CPG for Psychosocial Interventions in Severe Mental ... - GuíaSalud

Appendix 6. Glossary
Therapy adherence: Active and voluntary involvement of the patient in a mutually agreed
and accepted behaviour course in order to produce a desired therapeutic result.
Psychosocial rehabilitation centres: Specific resource, aimed at the population with severe
and chronic psychiatric disorders, who have difficulties in their psychosocial functioning and in
their integration into the community. The aim is to offer psychosocial rehabilitation and community
support programmes that facilitate the improvement of their level of autonomy and functioning,
as well as support their maintenance and social integration into the community, in the best
possible conditions of normalisation, independence and quality of life.
Expert collaborators: Clinical professionals with knowledge and experience on specific
subjects of the CPG and ideally with prestige in the field where the guideline is developed. They
participate in defining the initial clinical questions and reviewing the recommendations 5
Comorbility in psychiatry: The World Health Organisation (WHO) defines comorbility or
dual diagnosis as the co-existence in the same individual of a disorder induced by the consumption
of a psychoactive substance and a psychiatric disorder.
Prosocial behaviours: Acts carried out in benefit of other people; ways of responding to
them with sympathy, condolence, cooperation, help, rescue, comforting and delivery or generosity.
Disability: According to the WHO “Within the health experience, a disability is any restriction
or absence (due to a deficiency) of the ability to carry out an activity in the way or within the
margin that is considered normal for a human being.”
Randomised control trial: An experimental study in which the participants are randomly
assigned to receive a treatment or intervention from among 2 or more possible options.
Control Group: A control group in a clinical trial is the group that has not received the intervention
of interest and serves as the standard of comparison to evaluate the effects of a treatment.
Experimental group: In a clinical trial, the group that receives the treatment under study,
in comparison with the reference group that receives placebo or an already known, accepted and
established active treatment.
Interdisciplinary: Carried out with the collaboration of several disciplines.
Distal measurements: Measurements related to distant circumstances in a space-time sense
of the intervention under study.
Proximal measurements: Measurements related to immediate circumstances in a spacetime
sense of the intervention under study.
Multidisciplinary: Which cover or affect several disciplines.
Level of evidence: Hierarchic classification of the evidence according to the scientific rigour
of the design of the studies.
Relapse: Increase of symptoms of the illness after a period of reduction or elimination of
such symptoms. It can be operatively defined as equivalent to “rehospitalisation”, increase in the
intensity of the care, increase in psychopathological severity, as reduction of social functioning or
even as a need for change in clinical care.
External reviewers: Clinical professional with knowledge and experience in the specific
subjects of the CPG and ideally with prestige in the field where the guideline is developed. They
only participates in the final phase of the guideline, reviewing the provisional draft of the CPG 5 .
140 CLINICAL PRACTICE GUIDELINES IN THE SPANISH NHS