Schizophrenia Clinical Trial
Official title:
Comparative Study of Recommended Treatment for Schizophrenia Guideline Treatment vs Treatment as Usual in Child Psychiatric Hospital: Effect on Adherence, Efficacy on Symptoms, and Global Function
The purpose of this study was to evaluate the applicability and usefulness of the guideline treatment for diagnosis and treatment of adolescents with schizophrenia, also to evaluate the compliance to the treatment according to the guidelines, and to compare the treatment compliance, severity of illness and social functioning of patients treated according to guideline treatment vs patients with the treatment as usual on a six month follow up.
The drug treatment of patients on the Guideline Treatment group followed an algorithm, where
an atypical antipsychotic must be maintained during 6 weeks before the evaluation of
medication change if the PANSS score did not show a reduction of 30% and the patients did not
show functional improvement. Clozapine could be administered if two trials of antipsychotics
were not effective. Benzodiazepines, antidepressants, anticholinergics or anticonvulsants
were allowed for the treatment of comorbid disorders or side effects.
The psychosocial treatment included psychoeducation (three 90 min sessions with the family
and two 45 min sessions with the patients), followed by a seven 45 min sessions training on
social skills which focused on verbal and non-verbal communication, as well as in
conversation skills. Patients were also trained in healthy life style habits and were
included on a 30 min of exercise in group.
TAU included an antipsychotic and the psychosocial treatment decided by the clinician
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