Estrategias terapéuticas en la esquizofrenia refractaria o esquizofrenia resistente al tratamientoproyecto de investigación comisionada
- Elizagárate, Edorta
- Sánchez Gómez, Pedro
- Ojeda del Pozo, Natalia
- Ezcurra Sánchez, Jesús
- Mendiola Muñoa, Natalia
- Napal Fernández, Olatz
- Peña Lasa, Javier
- Larumbe Ochoa, Juan
- Yoller Elburgo, Ana Blanca
Publisher: Servicio Central de Publicaciones = Argitalpen Zerbitzu Nagusia ; Gobierno Vasco = Eusko Jaurlaritza
ISBN: 978-84-457-3292-2
Year of publication: 2013
Type: Book
Abstract
The team that has drawn up this Guideline proposes the following definition of treatment resistant schizophrenia: those persons who do not reach the minimum remission threshold in accordance with Andreasen’s criteria. With regard to pharmacological/biological treatment strategies, recommendations and conclusions are made for clozapine, first and second generation antipsychotics, secondary effects of antipsychotics, antipsychotic polytherapy, antipsychotic enhancements, electroconvulsive therapy and magnetic transcranial stimulation therapy. With regard to psychosocial treatment strategies, a number of conclusions and recommendations are reviewed and established for: vocational rehabilitation, family interventions, behavioural therapy, cognitive restructuring therapy or cognitive therapy of schizophrenia, psychoeducation, community assertive therapy, group psychotherapy, neuropsychological rehabilitation, psychoanalytical and psychodynamic psychotherapies and finally, art therapies or art therapy for schizophrenia. The guideline is structured according to a gradient of evidence in strategies for dealing with resistant schizophrenia based on pragmatism and utility criteria. We understand that the guideline may be applied to the evaluation of widely used therapeutic strategies and in this context, may help in the planning of health resources. Special emphasis has been placed on revealing the positive and negative aspects of current practice in the treatment of treatment resistant schizophrenia and is therefore oriented towards priorities and requirements of the research in this field.