A randomised controlled trial of cognitive behaviour therapy for psychosis in a routine clinical service.

Abstract:

OBJECTIVE:To evaluate cognitive behaviour therapy for psychosis (CBTp) delivered by non-expert therapists, using CBT relevant measures. METHOD:Participants (N = 74) were randomised into immediate therapy or waiting list control groups. The therapy group was offered 6 months of therapy and followed up 3 months later. The waiting list group received therapy after waiting 9 months (becoming the delayed therapy group). RESULTS:Depression improved in the combined therapy group at both the end of therapy and follow-up. Other significant effects were found in only one of the two therapy groups (positive symptoms; cognitive flexibility; uncontrollability of thoughts) or one of the two time points (end of therapy: general symptoms, anxiety, suicidal ideation, social functioning, resistance to voices; follow-up: power beliefs about voices, negative symptoms). There was no difference in costs between the groups. CONCLUSION:The only robust improvement was in depression. Nevertheless, there were further encouraging but modest improvements in both emotional and cognitive variables, in addition to psychotic symptoms.

journal_name

Acta Psychiatr Scand

authors

Peters E,Landau S,McCrone P,Cooke M,Fisher P,Steel C,Evans R,Carswell K,Dawson K,Williams S,Howard A,Kuipers E

doi

10.1111/j.1600-0447.2010.01572.x

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

302-18

issue

4

eissn

0001-690X

issn

1600-0447

pii

ACP1572

journal_volume

122

pub_type

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