ISSN 1302-6631
 

Original Research (Original Article) 


The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center

Filiz Şükrü, Hayriye Mihrimah Öztürk, Özge Kılıç, Sena İster Güneytepe, Alp Üçok.

Abstract
Objective: Psychotherapy is recommended concomitantly with pharmacotherapy to treat functional deterioration in patients with early-phase schizophrenia. This study aims to investigate and compare the impact of interpersonal group psychotherapy on functionality in patients with early-phase schizophrenia compared to painting therapy and waiting list groups. Methods: Prospective, single-blind, controlled study was carried out in Bolu Community Mental Health Center. The sample consists of 60 patients who had received neither rehabilitation nor psychotherapy before and who were eligible for the study. Participants were distributed consecutively to group psychotherapy, painting and waiting list groups each consisting 20 patients based on their order of admission. Therapeutic intervention was composed of 24 sessions of interpersonal group psychotherapy for 6 months. Sociodemographic Data Forms; positive and negative syndrome scales and brief functionality assessment scale were used at beginning and at the end of therapy. Results: Three groups did not differ in age, education, disease duration, number of hospitalizations, gender, working, socioeconomic and marital status, social support, pharmacological treatment’s type and dose. At the end of the study, patients in group psychotherapy had much more improvement in functionality compared to the painting therapy and waiting lists groups. Discussion: Interpersonal group psychotherapy may aid as an adjunctive to treatment as usual in community mental health centers to improve functioning of patients with early-phase schizophrenia.

Key words: schizophrenia, group psychotherapy, functionality, interactional



Altı aylık kişilerarası grup psikoterapisinin bir toplum ruh sağlığı merkezindeki şizofreni hastalarının işlevselliği üzerine etkisi

Ozet
Amaç: Erken dönem şizofreni hastalarında işlevsel bozulmanın tedavisi için ilaç tedavileri ile beraber psikoterapi önerilmektedir. Bu çalışmada antipsikotik sürdürüm tedavisi gören, erken dönem şizofreni hastalarında, kişilerarası grup psikoterapisinin işlevsellik düzeyine etkisinin, resim çalışması ve bekleme listesi grupları ile karşılaştırılarak incelenmesi amaçlanmıştır. Yöntem: İleriye yönelik, tek kör kontrollü çalışma, Bolu ili toplum ruh sağlığı merkezinde yürütülmüştür. Örneklem, hastalığının ilk 5 yılı içinde olan, rehabilitasyon ve psikoterapi hizmetlerinden herhangi birini hiçbir zaman almamış olan 60 katılımcıdan oluşmuştur. Katılımcılar geliş sırasına göre, 20 kişiden oluşan grup psikoterapisi, resim çalışması ve bekleme listesi gruplarına dağıtılmıştır. Terapötik girişim altı ay ve toplam 24 seans süren kişilerarası grup psikoterapisinden oluşmuştur. Sosyodemografik Veri Formu kullanılmış, terapinin başlangıcında ve bitiminde Pozitif ve Negatif Sendrom Ölçeği ile Kısa İşlevsellik Değerlendirme Ölçeği uygulanmıştır. Bulgu-lar: Grup psikoterapisi, resim çalışması ve bekleme listesinden oluşan gruplar arasında yaş, eğitim, hastalık süresi, yatış sayısı, cinsiyet, çalışma, sosyoekonomik ve medeni durum, sosyal destek ve farmakolojik tedavinin tipi ve şekli açısından fark yoktu. Çalışmanın sonunda grup psikoterapisi grubundaki işlevsellik düzeylerindeki artış, resim çalışması ve bekleme listesi gruplarına göre anlamlı derecede yüksek olarak saptandı. Tartışma: Toplum ruh sağlı-ğı merkezlerinde ayaktan izlenen erken dönem şizofreni hastalarında rutin tedaviye kişilerarası grup psikoterapi-sinin eklenmesi işlevselliğin artırılmasına katkı sağlayabilir.

Anahtar Kelimeler: şizofreni, grup psikoterapisi, işlevsellik, etkileşimsel


 
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Pubmed Style

Sukru F, Ozturk HM, Kilic O, Guneytepe SI, Ucok A. [The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]. Anadolu Psikiyatri Derg. 2018; 19(6): 59-67. Turkish. doi:10.5455/apd.297262


Web Style

Sukru F, Ozturk HM, Kilic O, Guneytepe SI, Ucok A. [The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]. http://www.anadolupsikiyatri.net/?mno=297262 [Access: November 13, 2018]. Turkish. doi:10.5455/apd.297262


AMA (American Medical Association) Style

Sukru F, Ozturk HM, Kilic O, Guneytepe SI, Ucok A. [The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]. Anadolu Psikiyatri Derg. 2018; 19(6): 59-67. Turkish. doi:10.5455/apd.297262



Vancouver/ICMJE Style

Sukru F, Ozturk HM, Kilic O, Guneytepe SI, Ucok A. [The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]. Anadolu Psikiyatri Derg. (2018), [cited November 13, 2018]; 19(6): 59-67. Turkish. doi:10.5455/apd.297262



Harvard Style

Sukru, F., Ozturk, . H. M., Kilic, . O., Guneytepe, . S. I. & Ucok, . A. (2018) [The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]. Anadolu Psikiyatri Derg, 19 (6), 59-67. Turkish. doi:10.5455/apd.297262



Turabian Style

Sukru, Filiz, Hayriye Mihrimah Ozturk, Ozge Kilic, Sena Ister Guneytepe, and Alp Ucok. 2018. [The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]. Anatolian Journal of Psychiatry, 19 (6), 59-67. Turkish. doi:10.5455/apd.297262



Chicago Style

Sukru, Filiz, Hayriye Mihrimah Ozturk, Ozge Kilic, Sena Ister Guneytepe, and Alp Ucok. "[The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]." Anatolian Journal of Psychiatry 19 (2018), 59-67. Turkish. doi:10.5455/apd.297262



MLA (The Modern Language Association) Style

Sukru, Filiz, Hayriye Mihrimah Ozturk, Ozge Kilic, Sena Ister Guneytepe, and Alp Ucok. "[The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]." Anatolian Journal of Psychiatry 19.6 (2018), 59-67. Print.Turkish. doi:10.5455/apd.297262



APA (American Psychological Association) Style

Sukru, F., Ozturk, . H. M., Kilic, . O., Guneytepe, . S. I. & Ucok, . A. (2018) [The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center]. Anatolian Journal of Psychiatry, 19 (6), 59-67. Turkish. doi:10.5455/apd.297262





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