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S3 guideline on psychosocial therapies in severe mental illness: evidence and recommendations

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Abstract

The burden of severe and persistent mental illness is high. Beside somatic treatment and psychotherapeutic interventions, treatment options for patients with severe mental illness also include psychosocial interventions. This paper summarizes the results of a number of systematic literature searches on psychosocial interventions for people with severe mental illness. Based on this evidence appraisal, recommendations for the treatment of people with severe mental illness were formulated and published in the evidence-based guideline series of the German Society for Psychiatry, Psychotherapy and Neurology (DGPPN) as an evidence-based consensus guideline (“S3 guideline”). Recommendations were strongly based on study results, but used consensus processes to consider external validity and transferability of the recommended practices to the German mental healthcare system. A distinction is made between system-level interventions (multidisciplinary team-based psychiatric community care, case management, vocational rehabilitation and participation in work life and residential care interventions) and single psychosocial interventions (psychoeducation, social skills training, arts therapies, occupational therapy and exercise therapy). There is good evidence for the efficacy of the majority of psychosocial interventions in the target group. The best available evidence exists for multidisciplinary team-based psychiatric community care, family psychoeducation, social skills training and supported employment. The present guideline offers an important opportunity to further improve health services for people with severe mental illness in Germany. Moreover, the guideline highlights areas for further research.

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Notes

  1. A complete overview of identified evidence can be found in the full version of the guideline.

  2. A complete overview of identified evidence can be found in the full version of the guideline.

References

  1. Ruggeri M, Leese M, Thornicroft G et al (2000) Definition and prevalence of severe and persistent mental illness. Br J Psychiatry 177:149–155

    Article  CAS  PubMed  Google Scholar 

  2. Parabiaghi A, Bonetto C, Ruggeri M et al (2006) Severe and persistent mental illness: a useful definition for prioritizing community-based mental health service interventions. Soc Psychiatry Psychiatr Epidemiol 41:457–463

    Article  PubMed  Google Scholar 

  3. Fleischhacker WW, Cetkovich-Bakmas M, De Hert M et al (2008) Cormorbid somatic illnesses in patients with severe mental disorders: clinical, policy, and research challenges. J Clin Psychiatry 69:514–519

    Article  PubMed  Google Scholar 

  4. Laursen TM, Munk-Olsen T, Agerbo EGC et al (2009) Somatic hospital contacts, invasive cardiac procedures, and mortality from heart disease in patients with severe mental disorder. Arch Gen Psychiatry 66:713–720

    Article  PubMed  Google Scholar 

  5. Leucht S, Burkard T, Henderson J et al (2007) Physical illness and schizophrenia: a review of the literature. Acta Psychiatr Scand 116:317–333

    Article  CAS  PubMed  Google Scholar 

  6. Surtees PG, Wainwright NW, Luben RN et al (2008) Depression and ischemic heart disease mortality: evidence from the EPIC-Norfolk United Kingdom prospective cohort study. Am J Psychiatry 165:515–523

    Article  PubMed  Google Scholar 

  7. Kodesh A, Goldshtein I, Gelkopf M et al (2012) Epidemiology and comorbidity of severe mental illnesses in the community: findings from a computerized mental health registry in a large Israeli health organization. Soc Psychiatry Psychiatr Epidemiol 47:1775–1782

    Article  PubMed  Google Scholar 

  8. Chacón F, Mora F, Gilaberte I (2011) Efficacy of lifestyle interventions in physical health management of patients with severe mental illness. Ann Gen Psychiatry 10:22

    Article  PubMed Central  PubMed  Google Scholar 

  9. Murray CJ, Vos T, Lozano R et al (2013) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2197–2223

    Article  Google Scholar 

  10. Piatt EE, Munetz MR, Ritter C (2010) An examination of premature mortality among decedents with serious mental illness and those in the general population. Psychiatr Serv 61:663–668

