Effectiveness of interventions aimed at social participation in people with schizophrenia: systematic review

• Autor(a) principal: Sánchez-Balsa, Alejandro
• Data de Publicação: 2023
• Outros Autores: Sobrido-Prieto, María
• Tipo de documento: Artigo
• Idioma: spa; eng
• Título da fonte: Cadernos Brasileiros de Terapia Ocupacional
• Texto Completo: https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3299
• topic: Esquizofrenia; Terapia Ocupacional; Servicios Comunitarios de Salud Mental; Participación Social; Schizophrenia; Occupational Therapy; Community Mental Health Services; Social Participation; Esquizofrenia; Terapia Ocupacional; Serviços Comunitários de Saúde Mental; Participação Social

Introduction: From Occupational Therapy, social participation is considered one of the areas of vital importance in the lives of people with schizophrenia. Therefore, when there is a limitation in participation in this occupational area, it is necessary to generate intervention strategies that favor and enable access to them. Objectives: Know the effectiveness of different interventions in the occupational area "social participation" in users with schizophrenia. Method: A bibliographic search was carried out in three databases in the health and social field: Pubmed, Scopus and Web of Science. The inclusion criteria for the selection of articles were: People between 18 and 65 years old with a diagnosis of schizophrenia, published in the last 10 years in English, Spanish and Portuguese, excluding opinion articles and articles with less than 10 participants in the intervention. A total of 13 studies were selected. All papers were evaluated according to a cheklist. Results: The most effective intervention has been the ACT, with results of; improvement in symptomatic remission of 43.98 pints, comparing with control group; in terms of hospital readmissions, 19.05%; Regarding social functionality, it has had an improvement of 11.36 points; Finally, regarding the quality of life, there has been an improvement of 1.40 points. Conclusions: Social participation is essential in the psychosocial rehabilitation process of a user with schizophrenia. Assertive Community Treatment (ACT) has shown significantly better results compared to Community-Based Rehabilitation (CBR). We must take the results obtained with caution due to the study’s limitations, where the little scientific evidence available on this subject stands out.