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It is well established that the combination of psychopharmacological treatment and psychosocial interventions, such as psychotherapy, family orientation and occupational therapy OT , represent the best strategy for treating patients with schizophrenia. Cognitive behavioral therapy for schizophrenia: Historic The patient should have persistent psychotic symptoms for the last five years, although having received treatment with, at least, three antipsychotics, of two different chemical classes, at different times, having achieved doses equivalent to mg or more of chlorpromazine, for six weeks. How to cite this article. Each patient was assessed in 7 different times baseline and monthly, during 6 months , and the EOITO was applied at intervals of 15 days in both groups.

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TERAPIA OCUPACIONAL EM QUEIMADURAS

There is clear evidence that associayivas with schizophrenia have an intense impairment of the executive functions, what Kraepelin called "loss of the main springs of the volition". Software for the meta-analytic review of research literatures.

Psychopharmacol Bull ;24 1: The sign of the effect size depends on the tested hypothesis that, in the current study, was: Assessment manual for psychopharmacology.

In the group activity, patients develop a common activity, as a whole, enabling richer and more varied exchanges between themselves and between assocuativas and the therapist. Foram comparados dois grupos de pacientes com ERTA: Repeated measures of analyses of variance and the evaluation of the standardized effect sizes were used for statistical analyses. In the CG, the performing of activities item was excluded as obviously could not be assessed. Salud Mental ;22 trjlhas The duration of the study was 6 months and patients were rated at baseline and monthly totaling 7 assessments.

In items related to the expression of desirable behaviors the graduations imply: Historic The patient should have persistent psychotic asociativas for the last five years, although having received treatment with, at least, three antipsychotics, of two different chemical classes, at different times, having achieved doses equivalent to mg or more of chlorpromazine, for six weeks.

The scale is interactively applied and in the case of items related trlihas inadequate behaviors, the assessment stimulates the confrontation of these behaviors or the observation of environmental variables which favor them.

As already said, the main feature of this scale is that the assessment is not based only in the observation of behaviors but implies the interaction between the evaluator and the patient participant observation. Evaluators were trained by the author of the scale and the calculation of grilhas items' reliability applied at the beginning of the study baseline has revealed a associatias KAPPA of 0. Patients were defined as having TRS if they met Kane et al criteria, 10 which has the following dimensions: O desafio da esquizofrenia.

Therefore, the 'minus' sign means the confirmation of the hypothesis, that is, that the EG has reached lower values in the EOITO and, in the opposite case, higher values expressed by the positive sign.

Trilhas associativas: ampliando recursos na clinica da psicose - Jo Benetton - Google Books

How to cite this article. OT may represent an additional therapeutic option for patients with TRS.

This denominator has the following formula: In the associiativas of activities patients perform individual activities and the axis of the relationship is preferentially with the therapist. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

The randomization was performed through allotment, that is, only after it we knew whether the patient would go to the EG, where they received a combined intervention of OT and clozapine or to the CG, where they received only clozapine. Discussion In this study we could evidence that OT intervention combined with appropriate medications was associated to an improvement in the patients' condition, according to the factors measured by the EOITO, mainly in terms of occupational performance and interpersonal relationships.

OT's clinic aims mainly at the social re insertion using the daily routine as an organizing axis.

In patients with TRS the combination of OT and clozapine showed to be more effective than the use of clozapine alone. The graph shows that awsociativas sizes started to grow from time 4 onwards and the drop in time 5 could be explained by the suicide of a patient, what affected intensely the experimental group.

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We define a psychosocial associattivas as any intervention aimed at inserting the subject in the social environment based on a non-psychopharmacological treatment.

J Bras Psiq ;45 1: Outcome assessments were performed during the therapeutic process through the EOITO, 15 a item scale, divided in four factors: From the German 8 th Edition of the Textbook of Psychiatry ed.

Services on Demand Journal. Current The patient should have a punctuation of at least 45 points in the Brief Psychiatry Rating Scale BPRS27 points in the BPRS anchored version 11 and in this scale should have reached a punctuation from 3 to 4 in the following: J Clin Psychiatry ;60 Suppl Dennis G, Koch G.