Evaluation on Efficacy of Psychological and Behavioral Intercession and Its Implications on People with Schizophrenia: A Novel Approach



To examine and evaluate the efficacy of the spectrum of psychological and behavioral intercession as a novel treatment regime to address the necessity of Schizophrenia affected patients.


A sum of 148 individuals with the first episode of Schizophrenia enrolled in the trial. Patients admitted in our medium-sized hospital with symptoms of schizophrenia were scrutinized carefully and selected for the intercession trial. Total selected individuals were bifurcated into two groups based on guidelines prescribed in the intervention model. Control group or standard care group (SCG) was treated with usual medications and nursing measures of psychiatry practices. Experimental Group (EG) was conferred with enriched psychological strategy and behavioral modules to tackle and satisfy their specific needs. Various methods such as positive and negative syndrome scale (PANSS), several disability screening schedule (SDGSS), satisfaction with life scale (SWLS), global assessment scale (GAS) and finally rate of recurrence of disease were evaluated and analyzed.


Efficacy of psychological and behavioral intercession on psychotic domine is proved to be effective, and a novel strategy and it is significantly reducing positive and negative psychological symptoms in the experimental group was observed attributing to the intercession. Moreover, a drastic attenuation in the rate of recurrence of disease was supporting a long term efficiency of intercession.


Conducting intervention on psychological and behavioral approach has explored novel treatment outcomes, targeted schizophrenia patients effectively.

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  1. Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press.

    Google Scholar 

  2. Beck, A. T., Rush, A., & Shaw, B. (1979). Cognitive therapy for depression. New York: Guilford Press.

    Google Scholar 

  3. Brief ICF Core Set for Schizophrenia. Retrieved July 26, 2015, from https://www.icf-research-branch.org/download/send/9-mentalhealth/255-brief-icf-core-set-for-schizophrenia.

  4. Candida, M., Campos, C., Monteiro, B., Rocha, N. B. F., Paes, F., Nardi, A. E., et al. (2016). Cognitive-behavioral therapy for schizophrenia: An overview on efficacy, recent trends and neurobiological findings. Medical Express (Sao Paulo, online),3(5), M160501.

    Google Scholar 

  5. Dixon, L. B., Dickerson, F., Bellack, A. S., Bennett, M., Dickinson, D., Goldberg, R. W., et al. (2010). The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophrenia Bulletin,36, 48–70.

    Article  Google Scholar 

  6. Fernandes, B., Steiner, J., Bernstein, H., Dodd, S., Pasco, J., Dean, O. M., et al. (2016). Dysregulation of the dopamine system in the pathophysiology of schizophrenia and depression. Nature Reviews Neuroscience,17, 524–532.

    Article  Google Scholar 

  7. Green, M. F., & Leitman, D. I. (2008). Social cognition in schizophrenia. Schizophrenia Bulletin,34, 670–672.

    Article  Google Scholar 

  8. Harding, C. M., Brooks, G. W., Ashikaga, T., Strauss, J. S., & Breier, A. (1987). The Vermont longitudinal study of persons with severe mental illness. I. Methodology, study samples, and overall status 32 years later. American Journal of Psychiatry,144, 718–726.

    CAS  Article  Google Scholar 

  9. Hardingham, G. E., & Do, K. Q. (2016). Linking early-life NMDAR hypofunction and oxidative stress in schizophrenia pathogenesis. Nature Reviews Neuroscience, 17(2), 125.

    CAS  Article  Google Scholar 

  10. Hayes, S. C., Villatte, M., Levin, M., & Hildebrandt, M. (2011). Open, aware, and active: Contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annual Review of Clinical Psychology,7, 141–168.

    Article  Google Scholar 

  11. Häfner, H. (2019). From onset and prodromal stage to a life-long course of schizophrenia and its symptom dimensions: How sex, age, and other risk factors influence incidence and course of illness. Psychiatry Journal. https://doi.org/10.1155/2019/9804836.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Jauhar, S., McKenna, P. J., Radua, J., Fung, E., Salvador, R., & Laws, K. R. (2014). Cognitivebehavioural therapy for the symptoms of schizophrenia: Systematic review and meta-analysis with examination of potential bias. British Journal of Psychiatry,204, 20–29.

    CAS  Article  Google Scholar 

  13. Khoury, B., Lecomte, T., Gaudiano, B. A., & Paquin, K. (2013). Mindfulness interventions for psychosis: A meta-analysis. Schizophrenia Research,150, 176–184.

    Article  Google Scholar 

  14. Liberman, R. P., Mueser, K. T., & Wallace, C. J. (1986). Social skills training for schizophrenic individuals at risk for relapse. American Journal of Psychiatry,143, 523–526.

    CAS  Article  Google Scholar 

  15. McGurk, S. R., & Mueser, K. T. (2004). Cognitive functioning, symptoms, and work in supported employment: A review and heuristic model. Schizophrenia Research,70(2–3), 147–173.

    Article  Google Scholar 

  16. McCreadie, R. G. (1997). The nithsdale schizophrenia surveys 16. Breast-feeding and schizophrenia: Preliminary results and hypotheses. The British Journal of Psychiatry,170, 334–337.

    CAS  Article  Google Scholar 

  17. National Collaborating Centre for Mental Health. (2014). Psychosis and schizophrenia in adults. National Clinical Guideline Number 178. London: National Institute for Health and Clinical Excellence

  18. Perlick, D. A., Rosenheck, R. A., Kaczynski, R., Bingham, S., & Collins, J. (2008). Association of symptomatology and cognitive deficits to functional capacity in schizophrenia. Schizophrenia Research,99(1–3), 192–199.

    Article  Google Scholar 

  19. Rector, N. A., & Beck, A. T. (2002). Cognitive therapy for schizophrenia: From conceptualization to intervention. Canadian Journal of Psychiatry,47(1), 39–48.

    Article  Google Scholar 

  20. Sears, S., & Kraus, S. (2009). I think therefore I Om: Cognitive distortions and coping style as mediators for the effects of mindfulness meditation on anxiety, positive and negative affect, and hope. Journal of Clinical Psychology,65(6), 561–573.

    Article  Google Scholar 

  21. Świtaj, P., Anczewska, M., Chrostek, A., Sabariego, C., Cieza, A., Bickenbach, J., et al. (2012). Disability and schizophrenia: A systematic review of experienced psychosocial difficulties. BMC Psychiatry,12, 193.

    Article  Google Scholar 

  22. Van der Gaag, M., Valmaggia, L. R., & Smit, F. (2014). The effects of individually tailored formulation-based cognitive behavioural therapy in auditory hallucinations and delusions: A meta-analysis. Schizophrenia Research,156, 30–37.

    Article  Google Scholar 

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The authors are thankful to the Deanship of Scientific Research, College of Nursing, Research Center at King Saud University for funding this research.

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Correspondence to Yue BangShang.

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Ahmad, M., Alrashed, M.M., Al-Shehri, A.R. et al. Evaluation on Efficacy of Psychological and Behavioral Intercession and Its Implications on People with Schizophrenia: A Novel Approach. Community Ment Health J 56, 1103–1109 (2020). https://doi.org/10.1007/s10597-020-00589-5

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  • Schizophrenia
  • Psychological and behavioral
  • Cognitive function
  • Social function