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

Hypnosis vs. relaxation
No improvement or deterioration OK of the mental state has been found between
hypnosis and relaxation, assessed with the BPRS scale, after a week
of intervention (1 RCT; n = 60; WMD = -3.38; 95% CI+ between -11.40 and
4.64) 133 .
RCT (1-)
Summary of evidence
In morita therapy applied to people with schizophrenia, no significant results have been
found with respect to the improvement of negative symptoms, or the improvement of
1-
the mental state 134 . However, significant differences have been found in favour of morita
therapy in the medium term 135 .
1- Morita therapy + standard treatment improve the mental state in the medium term 136 .
1-
1-
Morita therapy improves the capacity to carry out daily living activities in people with
schizophrenia in the short 137 and medium term 138 .
There are differences between the distraction technique and standard treatment related to
improving the mental state of people with schizophrenia 139 .
1-
Drama therapy did not show any improvement in the mental state of hospitalised people
with schizophrenia 140 .
1- Drama therapy can help improve the self-esteem of people with schizophrenia 131 .
1-
There is no evidence to indicate that hypnosis improves the mental state in people with
schizophrenia) 133 .
Recommendations
Sufficient evidence has not been found to make recommendations related to morita therapy,
drama therapy, distraction therapy and hypnosis in the treatment of people with SMI.
5.2. Social interventions
These are interventions, activities and community support structures whose aim is to facilitate
social integration into the context Social interventions include different types of strategies and
programmes. This CPG includes daily living programmes, residential programmes in the community
and programmes directed to leisure and spare time.
Question to be answered
• Do social insertion programmes –daily living skills programmes, residential programmes
in the community, or programmes directed to leisure and spare time- improve the evolution
of the illness and the quality of life of people with SMI?
CLINICAL PRACTICE GUIDELINES FOR PSICHOSOCIAL INTERVENTIONS IN SEVERE MENTAL ILLNESS 77