Indian Journal of Private Psychiatry

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VOLUME 14 , ISSUE 2 ( July-December, 2020 ) > List of Articles

Original Article

Psychosocial Interventions in Persons with Schizophrenia: A Protocol for Intervention Studies

Ashfaq A Dangroo, Kamlesh K Sahu, Priti Arun

Keywords : Psychosocial, Psychosocial interventions, Schizophrenia

Citation Information : Dangroo AA, Sahu KK, Arun P. Psychosocial Interventions in Persons with Schizophrenia: A Protocol for Intervention Studies. Ind J Priv Psychiatry 2020; 14 (2):75-79.

DOI: 10.5005/jp-journals-10067-0065

License: CC BY-NC 4.0

Published Online: 31-07-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Background: Schizophrenia is a severe and chronic illness that is often the most difficult to manage, which has health and economic consequences for patients, families, and communities. Psychosocial interventions aim to change psychological, social, physiological, and functional outcomes by utilizing psychological or behavioral actions. Methods: We hypothesize that psychosocial intervention offered to patients with schizophrenia to predict the outcomes of intervention. The research design of the study was a prospective intervention study in which intervention was given to patients at the outpatient department of the Department of Psychiatry, Government Medical College and Hospital, Chandigarh. Fifteen persons with schizophrenia (F20.0–20.9) as per the International Classification of Diseases-10 were consecutively included in this study. The intervention was done in eight sessions around 1 hour in each session on a weekly basis in 2 months. Expected outcomes: This study is expected to predict the outcomes of the intervention and also helps the department to make interventions appropriate. These sessions along with pharmacological treatment improve the level of functioning and quality of life. Significance: Psychosocial therapies that are added to antipsychotic medications that have been empirically validated target one or more deficit areas, such as positive and negative symptoms, cognitive impairments, and poor social functioning. Trial registration: Clinical Trial Registry India CTRI/2021/01/030487. Registered on January 15, 2021.

