Psychotherapie bei schizophrenen Erkrankungen

 

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Zusammenfassung

Die Schizophrenie gehört zu den Erkrankungen, in denen die meisten Lebensjahre in Behinderung verbracht werden. Betrachtet man die letzten 30 Jahre intensiver Psychotherapie-Wirksamkeitsforschung, wird deutlich, dass neben der Pharmakologie, psychotherapeutische Interventionen bei der Behandlung psychotischer Erkrankungen große Erfolge erzielen. Durch evidenzbasierte Psychotherapie kann der Symptomverlauf, die Rezidivprophylaxe und die Rehospitalisierungsrate deutlich verbessert werden. Das Leid der Betroffenen und deren Angehörigen kann minimiert und die gesellschaftlichen Kosten reduziert werden. Die Aufnahme des abgeschwächten Psychosesyndroms in die DSM V gibt Hoffnung auf eine Entwicklung, die eine Grundlage bildet, um in Deutschland spezialisierte Hilfe für junge Menschen mit erhöhtem Psychoserisiko zu etablieren.

Summary

Worldwide schizophrenia belongs to the group of illnesses in which (by comparison) most years of a patient life are spent in disablement. Looking back on 30 years of research of psychotherapy it becomes evident that alongside clinical pharmacology, psychotherapeutic interventions determine the effectiveness of successful treatments. Using evidence based psychotherapy the progress of symptoms, the relapse prophylaxis and the rate of re-hospitalization can be significantly improved. The distress of the affected and their relatives can be minimized and costs to society reduced. The entry of the attenuated psychosis syndrome into the DSM V is an important step and gives reason to hope for a development in which specialized help for young people with high psychosis risk factors will be available in Germany too.

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