Abstract：
:Sixteen sessions of individual cognitive behavior therapy for people with psychosis (CBTp) is recommended. However, access to CBTp is poor, so the potential of low intensity CBTp (fewer than 16 sessions of face-to-face contact) is being explored. A systematic review and meta-analysis was conducted of 10 controlled trials evaluating low intensity CBTp. Significant between-group effects were found on the primary outcome, symptoms of psychosis, at post-intervention (d=-0.46, 95% CI: -0.06, -0.86) and follow-up (d=-0.40, 95% CI: -0.06, -0.74). Study quality did not moderate post-intervention psychosis outcomes, nor did contact time/number of sessions or therapy format (individual versus group). Between-group effects on secondary outcomes (depression, anxiety and functioning) were not significant at post-intervention, but became significant at follow-up for depression and functioning outcomes (but not for anxiety). Overall, findings suggest that low intensity CBTp shows promise with effect sizes comparable to those found in meta-analyses of CBTp more broadly. We suggest that low intensity CBTp could help widen access. Future research is called for to identify mechanisms of change and to ascertain moderators of outcome so that low intensity CBTp targets key mechanisms (so that scarce therapy time is used effectively) and so that interventions offered are matched to patient need.
journal_name
Clin Psychol Revjournal_title
Clinical psychology reviewauthors
Hazell CM,Hayward M,Cavanagh K,Strauss Cdoi
10.1016/j.cpr.2016.03.004subject
Has Abstractpub_date
2016-04-01 00:00:00pages
183-92eissn
0272-7358issn
1873-7811pii
S0272-7358(16)30102-7journal_volume
45pub_type
杂志文章,meta分析,评审abstract：:Research on psychological treatment of depression in inpatients is not conclusive, with some studies finding clear positive effects and other studies finding no significant benefit compared to usual care or structured pharmacotherapy. The results of a meta-analysis investigating how effective psychological treatment i...
journal_title：Clinical psychology review
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.cpr.2011.01.002
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pub_type： 历史文章,杂志文章
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pub_type： 杂志文章,评审
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journal_title：Clinical psychology review
pub_type： 杂志文章,评审
doi：10.1016/j.cpr.2004.12.001
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pub_type： 杂志文章,meta分析,评审
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pub_type： 杂志文章,评审
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pub_type： 杂志文章,meta分析,评审
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更新日期：2018-02-01 00:00:00
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更新日期：2007-01-01 00:00:00
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doi：10.1016/j.cpr.2013.12.002
更新日期：2014-03-01 00:00:00
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更新日期：2011-11-01 00:00:00
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更新日期：2003-12-01 00:00:00
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doi：10.1016/j.cpr.2021.101958
更新日期：2021-01-11 00:00:00
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更新日期：2010-08-01 00:00:00
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journal_title：Clinical psychology review
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更新日期：2012-11-01 00:00:00
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更新日期：2001-06-01 00:00:00
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更新日期：2008-01-01 00:00:00
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更新日期：2009-12-01 00:00:00
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doi：10.1016/j.cpr.2012.01.004
更新日期：2012-04-01 00:00:00
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journal_title：Clinical psychology review
pub_type： 杂志文章,评审
doi：10.1016/j.cpr.2007.09.004
更新日期：2008-01-01 00:00:00
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pub_type： 杂志文章,评审
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journal_title：Clinical psychology review
pub_type： 杂志文章,评审
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更新日期：2017-07-01 00:00:00
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journal_title：Clinical psychology review
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doi：10.1016/j.cpr.2011.02.003
更新日期：2011-06-01 00:00:00
