DIMINISHED EMOTIONAL EXPRESSION IN SCHIZOPHRENIA: AN INTERDISCIPLINARY APPROACH BASED ON BEHAVIORAL INTERVENTIONS.
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2018
- handle: 10670/1.mz456r
- 0214-9915
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Psicothema
Sujets proches
Semiology (Medicine) Diseases--Symptoms Symptomatology Signs, Clinical Clinical signs Semiology Symptomology Signs and symptoms Disease symptomsCiter ce document
David González-Pando et al., « DIMINISHED EMOTIONAL EXPRESSION IN SCHIZOPHRENIA: AN INTERDISCIPLINARY APPROACH BASED ON BEHAVIORAL INTERVENTIONS. », Psicothema, ID : 10670/1.mz456r
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Résumé
"Background: Negative symptoms represent the main cause of disability in schizophrenia, having recently been grouped into two general dimensions: avolition and diminished emotional expression, which includes affective flattening and alogia. The aim of this study was to explore the response of these two symptoms to a set of behavioral interventions based on contingency management, performed in an interdisciplinary context. Method: Behaviors of interest were monitored and evaluations before and after the treatment were performed on 9 schizophrenic inpatients with persistent negative symptoms. The program included 12 group double sessions aimed at developing facial expression and verbal communication, and a nursing care plan to generalize and strengthen these behaviors synergistically. Results: There were appreciable differences in facial expression, which were less clear for alogia. The clinical evaluation using PANSS-N did not find notable differences at group level, but the nursing assessment using NOC indicators did. Conclusions: Although difficult to modify, negative symptoms are not insensitive to the influence of behavioral interventions. Specific psychological interventions that address negative symptoms as a priority focus of attention and care need to be promoted and developed, particularly when considering the crucial role of context in their progression."