Non-Pharmacological Intervention to Improve Motivation  Among Patients with Schizophrenia - A Scoping Review

Nur Ain Zainal Kharib; Akehsan Dahlan; Syamsul Anwar Sultan Ibrahim; Andriani Pratiwi

doi:10.21834/e-bpj.v9i28.5787

Authors

Nur Ain Zainal Kharib Unit Pemulihan Cara Kerja, Jabatan Rehabilitasi, Hospital Taiping,Jalan Taming Sari, 34000 Taiping, Perak, Malaysia
Akehsan Dahlan Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA (UiTM), Puncak Alam Campus, Selangor, Malaysia
Syamsul Anwar Sultan Ibrahim Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA (UiTM), Puncak Alam Campus, Selangor, Malaysia
Andriani Pratiwi Rumah Sakit Universitas Indonesia (RSUI), Bahder Djohan, Pondok Cina, Kecamatan Beji, Kota Depok, Jawa Barat 16424, Indonesia

DOI:

https://doi.org/10.21834/e-bpj.v9i28.5787

Keywords:

Intervention, Treatment, Motivation, Schizophrenia

Abstract

In recent years, recognition of motivational deficits in individuals with schizophrenia has grown, leading to increased exploration of non-pharmacological interventions in mental health. This review maps the literature on such treatments targeting motivational impairments in schizophrenia, aiming to identify gaps and suggest future research directions. The review identified 16 articles out of 80, predominantly randomized controlled trials. Various interventions, including cognitive training, behavioral programs, and mobile apps, have been identified to enhance motivation in this population. Despite limitations, the review provides a comprehensive overview and establishes a foundation for further research in enhancing motivation interventions for schizophrenia.

References

Aleman, A., Lincoln, T. M., Bruggeman, R., Melle, I., Arends, J., Arango, C., & Knegtering, H. (2017). Treatment of negative symptoms: Where do we stand, and where do we go? Schizophrenia Research, 186, 55–62. https://doi.org/10.1016/j.schres.2016.05.015 DOI: https://doi.org/10.1016/j.schres.2016.05.015

Bénédicte Thonon, Evelyne van Aubel, Lafit, G., Clara Della Libera, & Larøi, F. (2020). Idiographic analyses of motivation and related processes in participants with schizophrenia following a therapeutic intervention for negative symptoms. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02824-5 DOI: https://doi.org/10.1186/s12888-020-02824-5

Chee, K. Y., & Salina, A. A. (2014). A review of schizophrenia research in Malaysia. The Medical Journal of Malaysia, 69 Suppl A, 46–54. https://pubmed.ncbi.nlm.nih.gov/25417951/

Choi, J., Taylor, B., Fiszdon, J. M., Kurtz, M. M., Tek, C., Dewberry, M. J., Haber, L. C., Shagan, D., Assaf, M., & Pearlson, G. D. (2019). The synergistic benefits of physical and cognitive exercise in schizophrenia: Promoting motivation to enhance community effectiveness. Schizophrenia Research: Cognition, 100147. https://doi.org/10.1016/j.scog.2019.100147 DOI: https://doi.org/10.1016/j.scog.2019.100147

Ertem, M., & Duman, Z. Ç. (2016). Motivational Interviewing in a Patient With Schizophrenia to Achieve Treatment Collaboration: A Case Study. Archives of Psychiatric Nursing, 30(2), 150–154. https://doi.org/10.1016/j.apnu.2015.08.003 DOI: https://doi.org/10.1016/j.apnu.2015.08.003

Favrod, J., Nguyen, A., Chaix, J., Pellet, J., Frobert, L., Fankhauser, C., Ismailaj, A., Brana, A., Tamic, G., Suter, C., Rexhaj, S., Golay, P., & Bonsack, C. (2019). Improving Pleasure and Motivation in Schizophrenia: A Randomized Controlled Clinical Trial. Psychotherapy and Psychosomatics, 88(2), 84–95. https://doi.org/10.1159/000496479 DOI: https://doi.org/10.1159/000496479

Favrod, J., Nguyen, A., Tronche, A. M., Blanc, O., Dubreucq, J., Chereau-Boudet, I., ... & Llorca, P. M. (2019). Impact of positive emotion regulation training on negative symptoms and social functioning in schizophrenia: a field test. Frontiers in psychiatry, 10, 532. DOI: https://doi.org/10.3389/fpsyt.2019.00532

Fernández-Abascal, B., Suárez-Pinilla, M., Cobo-Corrales, C., Crespo-Facorro, B., & Suárez-Pinilla, P. (2023). Lifestyle intervention based on exercise and behavioural counselling and its effect on physical and psychological health in outpatients with schizophrenia spectrum disorders. An exploratory, pragmatic randomized clinical trial. Schizophrenia Research, 261, 256–268. https://doi.org/10.1016/j.schres.2023.09.036 DOI: https://doi.org/10.1016/j.schres.2023.09.036

