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DOI: 10.1055/a-1150-1283
Kognitive Remediation und soziales Kompetenztraining bei Schizophrenie
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Bei der Behandlung schizophrener Erkrankungen hat die Verbesserung der psychosozialen Funktionsfähigkeit eine zentrale Bedeutung. Die aktualisierte deutsche S3-Praxisleitlinie Schizophrenie empfiehlt dafür kognitive Remediation und soziales Kompetenztraining. Beide Verfahren haben sich als effektiv erwiesen. Die kombinierte Anwendung beider Verfahren ist dabei besonders erfolgversprechend.
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Schizophrene Erkrankungen gehen mit deutlichen psychosozialen Beeinträchtigungen einher, die trotz Symptomremission bestehen und die Betroffenen sehr belasten und im Alltag einschränken.
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Die (Wieder-)Erlangung eines zufriedenstellenden psychosozialen Funktionsniveaus ist ein wesentliches Therapieziel bei schizophrenen Erkrankungen.
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Diesbezügliche Therapiemaßnahmen setzen in der Regel an wesentlichen Einflussfaktoren der psychosozialen Funktionsfähigkeit an, wie der (sozial-)kognitiven Leistungsfähigkeit, sozialen Kompetenzen und der Negativsymptomatik.
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Kognitive Remediationsprogramme sind wirksame Therapieoptionen, die sowohl die jeweils anvisierten kognitiven Zielfunktionen als auch das psychosoziale Funktionsniveau verbessern.
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Soziale Kompetenztrainings können soziale Fertigkeiten verbessern, Negativsymptomatik vermindern und die psychosoziale Funktionsfähigkeit unterstützen.
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Die aktuelle deutsche Behandlungsleitlinie Schizophrenie empfiehlt kognitive Remediation und soziales Kompetenztraining zur Behandlung schizophrener Psychosen.
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Weiterentwicklungen zu einer noch stärkeren Verbesserung der psychosozialen Funktionsfähigkeit schizophren Kranker zielen auf eine integrierte Anwendung beider Therapieansätze.
Publication History
Article published online:
10 March 2021
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