    Article  PubMed  Google Scholar 

  11. Albus M, Wandl U (2008) Psychische Erkrankungen im Kontext von Berufsunfähigkeits- bzw. Rentenversicherung. Schleswig-Holsteinisches Ärzteblatt 1:49–51

    Google Scholar 

  12. Bödeker W, Friedrichs M (2011) Kosten der psychischen Erkrankungen und Belastungen in Deutschland. In: Kamp, L. und Pickshaus, K. (Hrsg.) Regelungslücke psychische Belastungen schließen. Hans Böckler Stiftung, IG Metall. 2011: 69–102 http://www.boeckler.de/pdf/p_mbf_regellungsluecke.pdf. Accessed 3 Nov 2014

  13. Dickey B, Goldman HH (1986) Public health care for the chronically mentally ill: financing operating costs issues and options for local leadership. Adm Ment Health 14:63–77

    Google Scholar 

  14. Kane CF, Ennis JM (1996) Health care reform and rural mental health: severe mental illness. Community Ment Health J 32:445–462

    Article  CAS  PubMed  Google Scholar 

  15. Zolnierek CD (2009) Non-psychiatric hospitalization of people with mental illness: systematic review. J Adv Nurs 65:1570–1583

    Article  PubMed  Google Scholar 

  16. German Association of Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN) (2013) Lücken in der ambulanten Versorgung treffen vor allem Menschen mit schweren psychischen Erkrankungen. http://www.dgppn.de/fileadmin/user_upload/_medien/download/pdf/pressemitteilungen/2013/DGPPN-Pressemitteilung_Lücken_in_der_ambulanten_Versorgung.pdf. Accessed 24 June 2013

  17. Kingdon DG, Turkington D (2004) Cognitive therapy of schizophrenia. Guilford Press, New York

    Google Scholar 

  18. Becker T, Arnold K, Gühne U et al (2012) Psychosoziale Therapien bei schweren psychischen Erkrankungen. InFo Neurol Psychiatr 14:38–45

    Article  Google Scholar 

  19. Tansella M, Thornicroft G (2009) Implementation science: understanding the translation of evidence into practice. Br J Psychiatry 195:283–285

    Article  PubMed  Google Scholar 

  20. Thornicroft G (2012) Evidence-based mental health care and implementation science in low- and middle-income countries. Epidemiol Psychiatr Sci 21:241–244

    Article  CAS  PubMed  Google Scholar 

  21. MacInnes D, Kinane C, Beer D et al (2013) Study to assess the effect of a structured communication approach on quality of life in secure mental health settings (Comquol): study protocol for a pilot cluster randomized trial. Trials 14:257

    Article  PubMed Central  PubMed  Google Scholar 

  22. Priebe S, Kelly L, Golden E et al (2013) Effectiveness of structured patient-clinician communication with a solution focused approach (DIALOG+) in community treatment of patients with psychosis—a cluster randomised controlled trial. BMC Psychiatry 13:173

    Article  PubMed Central  PubMed  Google Scholar 

  23. Guyatt GH, Oxman AD, Kunz R, GRADE Working Group et al (2008) Going from evidence to recommendations. BMJ 336:1049–1051

    Article  PubMed Central  PubMed  Google Scholar 

  24. Thornicroft G, Becker T, Holloway F et al (1999) Community mental health teams: evidence or belief? Br J Psychiatry 175:508–513

    Article  CAS  PubMed  Google Scholar 

  25. Malone D, Newron-Howes G, Simmonds S et al (2007) Community mental health teams (CMHTs) for people with severe mental illnesses and disordered personality. Cochrane Database Syst Rev (3). doi:10.1002/14651858.CD000270.pub2

  26. Johnson S, Needle J, Bindman JP et al (2008) Crisis resolution and home treatment in mental health. University Press, Cambridge

