Introduction

2020 ◽  
pp. 1-8
Author(s):  
Amy Weisman de Mamani ◽  
Merranda McLaughlin ◽  
Olivia Altamirano ◽  
Daisy Lopez ◽  
Salman Shaheen Ahmad
Keyword(s):  
Cultural Beliefs ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Schizophrenia Spectrum Disorders ◽  
Culturally Informed ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders

This chapter serves as an orientation to this book, a 15-week, family-focused, cognitive-behavioral approach for managing schizophrenia spectrum disorders. The chapter begins with an overview of the book’s purpose, which is to offer a how-to approach for conducting culturally informed therapy for schizophrenia (CIT-S). CIT-S is a treatment that draws upon clients’ own cultural beliefs, practices, and traditions to help people with schizophrenia and their loved ones to better manage the illness and improve the quality of their lives. Next, the suggested credentials for individuals who wish to deliver the intervention are discussed. This is followed by a description of the organization of the book and a brief overview of each of the nine chapters. Finally, a glossary of important terms and phrases that are used throughout the book is provided.

Culturally Informed Therapy for Schizophrenia

2020 ◽  
Author(s):  
Amy Weisman de Mamani ◽  
Merranda McLaughlin ◽  
Olivia Altamirano ◽  
Daisy Lopez ◽  
Salman Shaheen Ahmad
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Cultural Beliefs ◽  
The United States ◽  
Behavioral Approach ◽  
Case Vignette ◽  
Background Information ◽  
Schizophrenia Spectrum Disorders ◽  
Culturally Informed ◽  
Schizophrenia Spectrum

This book is primarily designed for clinicians and researchers interested in learning how to conduct an empirically supported culturally informed therapy for schizophrenia (CIT-S) that integrates core components of evidenced-based family therapy. It is estimated that approximately 1% of adults in the United States will be diagnosed with schizophrenia or a related schizophrenia spectrum disorder. Without treatment, prognosis is generally poor. Fortunately, traditional family therapies have shown increasing promise in reducing relapse rates and improving mental health for this population. As more and more societies become multicultural, however, there is an increasing expectation that mental health providers will also be prepared to meet the needs of unique and culturally diverse clients in an efficient, skillful, and culturally relevant manner. CIT-S is a 15-week, family-focused, cognitive behavioral approach for managing schizophrenia spectrum disorders. The intervention draws upon clients’ cultural beliefs, practices, and traditions to help them conceptualize and manage mental illness. It aims to improve the quality of clients’ lives in a manner that is in line with their values and takes into account their cultural norms when discussing important issues and addressing challenges (such as mental illness) within the family. CIT-S contains five distinct modules: (a) family collectivism, (b) psychoeducation, (c) spirituality, (d) communication training, and (e) problem-solving. For each module, a detailed rationale, background information, therapy instructions, suggested homework assignments, and a sample case vignette are provided in an accessible, easy-to-use manner.

Self-stigma and quality of life in Psychopharmacs treated outpatients with schizophrenia and related disorders - A cross-sectional study

2016 ◽  
Vol 33 (S1) ◽  
pp. s253-s254
Author(s):  
M. Holubova ◽  
J. Prasko ◽  
K. Latalova ◽  
M. Ociskova ◽  
A. Grambal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Demographic Data ◽  
The Self ◽  
Control Group ◽  
Healthy Controls ◽  
Schizophrenia Spectrum Disorders ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders

IntroductionSelf-stigma is a maladaptive psychosocial phenomenon that can disturb self-image and quality of life in psychiatric outpatients and may lead to dysphoria, social isolation and reduced adherence to treatment.ObjectivesSelf-stigma and QoL could be reflected as important factors for patients, who suffer from schizophrenia spectrum disorders, their caregivers and mental health specialists. Focus on reducing the self-stigma in supportive and educational therapy could be an important factor in promoting a higher QoL.AimsCurrent research moved attention to the relationship between demographic data, the severity of symptoms, self-stigma and quality of life in schizophrenic outpatients compared to the QoL in healthy controls.MethodsPatients who met ICD-10 criteria for schizophrenia spectrum disorder were recruited in the study. The Quality of Life Satisfaction and Enjoyment questionnaire (Q-LES-Q), Internalized Stigma of Mental Illness (ISMI) and severity of the disorder measured by objective and subjective Clinical Global Impression severity scales (CGI) were assessed.ResultsOne hundred and nine psychotic patients and 91 healthy controls participated in the study. Compared to the control group, there was a lower QoL and a higher score of self-stigma in psychotic patients. We found the correlation between the self-stigma, duration of disorder and QoL. The level of self-stigma correlated positively with total symptom severity score and negatively with the QoL. Stepwise regression analysis revealed that the objective severity and self-stigma score were significantly associated with the quality of life (Figure 2 and 3, Fig. 1).ConclusionsOur study suggests a negative impact of self-stigma level on the quality of life in patients suffering from schizophrenia spectrum disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Quality of life in schizophrenia spectrum disorders: Associations with insight and psychopathology

