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Various Psychological Treatments for...

Swanson, Magnus.

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Various Psychological Treatments for Schizophrenia Across Cognitive, Affective, Symptomatic, and Functional Domains: Results From Randomized Controlled Trials.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Various Psychological Treatments for Schizophrenia Across Cognitive, Affective, Symptomatic, and Functional Domains: Results From Randomized Controlled Trials./
Author:	Swanson, Magnus.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	182 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-10, Section: A.
Contained By:	Dissertations Abstracts International85-10A.
Subject:	Clinical psychology. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31144321
ISBN:	9798382309958

Various Psychological Treatments for Schizophrenia Across Cognitive, Affective, Symptomatic, and Functional Domains: Results From Randomized Controlled Trials.
Swanson, Magnus.

Various Psychological Treatments for Schizophrenia Across Cognitive, Affective, Symptomatic, and Functional Domains: Results From Randomized Controlled Trials. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 182 p.

Source: Dissertations Abstracts International, Volume: 85-10, Section: A.

Thesis (Ph.D.)--Alliant International University, 2024.

Schizophrenia is a complex mental health disorder which adversely affects emotional, cognitive, and behavioral functioning. Despite the development of various psychotherapeutic interventions over the years to help manage symptoms and enhance functional capacity in individuals with this diagnosis, previous reviews have put forward mixed findings over their efficacy. To gauge the relative effectiveness of these psychological interventions, a systematic review and meta-analysis of the available literature was undertaken. This systematic review and meta-analysis aimed to resolve discrepancies regarding the relative effectiveness of psychotherapeutic techniques, and provide an update of the literature across affective, cognitive, symptomatic, and functional domains. In conducting this systematic review and meta-analysis, a thorough search of randomized controlled trails (RCTs) across databases (PubMed, PsychINFO, Cochrane Library, EMBASE, and ClinicalTrials.gov) was undertaken. Data from validated scales used to measure the various outcomes assessed was collected from 145 RCTs. Random-effects pairwise meta-analysis was used to calculate standardized mean differences with 95% confidence intervals. Compared to inactive control, CBT showed small to moderate effects on total psychotic symptoms (Hedges's g = -0.285; CI -0.42 to -0.16), positive symptoms (Hedges's g = -0.23; CI -0.37 to -0.09), negative symptoms (Hedges's g = -0.24, CI -0.38 to -0.10), general psychopathology (Hedges's g = -0.34; CI -0.59 to -0.1), delusion severity (Hedges's g = -0.42; CI -0.68 to -0.15), functioning (Hedges's g = 0.47; CI 0.20 to 0.74), paranoia (Hedges's g = -0.31; CI -0.51 to -0.11), self-esteem (Hedges's g = 0.25; CI -0.08 to 0.58), and wellbeing (Hedges's g = 0.45; CI 0.18 to 0.71). Cognitive Remediation produced small to moderate effects on total symptoms (Hedges's g = -0.25; CI -0.5 to -0.004), positive symptoms (Hedges's g = -0.25; CI -0.50 to -0.002), negative symptoms (Hedges's g = -0.27; CI -0.44 to -0.10), and functioning (Hedges's g = 0.24; CI 0.06 to 0.42). Art Therapies provided small to moderate effects on total symptoms (Hedges's g = -0.41; CI -0.82 to 0.01), positive symptoms (Hedges's g = -0.2; CI -0.51 to 0.10), and negative symptoms (Hedges's g = -0.48; CI -0.77 to -0.19). Metacognitive interventions produced small to moderate effects on positive symptoms (Hedges's g = -0.58; CI -0.87 to -0.28) and delusion severity (Hedges's g = -0.40; CI -0.94 to 0.15), and mindfulness-based interventions had similar effects for total symptoms (Hedges's g = -0.43; CI -0.71 to -0.15) and negative symptoms (Hedges's g = -0.24; CI -0.53 to 0.05). SST produced a small effect on negative symptoms (Hedges's g = -0.24; CI -0.47 to -0.01 and general psychopathology (Hedges's g = -0.22; CI -0.44 to 0.003), Family interventions produced a moderate to large effect on total symptoms (Hedges's g = -0.72; CI -1.32 to -0.13), and other interventions produced a moderate to large effect on negative symptoms (Hedges's g = -0.78; CI -2.15 to 0.59). While most interventions produced significant effects on at least one outcome of interest, heterogeneity and risk of bias in the collected studies indicates these results should be interpreted cautiously.

