Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia
- PMID: 12042231
- DOI: 10.1192/bjp.180.6.523
Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia
Abstract
Background: Little evidence exists to indicate whether community psychiatric nurses can achieve the results reported by expert cognitive-behavioural therapists in patients with schizophrenia.
Aims: To assess the effectiveness and safety of a brief cognitive-behavioural therapy (CBT) intervention in a representative community sample of patients with schizophrenia in secondary care settings.
Method: A pragmatic randomised trial was performed involving 422 patients and carers to compare a brief CBT intervention against treatment as usual.
Results: Patients who received CBT (n=257) improved in overall symptomatology (P=0.015; number needed to treat [NNT]=13), insight (P<0.001; NNT=10) and depression (P=0.003; NNT=9) compared with the control group (n=165). Insight was clinically significantly improved (risk ratio=1.15, 95% CI 1.01-1.31). There was no increase in suicidal ideation.
Conclusions: Community psychiatric nurses can safely and effectively deliver a brief CBT intervention to patients with schizophrenia and their carers.
Comment in
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Cognitive-behavioural therapy for schizophrenia.Br J Psychiatry. 2002 Nov;181:439-40; author reply 439-40. doi: 10.1192/bjp.181.5.439. Br J Psychiatry. 2002. PMID: 12411272 No abstract available.
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CBT for psychosis.Br J Psychiatry. 2002 Dec;181:534; author reply 534. doi: 10.1192/bjp.181.6.534. Br J Psychiatry. 2002. PMID: 12456529 No abstract available.
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Brief cognitive behavioural intervention delivered by nurses reduces overall symptoms in schizophrenia.Evid Based Ment Health. 2003 Feb;6(1):26. doi: 10.1136/ebmh.6.1.26. Evid Based Ment Health. 2003. PMID: 12588832 No abstract available.
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