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Group therapy in Schizophrenia. What’s the evidence?

Published online by Cambridge University Press:  01 September 2022

F. Azevedo*
Affiliation:
Centro Hospitalar de Lisboa Ocidental, Psychiatry, Lisbon, Portugal
L. Silva
Affiliation:
Unidade Local de Saúde do Baixo Alentejo, Psychiatry, Beja, Portugal
A.A. Quintão
Affiliation:
Centro Hospitalar de Lisboa Ocidental, Psychiatry Department, Lisboa, Portugal
N. Moura
Affiliation:
Centro Hospitalar Lisboa Ocidental, Psychiatry, Lisbon, Portugal
P. Duarte
Affiliation:
Centro Hospitalar Lisboa Ocidental, Psychiatry, Lisbon, Portugal
*
*Corresponding author.

Abstract

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Introduction

The American Psychiatric Association and NICE’s Guidelines for schizophrenia recommend psychosocial interventions as adjuvants to pharmacological treatment, highlighting the role of cognitive behavioral therapy for psychosis, psychoeducation, family intervention, cognitive remediation, autonomy training, social skills training, and supported employment. Although highly recommended in their individual forms current guidelines make no definitive statement about their group applicability.

Objectives

The goal of this work was to critically review the evidence of group interventions in schizophrenia

Methods

Non-systematic review of the literature with selection of scientific articles published in the past 10 years; by searching Pubmed and Medscape databases using the combination of MeSH descriptors. The following MeSH terms were used: “schizophrenia”, “group therapy”.

Results

Group therapy has shown important benefits in different conditions over the years, likely through mechanisms such as peer motivation, controlled confrontation, increased insight and even a tendency to homogenous results between group participants through peer influence. These results have been reproduced in schizophrenia though the benefits of applying group concepts to structured psychosocial interventions is still under study.

Conclusions

Recent evidence suggests some evidence-based interventions can be applicable in group form, namely social skills training, cognitive remediation, psychoeducation, and multifamily groups, synergizing the already known benefits with newer therapy models and decreasing costs for patients and healthcare systems. Adequate controlled studies between individual and group therapy will shed further light on this matter.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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