Effectiveness of treatment for psychosis: evidence base for a shared decision making tool
Structured summary
|Published
The Centre for shared decision-making asked the Norwegian Institute of Public Health to summarize findings about the effectiveness of relevant treatment options to ease the symptoms for persons with psychosis.
Key message
Centre for Shared Decision-Making asked the Norwegian Institute of Public Health to summarize findings about the effectiveness of relevant treatment options to ease the symptoms for persons with psychosis. We found eleven Cochrane reviews. Bottom line for the main outcome symptoms of psychosis is:
- Fewer experience relapse after maintenance treatment with antipsychotics compared to placebo. We have high confidence in this result.
- It is uncertain if antipsychotics compared to placebo affects symptoms in persons with early psychosis because we have very little confidence in this result.
- It is uncertain if exercise compared to treatment as usual affects symptoms because we have very little confidence in this result.
- It is uncertain if cognitive behavioural therapy compared to treatment as usual affects symptoms in because we have very little confidence in this result.
- More patients may experience reduction in symptoms after music therapy compared to treatment as usual. We have little confidence in this result.
- Probably fewer experience relapse after long-term family therapy compared to treatment as usual, effectiveness of short-term family therapy is more uncertain because the confidence interval spans from many fewer to many more.
- It is uncertain if course in social skills or life management compared to treatment as usual affects symptoms in because we have very little confidence in this result.
- We don’t know the effectiveness of problem solving courses compared to treatment as usual because we found no research on this.
It is uncertain if individual placement and support compared to treatment as usual affects symptoms in because we have very little confidence in this result.