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Cited by 34Schizophrenia research and treatmentPsychotherapy Techniques and ApplicationsPsychiatric care and mental health services

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A twelve-week randomized controlled study of the cognitive-behavioral Integrated Psychological Therapy program: positive effect on the social functioning of schizophrenic patients

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Zimmer, Marilene, Duncan, Adriana Veríssimo, Laitano, Daniela, Ferreira, Eloisa Elena, Belmonte-de-Abreu, Paulo·2007·Revista Brasileira de Psiquiatria
DOI 10.1590/s1516-44462006005000030
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Abstract

OBJECTIVES: The present study was designed to evaluate the effect of twelve weekly sessions of the cognitive-behavioral program originally known as the Integriertes Psychologisches Therapieprogramm für Schizophrene Patienten, designated the Integrated Psychological Therapy (IPT) program in English, on cognition, social adjustment and quality of life in schizophrenic outpatients, comparing it to the effect of treating such patients as usual. METHOD: Fifty-six adult outpatients (from 18 to 65 years of age) with ICD-10-based diagnoses of schizophrenia were randomly assigned to two different groups: active intervention (IPT group); and treatment as usual (control group). Outcome measures were quality of life (as determined using the WHOQOL-Bref), cognition (Mini-Mental State Examination and Word Recall Test), global functioning (DSM-IV Global Assessment of Functioning Scale), social functioning (Social and Occupational Functioning Assessment Scale) and social adjustment (Social Adjustment Scale). RESULTS: The findings suggest that, in comparison with treatment as usual (control group), the twelve-session IPT program had a positive effect on several outcome measures: cognition in the domains of spatiotemporal orientation (p = 0.051) and memory (p = 0.031); overall social adjustment (p = 0.037), leisure/social life (p = 0.051) and family relations (p = 0.008); overall functioning (p = 0.000); social-occupational functioning (p = 0.000); and quality of life in the psychological domain (p = 0.021). CONCLUSIONS: The twelve-session cognitive-behavioral IPT intervention demonstrated superiority over treatment as usual in its effects on cognition, social adjustment and quality of life. Studies involving larger samples, longer follow-up periods and additional outcome measures are needed in order to assess the specific effects on dimensions of social functioning, cognitive functioning and quality of life in patients with schizophrenia.

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  • Four trials of multicomponent structured psychotherapies versus treatment as usual, with both groups receiving antipsychotic medication, showed large improvements in social functioning (SMD=0.93, 95% CI 0.23-1.63, P≤0.0001, I2=89%, n=893).

    “There was good evidence from four trials of large improvements in social functioning due to multicomponent structured psychotherapies against TAU with both groups receiving antipsychotic medication36-39 (SMD = 0.93, 95% CI 0.23–1.63, P≤0.0001, I2 = 89%, n = 893).”

    From Effect of psychosocial interventions on social functioning in depression and schizophrenia: meta-analysis (2013) · cites this paper as [39]

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Research works printed but not linked: 37

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Metadata

Authors
Zimmer, M., Duncan, A. V., Laitano, D., Ferreira, E. E., & Belmonte-de-Abreu, P.
Affiliations
  • Hospital de Clínicas de Porto Alegre (BR)
  • Pontifícia Universidade Católica do Rio Grande do Sul (BR)
  • Universidade Federal do Rio Grande do Sul (BR)
ORCID
Venue
Revista Brasileira de Psiquiatria
Publisher
EDITORA SCIENTIFIC
Published
2007-02-23
Volume
29
Issue
2
Pages
140-147
ISSN
  • 1516-4446 (ISSN-L)
  • 1809-452X
DOI
10.1590/s1516-44462006005000030
OpenAlex
W2100379132
Cited by
34
References
0
Citations by year
2025: 1 · 2024: 1 · 2023: 3 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 2 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 1
FWCI
0.20
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Brazilian Journal of Psychiatry (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, cc-by-nc-sa)
Funders
  • Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
  • Conselho Nacional de Desenvolvimento Científico e Tecnológico
  • Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul
  • Ministério da Educação
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
schizophrenia, cognitive behavioral therapy, social functioning, social adaptation, quality of life, cognition, memory, global functioning, outpatients, brief psychotherapy
MeSH terms
Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychotherapy, Group, Quality of Life, Schizophrenia, Schizophrenic Psychology, Social Adjustment, Socioeconomic Factors, Cognitive Behavioral Therapy, Treatment Outcome, Delivery of Health Care, Integrated

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