A Pilot Study on Psychological Interventions with Chinese Young Adults with Schizophrenia

By Mak, G. K. L.; Li, F. W. S. et al. | Hong Kong Journal of Psychiatry, March 2007 | Go to article overview

A Pilot Study on Psychological Interventions with Chinese Young Adults with Schizophrenia


Mak, G. K. L., Li, F. W. S., Lee, P. W. H., Hong Kong Journal of Psychiatry


Abstract

Objectives: To investigate the functional and clinical status of a group of Chinese schizophrenic patients after treatment with individually tailored psychological treatment over a 9month period.

Patients and Methods: Thirty six 15- to 32-year-old Chinese schizophrenic patients were recruited into the study from 2001 to 2002. The patients were randomly assigned into treatment and waitlist groups. At baseline their pre-treatment clinical status, social functioning, and other clinically relevant parameters were assessed. The psychological treatments were conducted by 2 experienced clinical psychologists and assessed by face-to-face interviews.

Results: After the treatment period, outcome measures supported the use of adjuvant psychotherapy in the routine treatment programme for subjects with schizophrenia; both positive and negative symptoms improved compared to baseline status (p < 0.001).

Conclusions: The findings support the use of psychotherapeutic interventions to promote better adaptation to the psychotic disorder.

Key words: Behavior therapy; Cognitive therapy; Psychotherapy; Schizophrenia; Schizophrenic psychology

[TEXT NOT REPRODUCIBLE IN ASCII.]

Introduction

Schizophrenia is one of the most widely studied mental disorders. Psychiatrists have been struggling to find the best treatment model to optimise recovery and minimise chance of relapse. Conventional antipsychotic medications are successful in controlling positive symptoms, but have undesirable side-effects. (1) In addition, the 2-year relapse rate is still around 30 to 50%. (2,3) The introduction of second-generation anti-psychotics has renewed hope for patients with schizophrenia. Randomised controlled trials have shown that such medication is better at controlling positive symptoms, extrapyramidal side-effects, and possibly negative symptoms too. (4) However, the newer drugs increase the risk of metabolic syndrome and the associated weight gain jeopardises treatment adherence. (5) Although medications attenuate the severity of the most florid symptoms in schizophrenia, negative symptoms (interfering with normal functioning) still persist. This has posed great difficulties for patients to return to society. Because of these constraints, emphasis on psychosocial treatment models, as part of the multi-facet rehabilitation programme in the treatment of schizophrenic patients, should not be neglected.

Efficacy of psychological treatments has been evaluated in many studies. Family therapy, based on the notion that clinical outcomes of schizophrenia are affected if the family exhibits highly expressed emotions, is reported to reduce relapses. (6) Studies also suggest that social skills training confers significant benefits by reducing hospitalisation and family burdens. (7,8) Similarly, a work-related skills training programme in Hong Kong demonstrated success in securing jobs.7 Cognitive behavioural treatment showed promise in that dysfunctional information processing of schizophrenic patients could be successfully tackled. (9) Despite many such studies, there has been no systematic study to evaluate the efficacy of psychotherapy used in combination with medication, in the treatment of schizophrenia in Hong Kong.

We set out to study an individually tailored psychological treatment programme (various psychotherapeutic modalities to optimise the psychosocial outcomes of young schizophrenic patients). Our aim was to evaluate the evolution of clinical parameters in schizophrenic patients receiving psychological treatment.

Methods

Subjects

Subjects were young adults with diagnosis of schizophrenia, according to Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria, and actively being followed up in local psychiatric settings at the time of the study. Public and private psychiatric clinics were notified and encouraged to refer their patients for the psychological treatment programme. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

A Pilot Study on Psychological Interventions with Chinese Young Adults with Schizophrenia
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.