Speech-language intervention in schizophrenia: an integrative review

ABSTRACT Objective: to perform an integrative review to identify speech and language pathology intervention for schizophrenia. Methods: the review covered SCIELO, PUBMED, OXFORD JOURNALS and SCIENCEDIRECT databases for speech and language pathology intervention studies for schizophrenia. A narrative synthesis was adopted considering the level of clinical and methodological heterogeneity amid studies. Results: the results demonstrated an increase in publications since 2012 with 11 articles meeting the criteria. Language and discourse assessment were the speech and language pathology privileged procedures. Conclusion: the review indicates that the most eligible intervention was assessment, that studies’ methodology were heterogeneous and that the communication disorders identified were related to discursive, pragmatic and syntactic disorders, which evidences the importance of more systematized intervention procedures and research on schizophrenic patients.

摘要
目的：本研究拟开展整合性回顾研究，以明确针对精神分裂症的言语语言病理学（Speech and Language Pathology）干预方案。
方法：本检索覆盖SCIELO、PubMed、Oxford Journals以及ScienceDirect数据库，纳入所有针对精神分裂症的言语语言病理学干预相关研究。考虑到各研究间存在的临床与方法学异质性，本研究采用叙述性合成法进行数据分析与整合。
结果：结果显示，2012年以来相关研究的发表数量呈逐年增长趋势，最终共有11篇符合纳入标准的文献被纳入本次回顾。语言与话语评估是言语语言病理学领域优先采用的评估手段。
结论：本次回顾研究表明，目前最符合纳入标准的干预方式为评估类操作；各纳入研究的方法学异质性较强；本次研究识别出的精神分裂症患者沟通障碍主要与话语、语用及句法障碍相关，这一结果凸显了针对精神分裂症患者开展更系统化干预流程与相关研究的重要性。