Contextual Behavioral Therapies and Adherence to Treatment in Schizophrenia

Abstract

Schizophrenia is a complex symptom disorder, and one that most affects the functioning of diagnosed individuals. Some factors are related to a worse prognosis, including low adherence to treatment. In this scenario, new therapies arising from Contextual Behavioral Therapies emerge with new interventional possibilities. Therefore, the aim of this study was to identify evidence of these therapies for schizophrenia, and also if they may result in better adherence. For this, a review of the integrative literature was conducted based on the search for articles produced from January 2016 to January 2021. Of the 16 studies identified in the databases, most confirm substantial gains in motivation and adherence, in addition to decreasing the severity of psychotic symptoms and lower rates of rehospitalization, through Motivational Interviewing; Mindfulness; Acceptance and Commitment Therapy; and Compassion-Focused Therapy. Thus, it is concluded that there is a potential benefit of Contextual Behavioral Therapies over psychotic conditions, although there is still a much to do for the findings to be corroborated. The continued production of systematic reviews and randomized clinical trials will ensure that existing gaps, such as the development of clinical protocols for poor adherence in patients with schizophrenia, are cleared up with new applications and perspectives.