    Book  Google Scholar 

  27. Joy CB, Adams CE, Rice K (2006) Crisis intervention for people with severe mental illnesses. Cochrane Database Syst Rev (4). doi:10.1002/14651858.CD001087.pub3

  28. National Institute for Health and Care Excellence (NICE) (2009). Schizophrenia. Core interventions in the treatment and management of schizophrenia in adults in primary and secondary care. NICE clinical guideline 82. London. www.nice.org.uk

  29. Bond GR, Drake RE, Mueser KT et al (2001) Assertive community treatment for people with severe mental illness. Critical ingredients and impact on patients. Dis Manag Health Outcomes 9:141–159

    Article  Google Scholar 

  30. Marshall M, Lockwood A (2000) Assertive community treatment for people with severe mental disorders. Cochrane Database Syst Rev (2). doi:10.1002/14651858.CD001089

  31. Coldwell CM, Bender WS (2007) The effectiveness of assertive community treatment for homeless populations with severe mental illness: a meta-analysis. Am J Psychiatry 164:393–399

    Article  PubMed  Google Scholar 

  32. Nelson G, Aubry T, Lafrance A (2007) A review of the literature on the effectiveness of housing and support, assertive community treatment, and intensive case management interventions for persons with mental illness who have been homeless. Am J Orthopsychiatry 77:350–361

    Article  PubMed  Google Scholar 

  33. Drake RE, O’Neal EL, Wallach MA (2008) A systematic review of psychosocial research on psychosocial interventions for people with co-occurring severe mental and substance use disorders. J Subst Abuse Treat 34:123–138

    Article  PubMed  Google Scholar 

  34. Cleary M, Hunt G, Matheson S et al (2008) Psychosocial interventions for people with both severe mental illness and substance misuse. J Adv Nurs 65:238–258

    Article  PubMed  Google Scholar 

  35. Burns T, Catty J, Dash M et al (2007) Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression. BMJ 335:336

    Article  PubMed Central  PubMed  Google Scholar 

  36. Lambert M, Bock T, Daubmann A et al (2014) The Hamburg-model of integrated care for patients with psychosis: part 1. Rationale, treatment concept and results of the pre-study. Psychiatr Prax 41:257–265

    PubMed  Google Scholar 

  37. Karow A, Bock T, Daubmann A et al (2014) The Hamburg-model of integrated care for patients with psychosis: part 2. Results of the clinical course over 2- and 4-years of treatment. Psychiatr Prax 41:266–273

    PubMed  Google Scholar 

  38. Schmid P, Steinert T, Borbé R (2013) Implementing models of cross-sectoral mental health care (integrated health care, regional psychiatry budget) in Germany: systematic literature review. Psychiatr Prax 40:414–424

    Article  PubMed  Google Scholar 

  39. Intagliata J (1982) Improving the quality of community care for the chronically mentally disabled: the role of case management. Schizophr Bull 8:655–674

    Article  CAS  PubMed  Google Scholar 

  40. Thornicroft G (1991) The concept of Case management for long-term mental illness. Int Rev Psychiatr 3:125–132

    Article  Google Scholar 

  41. Marshall M (2008) What have we learnt from 40 years of research on intensive case management? Epidemiol Psichiatr Soc 17:106–109

    PubMed  Google Scholar 

  42. Mueser KT, Bond GR, Drake RE et al (1998) Models of community care for severe mental illness: a review of research on case management. Schizophr Bull 24:37–74

    Article  CAS  PubMed  Google Scholar 

  43. Marshall M, Gray A, Lockwood A et al (2000) Case management for people with severe mental disorders. Cochrane Database Syst Rev (2). doi:10.1002/14651858.CD000050

  44. Dieterich M, Irving CB, Park B et al (2010) Intensive case management for severe mental illness. Cochrane Database Syst Rev CD007906. doi:10.1002/14651858.CD007906.pub2

  45. Marshall M, Bond GR, Huxley P (2001) Vocational rehabilitation for people with severe mental illness. Cochrane Database Syst Rev (2). doi:10.1002/14651858.CD003080

