Improving care for cognitive impairment in schizophrenia: current perspectives and opportunities in Portugal (a consensus development conference) - Summary - MDSpire
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Improving care for cognitive impairment in schizophrenia: current perspectives and opportunities in Portugal (a consensus development conference)
To assess the current state of cognitive impairment associated with schizophrenia (CIAS) management in Portugal and provide actionable recommendations for improvement.
Key Findings:
Cognitive impairment is underdiagnosed and poorly managed in schizophrenia in Portugal, highlighting an urgent need for intervention.
Challenges include lack of validated assessment tools, absence of national guidelines, insufficient trained professionals, and limited access to cognitive remediation therapy (CRT).
Opportunities for improvement include establishing national guidelines, using validated assessment tools, training professionals, integrating CRT into care pathways, and enhancing collaboration among healthcare providers.
Interpretation:
Despite significant challenges, there are clear opportunities to enhance the management of cognitive dysfunction in schizophrenia within the Portuguese healthcare system, which must be urgently addressed.
Limitations:
Lack of validated Portuguese assessment instruments limits the ability to accurately assess cognitive impairment.
Absence of cost-effectiveness data for CRT implementation hinders informed decision-making regarding resource allocation.
Conclusion:
Improving the management of cognitive impairment in schizophrenia is crucial for enhancing patient outcomes and addressing the socio-economic burden of the disorder in Portugal.
by Nuno Madeira, João M. Bessa, Joaquina Castelão, Miguel Constante, Miguel Durães, Ana Rosário Fonseca, Pedro Freire, Carmen Paus, Ana Maria Rebelo, Patricia Rodrigues, Celeste Silveira, Frederico Simões do Couto
Longitudinal cohort data linked bullying and persistently unsupportive state gender-identity policies with worsening psychotic-like experiences among gender-diverse youths.
