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