ISBN: 9798382309958Subjects--Topical Terms:

524863
Clinical psychology.
Subjects--Index Terms:

Psychosis

Various Psychological Treatments for Schizophrenia Across Cognitive, Affective, Symptomatic, and Functional Domains: Results From Randomized Controlled Trials.
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500 $a Source: Dissertations Abstracts International, Volume: 85-10, Section: A.
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520 $a Schizophrenia is a complex mental health disorder which adversely affects emotional, cognitive, and behavioral functioning. Despite the development of various psychotherapeutic interventions over the years to help manage symptoms and enhance functional capacity in individuals with this diagnosis, previous reviews have put forward mixed findings over their efficacy. To gauge the relative effectiveness of these psychological interventions, a systematic review and meta-analysis of the available literature was undertaken. This systematic review and meta-analysis aimed to resolve discrepancies regarding the relative effectiveness of psychotherapeutic techniques, and provide an update of the literature across affective, cognitive, symptomatic, and functional domains. In conducting this systematic review and meta-analysis, a thorough search of randomized controlled trails (RCTs) across databases (PubMed, PsychINFO, Cochrane Library, EMBASE, and ClinicalTrials.gov) was undertaken. Data from validated scales used to measure the various outcomes assessed was collected from 145 RCTs. Random-effects pairwise meta-analysis was used to calculate standardized mean differences with 95% confidence intervals. Compared to inactive control, CBT showed small to moderate effects on total psychotic symptoms (Hedges's g = -0.285; CI -0.42 to -0.16), positive symptoms (Hedges's g = -0.23; CI -0.37 to -0.09), negative symptoms (Hedges's g = -0.24, CI -0.38 to -0.10), general psychopathology (Hedges's g = -0.34; CI -0.59 to -0.1), delusion severity (Hedges's g = -0.42; CI -0.68 to -0.15), functioning (Hedges's g = 0.47; CI 0.20 to 0.74), paranoia (Hedges's g = -0.31; CI -0.51 to -0.11), self-esteem (Hedges's g = 0.25; CI -0.08 to 0.58), and wellbeing (Hedges's g = 0.45; CI 0.18 to 0.71). Cognitive Remediation produced small to moderate effects on total symptoms (Hedges's g = -0.25; CI -0.5 to -0.004), positive symptoms (Hedges's g = -0.25; CI -0.50 to -0.002), negative symptoms (Hedges's g = -0.27; CI -0.44 to -0.10), and functioning (Hedges's g = 0.24; CI 0.06 to 0.42). Art Therapies provided small to moderate effects on total symptoms (Hedges's g = -0.41; CI -0.82 to 0.01), positive symptoms (Hedges's g = -0.2; CI -0.51 to 0.10), and negative symptoms (Hedges's g = -0.48; CI -0.77 to -0.19). Metacognitive interventions produced small to moderate effects on positive symptoms (Hedges's g = -0.58; CI -0.87 to -0.28) and delusion severity (Hedges's g = -0.40; CI -0.94 to 0.15), and mindfulness-based interventions had similar effects for total symptoms (Hedges's g = -0.43; CI -0.71 to -0.15) and negative symptoms (Hedges's g = -0.24; CI -0.53 to 0.05). SST produced a small effect on negative symptoms (Hedges's g = -0.24; CI -0.47 to -0.01 and general psychopathology (Hedges's g = -0.22; CI -0.44 to 0.003), Family interventions produced a moderate to large effect on total symptoms (Hedges's g = -0.72; CI -1.32 to -0.13), and other interventions produced a moderate to large effect on negative symptoms (Hedges's g = -0.78; CI -2.15 to 0.59). While most interventions produced significant effects on at least one outcome of interest, heterogeneity and risk of bias in the collected studies indicates these results should be interpreted cautiously.
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