled clinical trials (CCT).

– Type of intervention: community mental health services.– Study design: prospective randomized controlled clinical trials (CCT).

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– Outcomes: clinical (symptoms), user satisfaction, adherence to treatment, unmet needs, social functioning, occupational functioning, cognitive functioning, use of services, quality of life, hospitalizations, costs. – Language: English/Spanish The studies went through a second screening in accordance with exclusion criteria, which ensured that the reviewed articles complied with the conditions established in the investigative question.

For this reason, studies that included the following were excluded: – Participant population: bipolar affective disorder (greater than 50% of the sample), substance-induced psychosis (greater than 50% of the sample) – Type of intervention: exclusively pharmacological or inpatient treatment.

Another possibility of co-existence of a psychosis (e.g., schizophrenia) with anorexia is when the eating disorder syndrome manifests at the same time as the full-blown psychotic syndrome.

In such cases, when the symptoms of the two disorders occur simultaneously, it is often difficult to say whether the patient is suffering from schizophrenia, in the course of which anorexia has arisen secondary to psychotic symptoms or whether he/she is suffering from anorexia during which he/she has developed psychotic symptoms, usually thematically associated with eating.

Symptoms of anorexia may 1) precede the onset of psychosis; 2) evolve in its active phase or more rarely manifest in remission; and, conversely, 3) psychotic symptoms may occur transiently in the course of anorexia nervosa.

When anorexia precedes the manifestation of psychosis, symptoms of anorexia can be treated as a component of the prodromal phase of schizophrenia.

Studies published so far, mainly case reports, point to the complex nature of the interrelationships between schizophrenia and anorexia nervosa.

Further research is needed to conclusively explain the relationships between psychotic disorders and anorexia nervosa, which would allow physicians to use more effective methods of treatment in this group of patients.

Community intervention strategies ensure the achievement of these goals.

Objectives: This study compiles and synthesizes available scientific evidence from the last 14 years on the effectiveness of community intervention strategies for schizophrenia and related psychotic disorders.


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