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Supportive therapy for schizophrenia.

L A Buckley1, T Pettit, C E Adams

  • 1Claremont House, Department of Psychotherapy, Off Framlington Place, Newcastle Upon Tyne, UK, NE2 4AA. Lucy.Buckley@ntw.nhs.uk

The Cochrane Database of Systematic Reviews
|July 20, 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 may offer advantages, though more research is needed to confirm these findings.

Area of Science:

  • Psychiatry and Mental Health
  • Clinical Psychology
  • Evidence-Based Medicine

Background:

  • Supportive therapy is a common clinical practice and is frequently evaluated against other interventions.
  • Understanding the efficacy of supportive therapy is crucial for guiding treatment decisions in schizophrenia care.

Purpose of the Study:

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

Main Methods:

  • Conducted a comprehensive search of the Cochrane Schizophrenia Group's register and other relevant sources up to January 2004.
  • Included randomized controlled trials (RCTs) comparing supportive therapy with any other treatment or standard care.

Related Experiment Videos

  • Employed reliable study selection, quality rating, data extraction, and statistical analyses including relative risk (RR) and number needed to treat/harm (NNT/H).

    • Main Results:

    • No significant differences were found between supportive therapy and standard care for primary outcomes in 21 included studies.
    • Other psychological or psychosocial treatments demonstrated significant advantages over supportive therapy, notably in reducing hospitalisation rates (RR 2.12).
    • Cognitive behavioural therapy showed significant benefits in general functioning compared to supportive therapy, though clinical significance requires further investigation due to limited data.

    Conclusions:

    • Insufficient evidence exists to differentiate the outcomes of supportive therapy from standard care.
    • Emerging evidence suggests potential benefits of other psychological therapies over supportive therapy for certain outcomes, but these are based on limited, small studies.
    • Future research should prioritize larger trials with supportive therapy as the primary treatment arm to better ascertain its role and effectiveness.