  1. England MJ, Butler AS, Gonzalez ML. Psychosocial interventions for mental and substance use disorders: a framework for establishing evidence-based standards. Washington (DC): National Academies Press (US); 2015.
  2. Kulhara P, Chakrabarti S, Avasthi A, et al. Psychoeducational intervention for caregivers of Indian patients with schizophrenia: a randomised-controlled trial. Acta Psychiatr Scand 2009;119(6):472–483. DOI: 10.1111/j.1600-0447.2008.01304.x.
  3. Babor TF, Higgins-Biddle JC. Brief intervention for hazardous and harmful drinking: a manual for use in primary care. World Health Organization, Document No. WHO/MSD/MSB/01.6b.2001.
  4. Kumar R, Nischal A, Dalal PK, et al. Impact of brief psychosocial intervention on key relatives of patients with schizophrenia: a randomized controlled trial. Indian J Psychiatry 2020;62(2):137–144. DOI: 10.4103/psychiatry.IndianJPsychiatry_138_19.
  5. Adams C, Wilson P, Bagnall AM. Psychosocial interventions for schizophrenia. Qual Health Care 2000;9(4):251–256. DOI: 10.1136/qhc.9.4.251.
  6. Peter W, Lee H, Leih-mex F, et al. Coping strategies of schizophrenic patients and their relationship to outcome. Br J Psychiatry 1993;163:177–182. DOI: 10.1192/bjp.163.2.177.
  7. Hatton C. Psychosocial interventions for adults with intellectual disabilities and mental health problems: a review. J Ment Health 2002;11(4):357–373. DOI: 10.1080/09638230020023732.
  8. Forsman AK, Nordmyr J, Wahlbeck K. Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults. Health Promot Int 2011;26 (Suppl. 1):i85–i107. DOI: 10.1093/heapro/dar074.
  9. Kulhara P, Avasthi A, Grover S, et al. Needs of Indian schizophrenia patients: an exploratory study from India. Soc Psychiatry Psychiatr Epidemiol 2010;45(8):809–818. DOI: 10.1007/s00127-009-0126-1.
  10. Grover S, Avasthi A, Shah S, et al. Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers. Indian J Psychiatry 2015;57(2):181–189. DOI: 10.4103/0019-5545.158185.
  11. World Health Organization. The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research. World Health Organization; 1993.
  12. Lobana A, Mattoo SK, Basu D, et al. Convergent validity of quality of life interview in an Indian setting: preliminary findings. Indian J Psychiatry 2002;44(2):118–124. PMID: 21206556; PMCID: PMC2954338
  13. Singh J. Psychosocial intervention needs of persons with severe mental illness attending psychiatric out patient clinic [dissertation]. Chandigarh: Panjab University; 2019.
  14. Endicott J, Spitzer RL, Fleiss JL, et al. The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry 1976;33(6):766–771. DOI: 10.1001/archpsyc.1976.01770060086012.
  15. Goldman HH, Skodol AE, Lave TR. Revisiting axis V for DSM-V: a review of measures of social functioning. Am J Psychiatry 1992;149(9):1148–1156. DOI: 10.1176/ajp.149.9.1148.
  16. WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med 1998;28(3):551–558. DOI: 10.1017/s0033291798006667.
  17. Morisky DE, Ang A, Wood MK, et al. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens 2008;10(5):348–354. DOI: 10.1111/j.1751-7176.2008.07572.x.
  18. Saraswat N, Rao K, Subbakrishna DK, et al. The Social Occupational Functioning Scale (SOFS): a brief measure of functional status in persons with schizophrenia. Schizophr Res 2006;81(2-3):301–309. DOI: 10.1016/j.schres.2005.09.008.
  19. Hansen L, Vincent S, Harris S, et al. A patient satisfaction rating scale for psychiatric service users. Psychiatrist 2010;34(11):485–488. DOI: 10.1192/pb.bp.107.019067.
  20. World Health Organization. Solving mental health problems. In: The World Health Report 2001: mental health: new understanding, new hope. World Health Organization; 2001. p. 59–64.
  21. Phelan M, Slade M, Thornicroft G, et al. The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry 1995;167(5):589–595. DOI: 10.1192/bjp.167.5.589.
  22. Neogi R, Chakrabarti S, Grover S. Health-care needs of remitted patients with bipolar disorder: a comparison with schizophrenia. World J Psychiatry 2016;6(4):431–441. DOI: 10.5498/wjp.v6.i4.431.
  23. Sahu KK, Chavan BS, Bala C, et al. Reliability and validity of the screening tool for assessment of psychosocial problems. Open J Psychiatry Allied Sci 2019;10:163–168. DOI: 10.5958/2394-2061.2019.00039.9.
  24. Das S, Gupta N, Debbarma A, et al. Profiling the initial 1st year cohort of patients utilizing a tertiary hospital-based geriatric mental health-care service using the “Service Evaluation Framework”. Indian J Soc Psychiatry 2018;34(1):37–47. DOI: 10.4103/ijsp.ijsp_117_17.
  25. Sarkhel S, Singh OP, Arora M. Clinical practice guidelines for psychoeducation in psychiatric disorders general principles of psychoeducation. Indian J Psychiatry 2020;62(8):S319–S323. DOI: 10.4103/psychiatry.IndianJPsychiatry_780_19.
  26. Ashcroft R, Kourgiantakis T, Brown JB. Social work's scope of practice in the provision of primary mental health care: protocol for a scoping review. BMJ Open 2017;7(11):e019384. DOI: 10.1136/bmjopen-2017-019384.
  27. Ministry of Health and Family Welfare, Government of India. New pathways new hope. National mental health policy of India. New Delhi: Ministry of Health and Family Welfare, Government of India; 2014. Available from: [Accessed February 9, 2021].
  28. Semrau M, Evans-Lacko S, Alem A, et al. Strengthening mental health systems in low-and middle-income countries: the emerald programme. BMC Med 2015;13:79. DOI: 10.1186/s12916-015-0309-4.
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