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CC BY-NC-ND 4.0 · Gesundheitswesen 2023; 85(S 03): S212-S217
DOI: 10.1055/a-2129-7421
Übersichtsarbeit

Sports Therapy for Schizophrenia Psychoses: from the Idea to the Guideline

Article in several languages: English | deutsch
Peter Falkai
1   Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany
2   Max Planck Institute of Psychiatry, Munich, Germany
,
Rebecca Schwaiger
1   Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany
,
Andrea Schmitt
1   Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany
3   Laboratory of Neurosciences (LIM-27), Institute of Psychiatry, University of São Paulo (USP), São Paulo, Brazil
,
Lukas Röll
1   Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany
,
Isabel Maurus
1   Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany
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Abstract

Schizophrenia psychoses can be treated much better today due to the introduction of antipsychotics about 70 years ago in conjunction with the implementation of specific psychotherapies. However, current treatment options are still limited in the area of negative symptoms and disease-associated cognitive deficits. In the last 15 years, randomised controlled trials (RCTs) have been able to show that physical training and especially endurance training could represent a comprehensive complementary treatment approach and could lead to a significant improvement in positive, but especially also in negative symptoms and cognitive deficits. As a result, sports therapy for schizophrenia psychoses has found its way not only into the national treatment guidelines of the German Society for Psychiatry, Psychotherapy, Psychosomatics and Neurology (DGPPN), but also into European recommendations such as those of the European Psychiatric Association (EPA). With the introduction of the “Living guideline” format (here an update takes place at least once a year), a broader implementation in health care will be easier in the future. Based on a narrative review, this paper describes the process of implementing sports therapy for schizophrenia psychoses from its beginnings to its incorporation into guidelines and can be applied analogously to other forms of therapy.

Key words

Schizophrenia - sports - endurance training - treatment guidelines - therapy


Publication History

Article published online:
26 September 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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