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A Novel Bio-Psychosocial-Behavioral Treatment Model in Schizophrenia

Title
A Novel Bio-Psychosocial-Behavioral Treatment Model in Schizophrenia
Author
최준호
Keywords
schizophrenia; bio-psychosocial-behavioral; model; neurodevelopment; neural circuitry; cognitive
Issue Date
2017-03
Publisher
MDPI
Citation
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, v. 18, no. 4, Article no. 734
Abstract
Despite the substantial burden of illness in schizophrenia, there has been a discrepancy between the beneficial effects of an increased use of antipsychotic medications and achieving limited recovery or remission. Because the focus of the most common antipsychotic medications is on dopamine, which is associated with positive symptoms, there is an unmet need for patients with negative symptoms. Since cognitive and negative symptoms rather than positive symptoms are more closely associated with psychosocial impairments in patients with schizophrenia, the non-dopaminergic systems including glutamate and gamma-aminobutyric acid (GABA) of the prefrontal cortex should be of concern as well. The balance of excitation and inhibition has been associated with epigenetic modifications and thus can be analyzed in terms of a neurodevelopmental and neural circuitry perspective. Hence, a novel bio-psychosocial-behavioral model for the treatment of schizophrenia is needed to account for the non-dopaminergic systems involved in schizophrenia, rather than dopaminergic mechanisms. This model can be understood from the viewpoint of neurodevelopment and neural circuitry and should include the staging care, personalized care, preventive care, reducing the cognitive deficits, and reducing stigma. Thomas R. Insel proposed this as a goal for schizophrenia treatment to be achieved by 2030.
URI
https://www.mdpi.com/1422-0067/18/4/734http://repository.hanyang.ac.kr/handle/20.500.11754/113066
ISSN
1422-0067
DOI
10.3390/ijms18040734
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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