  46. Bond G, Drake R, Becker D (2008) An update on randomized controlled trials of evidence-based supported employment. Psychiatr Rehabil J 4:280–290

    Article  Google Scholar 

  47. Crowther R, Marshall M, Bond G et al (2001) Vocational rehabilitation for people with severe mental illness. Cochrane Database Syst Rev (2). doi:10.1002/14651858.CD003080

  48. Twamley EW, Jeste DV, Lehman AF (2003) Vocational rehabilitation in schizophrenia and other psychotic disorders: a literature review and meta-analysis of randomized controlled trials. J Nerv Ment Dis 8:515–523

    Article  Google Scholar 

  49. Campbell K, Bond GR, Drake RE (2011) Who benefits from supported employment: a meta-analytic study. Schizophr Bull 37:370–380

    Article  PubMed Central  PubMed  Google Scholar 

  50. Drake RE, Becker DR, Clark RE et al (1999) Research on the individual placement and support model of supported employment. Psychiatr Q 70:289–301

    Article  CAS  PubMed  Google Scholar 

  51. Burns TJ, Catty T, Becker R et al (2007) The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial. Lancet 370:1146–1152

    Article  PubMed  Google Scholar 

  52. Howard LM, Heslin M, Leese M et al (2010) Supported employment: randomised controlled trial. Br J Psychiatry 196:404–411

    Article  PubMed Central  PubMed  Google Scholar 

  53. Reker T, Eikelmann B, Schonauer K et al (1998) Occupational rehabilitation of chronic psychiatric patients. Results of a prospective study over 3 years. Psychiatr Prax 25:76–82

    CAS  PubMed  Google Scholar 

  54. Watzke S, Galvao A, Brieger P (2009) Vocational rehabilitation for subjects with severe mental illnesses in Germany: a controlled study. Soc Psychiatry Psychiatr Epidemiol 44:523–531

    Article  PubMed  Google Scholar 

  55. Bell M, Milstein R, Lysaker P (1993) Pay as an incentive in work participation by patients with severe mental illness. Hosp Community Psychiatry 44:684–686

    CAS  PubMed  Google Scholar 

  56. Blankertz L, Robinson S (1996) Adding a vocational focus to mental health rehabilitation. Psychiatr Serv 47:1216–1222

    Article  CAS  PubMed  Google Scholar 

  57. Kyle T, Dunn JR (2008) Effects of housing circumstances on health, quality of life and healthcare use for people with severe mental illness: a review. Health Soc Care Community 16:1–15

    Article  PubMed  Google Scholar 

  58. Macpherson R, Edwards TR, Chilvers R et al (2009) Twenty-four hour care for schizophrenia. Cochrane Database Syst Rev (2). doi:10.1002/14651858.CD004409.pub2

  59. Kaiser W, Hoffmann K, Isermann M et al (2001) Long-term patients in supported housing after deinstitutionalisation—part V of the Berlin Deinstitutionalisation Study. Psychiatr Prax 28:235–243

    Article  CAS  PubMed  Google Scholar 

  60. Kallert TW, Leisse M, Winiecki P (2007) Comparing the effectiveness of different types of supported housing for patients with chronic schizophrenia. J Public Health 15:29–42

    Article  Google Scholar 

  61. Leisse M, Kallert TW (2003) Individual needs and allocation of home-based community psychiatric services. Nervenarzt 74:755–761

    Article  CAS  PubMed  Google Scholar 

  62. Anderson CM, Hogarty GE, Reiss DJ (1980) Family treatment of adult schizophrenic patients: a psychoeducational approach. Schizophr Bull 6:490–515

    Article  CAS  PubMed  Google Scholar 

  63. McFarlane WR, Dixon L, Lukens E et al (2003) Family Psychoeducation and schizophrenia: a review of the literature. J Marital Fam Ther 29:223–245

    Article  PubMed  Google Scholar 

  64. Bäuml J, Pitschel-Walz G, Bechdolf A et al (2008) Psychoedukation bei schizophrenen Erkrankungen. Konsensuspapier der Arbeitsgruppe “Psychoeduaktion bei schizophrenen Erkrankungen”. Schattauer, Stuttgart

  65. Bäuml J, Froböse T, Kraemer S et al (2006) Psychoeducation: a basic psychotherapeutic intervention for patients with schizophrenia and their families. Schizophr Bull 32:S1–S9

    Article  PubMed Central  PubMed  Google Scholar 

  66. Bäuml J, Pitschel-Walz G, Volz A et al (2007) Psychoeducation in schizophrenia: 7-year follow-up concerning rehospitalization and days in hospital in the Munich Psychosis Information Project Study. J Clin Psychiatry 68:854–861

    Article  PubMed  Google Scholar 

  67. Pitschel-Walz G, Leucht S, Bauml J et al (2001) The effect of family interventions on relapse and rehospitalization in schizophrenia–a meta-analysis. Schizophr Bull 27:73–92

    Article  CAS  PubMed  Google Scholar 

  68. Lincoln TM, Wilhelm K, Nestoriuc Y (2007) Effectiveness of psychoeducation for relapse, symptoms, knowledge, adherence and functioning in psychotic disorders: a meta-analysis. Schizophr Res 96:232–245

    Article  CAS  PubMed  Google Scholar 

  69. Colom F, Vieta E, Sanchez-Moreno J et al (2009) Group psychoeducation for stabilised bipolar disorders: 5-year outcome of a randomised clinical trial. Br J Psychiatry 194:260–265

    Article  CAS  PubMed  Google Scholar 

  70. Colom F, Vieta E, Reinares M et al (2003) Psychoeducation efficacy in bipolar disorders: beyond compliance enhancement. J Clin Psychiatry 64:1101–1105

    Article  PubMed  Google Scholar 

  71. Miklowitz DJ, George EL, Richards JA et al (2003) A randomized study of family-focused psychoeducation and pharmacotherapy in the outpatient management of bipolar disorder. Arch Gen Psychiatry 60:904–912

    Article  PubMed  Google Scholar 

  72. Rea MM, Tompson MC, Miklowitz DJ et al (2003) Family-focused treatment versus individual treatment for bipolar disorder: results of a randomized clinical trial. J Consult Clin Psychol 71:482–492

    Article  PubMed  Google Scholar 

  73. Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Bundesärztekammer (BÄK), Kassenärztliche Bundesvereinigung (KBV), Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V. (AWMF) (2010) Nationale Versorgungsleitlinie Unipolare Depression. Reihe: Interdisziplinäre S3-Praxisleitlinien, Band 0. Springer, Berlin

  74. Gühne U, Weinmann S, Arnold K et al (2013) Social skills training in severe mental illness. Review and efficacy according to types of intervention and setting. Psychiatr Prax. doi:10.1055/s-0033-1359873

    PubMed  Google Scholar 

  75. Kopelowicz A, Liberman RP, Zarate R (2006) Recent advances in social skills training for schizophrenia. Schizophr Bull 32:12–23

    Article  Google Scholar 

  76. Pfammatter M, Junghan UM, Brenner HD (2006) Efficacy of psychological therapy in schizophrenia: conclusions from meta-analyses. Schizophr Bull 32(Suppl. 1):S64–S80

    Article  PubMed Central  PubMed  Google Scholar 

  77. Kurtz MM, Mueser KT (2008) A meta-analysis of controlled research on social skills training for schizophrenia. J Consult Clin Psychol 76:491–504

    Article  PubMed  Google Scholar 

  78. Roder V, Mueller DR, Mueser KT et al (2006) Integrated psychological therapy (IPT) for schizophrenia: is it effective? Schizophr Bull 32(Suppl. 1):S81–S93

    Article  PubMed Central  PubMed  Google Scholar 

  79. Roder V, Mueller DR, Schmidt SJ (2011) Effectiveness of Integrated Psychological Therapy (IPT) for schizophrenia patients: a reasearch update. Schizophr Bull 37:S71–S79

    Article  PubMed Central  PubMed  Google Scholar 

  80. Silverstein SM, Spaulding WD, Menditto AA et al (2009) Attention shaping: a reward-based learning method to enhance skills training outcomes in schizophrenia. Schizophr Bull 35:222–232

    Article  PubMed Central  PubMed  Google Scholar 

  81. Hogarty GE, Flesher S, Ulrich R (2004) Cognitive enhancement therapy for schizophrenia: effects of a 2-year randomized trial on cognition and behavior. Arch Gen Psychiatry 61:866–876

    Article  PubMed  Google Scholar 

  82. Kern RS, Green MF, Mitchell S et al (2005) Extensions of errorless learning for social problem-solving deficits in schizophrenia. Am J Psychiatry 162:513–519

    Article  PubMed  Google Scholar 

  83. Galderisi S, Piegari G, Mucci A et al (2009) Social skills and neurocognitive individualized training in schizophrenia: comparison with structured leisure activities. Eur Arch Psychiatry Clin Neurosci. doi:10.1007/s00406-009-0078-1

    PubMed  Google Scholar 

  84. Glynn SM, Marder SR, Liberman RP et al (2002) Supplementing clinic-based skills training with manual-based community support sessions: effects on social adjustment of patients with schizophrenia. Am J Psychiatry 159:829–837

    Article  PubMed  Google Scholar 

  85. Kopelowicz A, Zarate R, Smith VG et al (2003) Disease management in Latinos with schizophrenia: a family-assisted, skills training approach. Schizophr Bull 29:211–228

    Article  PubMed  Google Scholar 

  86. Ruddy R, Milnes D (2005) Art therapy for schizophrenia or schizophrenia-like illnesses. Cochrane Database Syst Rev (4). doi:10.1002/14651858.CD004025.pub2

  87. Gold C, Heldal TO, Dahle T et al (2005) Music therapy for schizophrenia or schizophrenia-like illnesses. Cochrane Database Syst Rev (2).doi:10.1002/14651858.CD004025.pub2

  88. Xia J, Grant TJ (2009) Dance therapy for schizophrenia. Cochrane Database Syst Rev (1). doi:10.1002/14651858.CD006868.pub2

  89. Maratos AS, Gold C, Wang X et al (2008) Music therapy for depression. Cochrane Database Syst Rev (1). doi:10.1002/14651858.CD004517.pub2

  90. Scheiber I (1995) Ergotherapie in der Psychiatrie. Stam, Köln

    Google Scholar 

  91. Reuster T (2006) Effektivität der Ergotherapie im psychiatrischen Krankenhaus. Mit einer Synopse zu Geschichte, Stand und aktueller Entwicklung der psychiatrischen Ergotherapie. Steinkopff, Darmstadt

  92. Buchain PC, Vizzotto ADB, Neto JH et al (2003) Randomized controlled trial of occupational therapy in patients with treatment-resistant schizophrenia. Rev Bras Psiquiatr 25:26–30

    Article  PubMed  Google Scholar 

  93. Längle G, Bayer W, Köster M et al (2006) Do the effects of inpatient vocational therapy and ergotherapy approaches differ in schizophrenic patients? Results of a controlled multicenter study of the German research network on schizophrenia. Psychiatr Prax 33:34–41

    Article  PubMed  Google Scholar 

  94. Knobloch J, Fritz A (1993) Erklärungsansätze für psychische Effekte von Bewegungsprogrammen. In: Hölter G (ed) Mototherapie mit Erwachsenen. Sport, Spiel und Bewegung in Psychiatrie, Psychotherapie und Suchtbehandlung. Reihe “Motorik”. Karl Hoffmann, Schorndorf

  95. Gorczynski P, Faulkner G (2010) Exercise therapy for schizophrenia. Cochrane Database Syst Rev (5). doi:10.1002/14651858.CD004412pub2

  96. Pajonk FG, Wobrock T, Gruber O et al (2010) Hippocampal plasticity in response to exercise in schizophrenia. Arch Gen Psychiatry 67:133–143

    Article  PubMed  Google Scholar 

  97. Nitsun M, Stapleton JH, Bender MP (1974) Movement and drama therapy with long stay schizophrenics. Br J Med Psychol 47:101–119

    Article  CAS  PubMed  Google Scholar 

  98. Hátlová B, Basny sen Z (1995) Kinesiotherapy—therapy using two different types of exercises in curing schizophrenic patients. In: International Society of Comparative physical Education and Sport (ed) Physical activity for life: east and west, south and north. Proceedings of the 9th biennial conference. Meyer & Meyer, Achen, pp 426–429

  99. Knobloch J, Deimel H, Ehleringer-Kosmol M (1993) Eine Studie zur Förderung Sozialer Kompetenz schizophrener Patienten durch Bewegung. In: Hölter G (ed) Mototherapie mit Erwachsenen. Sport, Spiel und Bewegung in Psychiatrie, Psychotherapie und Suchtbehandlung. Reihe “Mototrik”, Band 13. Karl Hofmann, Schorndorf, pp 140–152

  100. Deimel H (1980) Sport therapy with psychiatric patients. Psychiatr Prax 7:97–103

    CAS  PubMed  Google Scholar 

  101. Goertzel V, May PR, Salkin J et al (1965) Body-ego technique: an approach to the schizophrenic patients. J Nerv Ment Dis 141:53–60

    Article  CAS  PubMed  Google Scholar 

  102. Röhricht F, Priebe F (2006) Effect of body-oriented psychological therapy on negative symptoms in schizophrenia: a randomized controlled trial. Psychol Med 36:669–678

    Article  PubMed  Google Scholar 

  103. Blumenthal JA, Babyak MA, Moore KA et al (1999) Effects of exercise training on older patients with major depression. Arch Intern Med 159:2349–2356

    Article  CAS  PubMed  Google Scholar 

  104. Babyak M, Blumenthal JA, Herman S et al (2000) Exercise treatment for major depression. Maintenance of therapeutic benefit at 10 months. J Neurosurg Psychiatry 65:541–546

    Google Scholar 

  105. Knubben K, Reischies FM, Adli M et al (2007) A randomised, controlled study on the effects of a short-term endurance training programme in patients with major depression. Br J Sports Med 41:29–33

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  106. Veale D, Le Fevre K, Pantelis C et al (2011) Aerobic exercise in the adjunctive treatment of depression: a randomized controlled trial. J R Soc Med 85:541–544

    Google Scholar 

  107. Pinchasov BB (2000) Mood and energy regulation in seasonal and non-seasonal depression before and after midday treatment with physical exercise and bright light. Psychiatry Res 94:29–42

    Article  CAS  PubMed  Google Scholar 

  108. Martinsen EW, Medhus A, Sandvik L (1985) Effects of aerobic exercise on depression: a controlled study. BMJ 291:109

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  109. Bramesfeld A, Schäfer I, Stengler K et al (2014) Stimulating mental health services research: what are the implications of the new DGPPN S3-guideline for psycho-social therapies? Psychiatr Prax 41:65–67

    Article  PubMed  Google Scholar 

  110. Rothwell PM (2005) External validity of randomised controlled trials: “to whom do the results of this trial apply?”. Lancet 365:82–93

    Article  PubMed  Google Scholar 

  111. Drake RE, Goldman HH, Leff HS et al (2001) Implementing evidence-based practices in routine mental health service settings. Psychiatr Serv 52:179–182

    Article  CAS  PubMed  Google Scholar 

  112. Hoffmann H, Jäckel D, Glauser S et al (2012) A randomised controlled trial of the efficacy of supported employment. Acta Psychiatr Scand 125:157–167

    Article  CAS  PubMed  Google Scholar 

  113. Mössler K, Chen X, Heldal TO et al (2011) Music therapy for people with schizophrenia and schizophrenia-like disorders. Cochrane Database Syst Rev. doi:10.1002/14651858.CD004025.pub3

    PubMed  Google Scholar 

  114. Crawford MJ, Killapsy H, Barnes TRE et al (2012) Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial. BMJ 344:e846. doi:10.1136/bmj.e846

    Article  PubMed Central  PubMed  Google Scholar 

  115. De Hert M, Cohen D, Bobes J et al (2011) Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level. World Psychiatry 10:138–151

    PubMed  Google Scholar 

  116. Anaya C, Martinez-Aran A, Ayuso-Mateos JL et al (2012) A systematic review of cognitive remediation for schizo-affective and affective disorders. J Affect Disord 142:13–21

    Article  PubMed  Google Scholar 

  117. McIntosh A, Conlon L, Lawrie S et al (2006) Compliance therapy for schizophrenia. Cochrane Database Syst Rev. doi:10.1002/14651858.CD003442.pub2

    PubMed Central  Google Scholar 

  118. Vancampfort D, Corell CU, Scheewe TW et al (2013) Progressive muscle relaxation in persons with schizophrenia: a systematic review of randomized controlled trials. Clin Rehabil 27:291–298

    Article  PubMed  Google Scholar 

  119. Kopp IB (2010) Perspectives in guideline development and implementation in Germany. Z Rheumatol 69:298–304

    Article  CAS  PubMed  Google Scholar 

  120. Pekkala E, Merinder L (2002) Psychoeducation for schizophrenia. Cochrane Database Syst Rev (2). doi:10.1002/14651858.CD002831

  121. Pilling S, Bebbington P, Kuipers E et al (2002) Psychological treatments in schizophrenia: I. Meta-analysis of family intervention and cognitive behaviour therapy. Psychol Med 32:763–782

    CAS  PubMed  Google Scholar 

  122. Pharoah F, Mari J, Rathbone J et al (2006) Family intervention for schizophrenia. Cochrane Database Syst Rev (4). doi:10.1002/14651858.CD000088.pub2

  123. Ruddy R, Dent-Brown K (2007) Drama therapy for schizophrenia or schizophrenia-like illnesses. Cochrane Database Syst Rev. doi:10.1002/14651858.CD005378

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Acknowledgments

This publication is part of the S3 guideline psychosocial interventions in severe mental illness endorsed and funded by the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN).

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany

    Uta Gühne & Steffi G. Riedel-Heller

  2. Clinic for Psychiatry, Psychotherapy and Psychosomatics, Vivantes Klinikum, Am Urban, Dieffenbacherstr. 1, 10967, Berlin, Germany

    Stefan Weinmann

  3. Department of Psychiatry II, Ulm University, Ludwig-Heilmeyer-Str. 2, 89312, Günzburg, Germany

    Katrin Arnold & Thomas Becker

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  2. Stefan Weinmann
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  3. Katrin Arnold
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  4. Thomas Becker
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  5. Steffi G. Riedel-Heller
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Correspondence to Steffi G. Riedel-Heller.

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Thomas Becker and Steffi G. Riedel-Heller have shared last authorship.

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Gühne, U., Weinmann, S., Arnold, K. et al. S3 guideline on psychosocial therapies in severe mental illness: evidence and recommendations. Eur Arch Psychiatry Clin Neurosci 265, 173–188 (2015). https://doi.org/10.1007/s00406-014-0558-9

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  • DOI: https://doi.org/10.1007/s00406-014-0558-9

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