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Supportive therapy for schizophrenia.

L A Buckley1, T Pettit

  • 1Claremont House, Department of Psychotherapy, Off Framlington Place, Newcastle Upon Tyne, UK, NE2 4AA. lucy.buckley@nmht.nhs.uk

The Cochrane Database of Systematic Reviews
|January 27, 2007
PubMed
Summary
This summary is machine-generated.

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Supportive therapy shows no significant difference compared to standard care for schizophrenia. However, other psychological therapies appear more effective for outcomes like hospitalization and functioning, though based on limited data.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Evidence-Based Medicine

Background:

  • Supportive therapy is a common intervention in clinical practice and research for schizophrenia.
  • Its comparative effectiveness against other treatments requires rigorous evaluation.

Purpose of the Study:

  • To systematically review and estimate the effects of supportive therapy in individuals with schizophrenia.
  • To compare supportive therapy against standard care and other psychological/psychosocial interventions.

Main Methods:

  • A comprehensive search of the Cochrane Schizophrenia Group's register and other sources was conducted.
  • Randomized trials comparing supportive therapy with any other treatment or standard care were included.
  • Data extraction, quality rating, and meta-analysis (fixed-effect model, relative risk, intention-to-treat) were performed.

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Main Results:

  • No significant differences were found between supportive therapy and standard care for primary outcomes.
  • Other psychological or psychosocial treatments demonstrated significant advantages over supportive therapy, notably in reducing hospitalization rates.
  • Cognitive behavioral therapy showed superior results in general functioning in the short, medium, and long term, and in patient satisfaction.

Conclusions:

  • Insufficient data exist to definitively differentiate supportive therapy from standard care.
  • Emerging evidence suggests psychological therapies may offer benefits over supportive therapy, but findings are based on limited, small studies.
  • Future research should prioritize larger trials with supportive therapy as a primary treatment arm, not solely a comparator.