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Perez-Marin P.,Servicio de Psiquiatria B | Hernandez-Jimenez M.P.,Servicio de Psiquiatria B | Garcia-Cabeza I.,Servicio de Psiquiatria B
Rehabilitacion Psicosocial | Year: 2015

Introduction. We present results of the first 11 patients who have come for a year to a therapeutic program called ATIICO (intensive and comprehensive care for patients diagnosed with psychosis), designed for the most reluctant patients to treatment in community care services Method. These patients were evaluated at admission and a year follow-up with adherence scales (CRS, ICD-10); psychopathology (PANSS); clinical (ICG, GAF); disability (DAS / WHO); insight (Birchwood) and quality of life (EuroQol5D). We used the Wilcoxon signed-rank test to compare means. Results. We found significant improvements in adherence assessed with the CRS, but not in the attitude to treatment (DAI-10). Also psychopathological, subscale of positive and general psychopathology symptoms, and clinical level (ICG and GAF) had significant imporvement; not the negative symptoms subscale. There is also significant improvement in overall disability and all subscales (self-care, social, family, professional) but not insight and quality of life. Discussion. Intensive and comprehensive interventions can be effective even in the most reluctant to treatment psychotic patients.

Group psychotherapy is an effective tool in the treatment of psychosis. There are many types of groups and therapists, but all should share a number of specific aspects that differentiates them from other forms of intervention, and that gives the group its uniqueness and particular importance in addressing the psychotic patients. These differentiating specific aspects that we refer to are: context (therapeutic situation that facilitates communication and learning with others living similar disorders), mirroring (intersubjective process of mutual self-observation and self-understanding between group members) and therapeutic factors (basic components of change inherent in group interaction), which will be described throughout the text. We also summarize how they act on various aspects of the patient diagnosed with psychosis : positive and negative symptoms, defense mechanisms and identity.

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