Effectiveness of a treatment guideline for schizophrenia in adolescents: Lessons from a middle-income country.
Aust N Z J Psychiatry
; 52(2): 192-199, 2018 02.
Article
em En
| MEDLINE
| ID: mdl-28831809
ABSTRACT
INTRODUCTION:
Treatment guidelines for schizophrenia represent a standard way to manage patients, especially in countries with limited staff resources. However, they have not been compared on their efficacy with treatment as usual, despite adult studies suggesting they can be more effective.METHODS:
Inpatient and outpatient adolescents with schizophrenia were randomly allocated to be either treated according to a guideline-based treatment ( n = 43) or treatment as usual ( n = 44). The effects on symptoms, psychosocial functioning and cognition were compared in a 6-month follow-up.RESULTS:
There were no differences between groups in the pharmacological treatment, reduction in symptom severity or cognition. The guideline-based treatment group showed a better functioning at months 3 and 6.CONCLUSION:
The guideline-based treatment had a greater effect than the treatment as usual in the psychosocial functioning of adolescent patients ( www.clinicaltrials.gov ; II3/02/0811).Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação de Processos e Resultados em Cuidados de Saúde
/
Esquizofrenia
/
Antipsicóticos
/
Guias de Prática Clínica como Assunto
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Female
/
Humans
/
Male
País/Região como assunto:
Mexico
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article