caa a22 4500 445848782 CHVBK 20180317145407.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10597-011-9390-0 doi (NATIONALLICENCE)springer-10.1007/s10597-011-9390-0 Recovery from Schizophrenia: A Four-year Study of an Inner City Cohort [Elektronische Daten] [Marina Economou, Alexandra Palli, Lily Peppou, Michael Madianos] Converging evidence support the establishment of integrative approaches combining pharmacotherapy and psychosocial interventions for the treatment of patients with schizophrenia. Nonetheless, most studies have been limited with regard to treatment duration and their external validty has been questioned. The present study aimed at evaluating the effectiveness of the routine use of a continued integrative treatment approach in promoting clinical and social recovery from schizophrenia over 4years. At a community mental health centre in Athens, 60 consecutive cases with a DSM-IV diagnosis of schizophrenic spectrum disorders were included into the study. Indepedent raters assessed the patients' level of functioning, cognitive impairment, disability, distress and caregivers' stress at baseline and annually for 4years. The results of the study showed a stable linear pattern of improvement in all outcome measures with moderate to small effect sizes; while competitive employment and independent living emerged as the areas which benefited the least from the treatment program. Overall, the study supports the application of evidence-based integrative strategies to routine services, as long as they are provided in a timely and continued manner. Springer Science+Business Media, LLC, 2011 Schizophrenia nationallicence Recovery nationallicence Effectiveness nationallicence Evidence-based treatment nationallicence Integrative approach nationallicence Economou Marina Anti-Stigma Programme, University Mental Health Research Institute (UMHRI), 2 Soranou tou Efesiou, 11527, Athens, Greece aut Palli Alexandra Anti-Stigma Programme, University Mental Health Research Institute (UMHRI), 2 Soranou tou Efesiou, 11527, Athens, Greece aut Peppou Lily Anti-Stigma Programme, University Mental Health Research Institute (UMHRI), 2 Soranou tou Efesiou, 11527, Athens, Greece aut Madianos Michael Department of Mental Health and Behavioral Sciences, School of Health Sciences, University of Athens, Athens, Greece aut Community Mental Health Journal Springer US; http://www.springer-ny.com 47/6(2011-12-01), 660-667 0010-3853 47:6<660 2011 47 10597 https://doi.org/10.1007/s10597-011-9390-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10597-011-9390-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Economou Marina Anti-Stigma Programme, University Mental Health Research Institute (UMHRI), 2 Soranou tou Efesiou, 11527, Athens, Greece aut NATIONALLICENCE 700 1- Palli Alexandra Anti-Stigma Programme, University Mental Health Research Institute (UMHRI), 2 Soranou tou Efesiou, 11527, Athens, Greece aut NATIONALLICENCE 700 1- Peppou Lily Anti-Stigma Programme, University Mental Health Research Institute (UMHRI), 2 Soranou tou Efesiou, 11527, Athens, Greece aut NATIONALLICENCE 700 1- Madianos Michael Department of Mental Health and Behavioral Sciences, School of Health Sciences, University of Athens, Athens, Greece aut NATIONALLICENCE 773 0- Community Mental Health Journal Springer US; http://www.springer-ny.com 47/6(2011-12-01), 660-667 0010-3853 47:6<660 2011 47 10597 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer