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Regular psychosocial intervention combined with antipsychotic drugs, compared with usual medication alone treatments, can reduce psychiatric symptoms and improve quality of life in patients with schizophrenia. However, it's expensive, time-consuming, and sometimes inconvenient for patients and their family members in developing areas where the number of well-trained therapist remains limited in local psychiatric settings. The investigators aimed to establish an efficient model of integrated treatment (IT) for patients with schizophrenia. The procedure contains two stages: a centralized treatment during hospitalization and the following consolidation treatments with long intervals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Integrated Treatment | Experimental |
| |
| antipsychotic medication alone treatment | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Olanzapine | Drug | All patients with schizophrenia were under medication treatment at the baseline. Individualized plan of antipsychotic medication for the patients were determined by psychiatrist who were blind to the group allocation. Medications could be changed at any time during the course of the study if the change was clinically warranted, the drug can also be any other antipsychotic medication. |
| Measure | Description | Time Frame |
|---|---|---|
| Medication nonadherence was assessed in two groups after 12-month follow-up. | Medication non-adherence was defined as a failure to take medication for one week or longer | One year follow-up |
| Rehospitalization rate was assessed in two groups after 12-month follow-up. | One year follow-up | |
| Rate of Relapse was assessed in two groups after 12-month follow-up. | One year follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement of symptoms in each group was assessed by the change of PANSS(Positive and Negative Syndrome Scale) total scale score. | Time course and treatment differences for changes in the PANSS( Positive and Negative Syndrome Scale) was analyzed using Mixed-Effects Model for Repeated-Measures analyses (MMRM). | One year follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yingjun Zheng, MD,PhD | Contact | +8618998303126 | brainzheng@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guangzhou psychitric hosptial | Recruiting | Guangzhou | Guangdong | 510370 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28463714 | Derived | She S, Deng Y, Chen Y, Wu C, Yi W, Lu X, Chen X, Li J, Li R, Zhang J, Xiao D, Wu H, Ning Y, Zheng Y. Two-stage integrated care versus antipsychotic medication alone on outcomes of schizophrenia: One-year randomized controlled trial and follow-up. Psychiatry Res. 2017 Aug;254:164-172. doi: 10.1016/j.psychres.2017.04.054. Epub 2017 Apr 25. |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000077152 | Olanzapine |
| D015928 | Cognitive Behavioral Therapy |
| D012046 | Rehabilitation |
| D019090 | Case Management |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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|
| Cognitive behavior therapy | Other | Patients with schizophrenia allocated to the Integrated Treatment(IT) group received Cognitive behavioral therapy. |
|
| Rehabilitation treatment | Other | Rehabilitation treatment include three modules: medication management, symptom management, and social kill training. Patients with schizophrenia allocated to the Integrated Treatment(IT) group received Rehabilitation treatment therapy. |
|
| Case management | Other | Patients with schizophrenia allocated to the Integrated Treatment(IT) group received Case management. |
|
| Improvement of symptoms in each group was assessed by the change of CGI( Clinical Global Impressions) scale score. |
Time course and treatment differences for changes in the CGI( Clinical Global Impressions) was analyzed using Mixed-Effects Model for Repeated-Measures analyses (MMRM). |
| One year follow-up |
| Social functioning in each group was assessed by the change of PSP(Personal and Social Performance)scale score. | Time course and treatment differences for changes in the PSP(Personal and Social Performance) were analyzed using Mixed-Effects Model for Repeated-Measures analyses (MMRM). | One year follow-up |
| D006571 | Heterocyclic Compounds |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D010347 | Patient Care Planning |
| D003191 | Comprehensive Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |