Objective: The primary objective of the study is to understand the current research status of treatments for schizophrenia in children and adolescents, and to clarify their effectiveness and shortcomings.
Methods: We searched CNKI, Embase, Medline, and PsycInfo databases
for systematic reviews, or randomized controlled trials (RCTs) of
pharmaceutical and non-pharmaceutical interventions implemented in patients
with childhood or adolescent onset schizophrenia.
Results: Forty-eight articles were suitable for this review. The
safety of antipsychotic drugs has not been fully determined though
pharmacological therapy is generally considered to have a fast onset and
significant therapeutic effect. Electroconvulsive therapy (ECT) has good
efficacy and few adverse reactions, especially for symptoms of tension and
stiffness, but it has strict indications and operational requirements.
Repetitive transcranial magnetic stimulation (rTMS), transcranial direct
current stimulation (tDCS), and music therapy can increase cortical
excitability, and improve the morphology of brainwaves and cognitive function,
but clinical studies are limited. Clinical practice has shown that
psychotherapies can reduce positive and negative symptoms, alleviate emotional
disorders, correct cognition and personality, and promote social
rehabilitation, their effectiveness needs to be confirmed by evidence-based
medicine.
Conclusion: Each therapy has its own advantages and disadvantages,
and comprehensive treatments should be adopted according to the condition.
Author
(s) Details
Hou Yongmei
Department of Psychology, School of Humanities and Management, Guangdong
Medical University, Dongguan, Guangdong Province, China.
Please see the book here:- https://doi.org/10.9734/bpi/acmms/v3/2883
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