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Effects of a psychosocial rehabilitation program in addition to medication in schizophrenic patients: a controlled study.

Mehtap Arslan, Erhan Kurt, Derya Eryıldız, Ayla Yazıcı, Aylin Can, Murat Emül.

Abstract
Objectives: The contemporary approach to psychiatric diseases is to refer the patient to community-based care instead of hospital-based care. In addition to medication, it has been found that day-hospital practices have positive results in schizophrenic patients. In this study, our purpose is to report the results of a psychosocial rehabilitation program at Bakırköy Day Hospital for schizophrenic patients receiving medication, and to compare them with the results for schizophrenic patients receiving medication who were not in this program.
Methods: The participants were 55 patients who attended Bakırköy Day Hospital continuously for a minimum of six months, completed their psycho-education group therapy, a 14-week structured group therapy and had one key person from their family who completed the family psycho-education group program. These patients had not failed to attend personal consultation interviews more than three times, had worked for three months or longer in a workshop or in one of the fields of business defined by the center and had been receiving medication. The study also included 45 control schizophrenic patients who received only medication. All patients were assessed using the Positive and Negative Syndrome Scale, the Quality of Life Scale, the Schedule for Assessing the Three Components of Insight ,the Social Functionality Scale and the Disability Assessment Schedule and the groups were compared to each other.
Results: No statistically significant difference was found between the two groups in terms of sex, age, marital status, having children, and cohabitant variables (p>0.05). The average number of years of education for the “rehabilitation+medication” group was statistically significantly higher compared to the group that received only medication (p

Key words: day hospital, schizophrenia, psychosocial rehabilitation, education



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