Rehabililitation and Schizophrenia. Modern views

ABSTRACT

The concept of rehabilitation begins to be accepted in psychiatry after the introduction of psychopharmacology and then interventions are proposed or followed that strengthen it. Rehabilitation is defined as the ability of patients to live a satisfactory life even with limitations caused by their disease.

 In modern psychiatry, rehabilitation interventions in schizophrenia include individually or in combination: psychoeducation of patients and families, psychological interventions, art therapies and organized physical exercise. The services are organized and provided in a structured and interdisciplinary framework of community structures and services.

 In the present article, studies (primary, systematic reviews and meta-analyzes) that have been published in the electronic databases Pubmed and Google Scholar and in scientific Greek or English language journals, during the period 2010-2020 were sought.

 The findings of the research with particular emphasis on meta- analyzes and evidence from studies show that patient and family psychoeducation and Cognitive Behavioral Therapy (CBT) are rehabilitatively superior to other interventions.A particularly important reinforcing point for the effectiveness of interventions is ensuring the continuity of care and psychosocial rehabilitation of the patient and his family.

  In conclusion, it appears that the results of rehabilitation in schizophrenia are improved by the combination of pharmacotherapy and individualized psychosocial interventions, which must be provided in organized and interconnected community mental health structures and have consistency and duration over time.

Keywords: Rehabilitation, schizophrenia, psychoeducation, psychosocial intervention