2015 ◽  
Vol 225 (3) ◽  
pp. 695-701 ◽  
Author(s):  
Maria Margariti ◽  
Dimitris Ploumpidis ◽  
Marina Economou ◽  
George N. Christodoulou ◽  
George N. Papadimitriou
Keyword(s):  
Quality Of Life ◽  
Schizophrenia Spectrum Disorders ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders

Schizophrenia

2014 ◽  
Author(s):  
Alex S. Cohen ◽  
Dallas A. Callaway ◽  
Tracey L. Auster
Keyword(s):  
Depressive Symptoms ◽  
Empirical Investigation ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Schizophrenia Spectrum Disorders ◽  
Schizophrenia Spectrum ◽  
Treatment Considerations ◽  
Spectrum Disorders ◽  
New Treatments

Depressive symptoms commonly occur in individuals with schizophrenia-spectrum disorders. Empirical investigation of this comorbidity has revealed a number of interesting and potentially confusing findings. The purpose of this review is to summarize this literature, focusing on clinical, cognitive, behavioral, phenomenological, and neurobiological processes that are common and potentially disparate to these disorders. Additionally, the review will discuss four depression-related paradoxes that have emerged within the schizophrenia literature. It concludes with a brief summary of treatment considerations for patients with schizophrenia with co-morbid depressive symptoms. It is hoped that this chapter can serve as an organizing framework for future research and can help focus efforts on designing new treatments for ameliorating depression-related symptoms in patients with schizophrenia.

scholarly journals Modeling the Longitudinal Effects of Insight on Depression, Quality of Life and Suicidality in Schizophrenia Spectrum Disorders: Results from the FACE-SZ Cohort

2019 ◽  
Vol 8 (8) ◽  
pp. 1196 ◽  
Author(s):  
Mickaël Ehrminger ◽  
Mathieu Urbach ◽  
Christine Passerieux ◽  
Bruno Aouizerate ◽  
Fabrice Berna ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Structural Equation ◽  
Negative Symptoms ◽  
Equation Modeling ◽  
Schizophrenia Spectrum Disorders ◽  
Targeted Interventions ◽  
Schizophrenia Spectrum ◽  
Baseline Levels ◽  
Spectrum Disorders

Background: Up to half of the patients with schizophrenia attempt suicide during their lifetime. Better insight is associated with better functioning but also with increased suicidality. The direction of the relationship between insight and suicidality is not clear, hence we aimed to provide new elements using structural equation modeling. Methods: Insight, quality of life (QoL), depression, and suicidality were measured at baseline and at 12 months in individuals with schizophrenia spectrum disorders. The relationships between these variables were investigated by latent difference score models, controlling for chlorpromazine doses, positive and negative symptoms, and general psychopathology. Results: 738 patients were included, and 370 completed the study. Baseline levels of insight predicted changes in suicidality, whereas baseline levels of suicidality did not predict changes in insight, suggesting that better insight underlies suicidality and predicts its worsening. Our results suggest this temporal sequence: better insight → worse QoL → increased depression → increased suicidality, while insight also affects the three variables in parallel. Conclusion: Better insight predicts a worsening of QoL, depression and suicidality. These findings contribute to our global understanding of the longitudinal influence of insight on suicidality. We advocate that insight-targeted interventions should not be proposed without the monitoring of depression and suicide prevention.

scholarly journals Childhood temperament is associated with distress, anxiety and reduced quality of life in schizophrenia spectrum disorders

2019 ◽  
Vol 275 ◽  
pp. 196-203 ◽  
Author(s):  
Brandee Feola ◽  
Kristan Armstrong ◽  
Neil D. Woodward ◽  
Stephan Heckers ◽  
Jennifer Urbano Blackford
Keyword(s):  
Quality Of Life ◽  
Schizophrenia Spectrum Disorders ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders
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