Fervaha, G., Foussias, G., Agid, O., & Remington, G. (2014). Impact of primary negative symptoms on functional outcomes in schizophrenia. European Psychiatry, 29(7), 449–455. https://doi.org/10.1016/j.eurpsy.2014.01.007 DOI: https://doi.org/10.1016/j.eurpsy.2014.01.007

Fiszdon, J. M., Choi, J., Wang, K., Parente, L. T., Hallinan, S., Burton, E., Bell, M. D., & Martino, S. (2022). Motivational interviewing to enhance psychosocial treatment attendance in people with SMI. Schizophrenia Research, 246, 165–171. https://doi.org/10.1016/j.schres.2022.06.015 DOI: https://doi.org/10.1016/j.schres.2022.06.015

Jagtap, S., Romanowska, S., Leibovitz, T., Onno, K. A., Burhan, A. M., & Best, M. W. (2022). Can cognitive remediation therapy be delivered remotely? A review examining feasibility and acceptability of remote interventions. Schizophrenia Research: Cognition, 28, 100238. https://doi.org/10.1016/j.scog.2022.100238 DOI: https://doi.org/10.1016/j.scog.2022.100238

Le, T. P., Ventura, J., Ruiz-Yu, B., McEwen, S. C., Subotnik, K. L., & Nuechterlein, K. H. (2023). Treatment engagement in first-episode schizophrenia: Associations between intrinsic motivation and attendance during cognitive training and an aerobic exercise program. Schizophrenia Research, 251, 59–65. https://doi.org/10.1016/j.schres.2022.12.018 DOI: https://doi.org/10.1016/j.schres.2022.12.018

Mororó, L. G., Guimarães, A. L., Costa, A. C., Genaro, L., Cavalcanti, M. T., Scoriels, L., & Panizzutti, R. (2023). Association between motivation and engagement with changes in cognition and symptoms after digital cognitive training in schizophrenia. Schizophrenia Research, 251, 1–9. https://doi.org/10.1016/j.schres.2022.12.002 DOI: https://doi.org/10.1016/j.schres.2022.12.002

Mow, J. L., Gard, D. E., Mueser, K. T., Mote, J., Gill, K., Leung, L., Kangarloo, T., & Fulford, D. (2022). Smartphone-based mobility metrics capture daily social motivation and behavior in schizophrenia. Schizophrenia Research, 250, 13–21. https://doi.org/10.1016/j.schres.2022.09.025 DOI: https://doi.org/10.1016/j.schres.2022.09.025

Nguyen, A., Frobert, L., McCluskey, I., Golay, P., Bonsack, C., & Favrod, J. (2016). Development of the Positive Emotions Program for Schizophrenia: An Intervention to Improve Pleasure and Motivation in Schizophrenia. Frontiers in Psychiatry, p. 7. https://doi.org/10.3389/fpsyt.2016.00013 DOI: https://doi.org/10.3389/fpsyt.2016.00013

Schlosser, D. A., Campellone, T. R., Truong, B., Etter, K., Vergani, S., Komaiko, K., & Vinogradov, S. (2018). Efficacy of PRIME, a Mobile App Intervention Designed to Improve Motivation in Young People With Schizophrenia. Schizophrenia Bulletin, 44(5), 1010–1020. https://doi.org/10.1093/schbul/sby078 DOI: https://doi.org/10.1093/schbul/sby078

Seo, K., Tang, J., Roll, I., Fels, S., & Yoon, D. (2021). The impact of artificial intelligence on learner–instructor interaction in online learning. International Journal of Educational Technology in Higher Education, 18(1). https://doi.org/10.1186/s41239-021-00292-9 DOI: https://doi.org/10.1186/s41239-021-00292-9

Tabak, N. T., Horan, W. P., & Green, M. F. (2015). Mindfulness in schizophrenia: Associations with self-reported motivation, emotion regulation, dysfunctional attitudes, and negative symptoms. Schizophrenia Research, 168(1-2), 537–542. https://doi.org/10.1016/j.schres.2015.07.030 DOI: https://doi.org/10.1016/j.schres.2015.07.030

Thonon, B. (2020). Model of motivation in schizophrenia: Development and validation of a multifactorial intervention aiming to enhance daily functioning and quality of life. Orbi.uliege.be. https://orbi.uliege.be/handle/2268/250249

Van den Heuvel, M. P., & Fornito, A. (2014). Brain networks in schizophrenia. Neuropsychology Review, 24(1), 32–48. http://doi.org/10.1007/s11065-014-9251-4] DOI: https://doi.org/10.1007/s11065-014-9248-7