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Evidence-Based Mental Health 2009;12:14; doi:10.1136/ebmh.12.1.14
Copyright © 2009 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

THERAPEUTICS

CBT does not improve relapse rates in people with recently relapsed psychosis

The first 150 words of the full text of this article appear below.

QUESTION

Question:

What is the effect of cognitive behavioural therapy (CBT) and family intervention on relapse rates and symptoms in people with recently relapsed non-affective psychosis?

Patients:

301 people aged 18–65 years (218 without carers, 83 with carers) with non-affective psychosis (ICD-10 category F2 and DSM-IV) and a second or subsequent psychotic episode not more than 3 months before the trial began, plus a rating of at least 4 for one or more positive symptoms on the Positive and Negative Syndrome Scale (PANSS). Exclusion criteria: primary diagnosis of alcohol or substance dependency; intellectual disability or organic syndrome; unreliable residential arrangements; or limited spoken English.

Setting:

Five local mental health services, UK; recruitment 2002–2004.

Intervention:

People with carers randomly allocated to: CBT for psychosis (12–20 sessions over 9 months, targeting key aspects of relapse prevention) plus treatment as usual (TAU), family intervention plus TAU or TAU only. People without carers randomly allocated to: the same CBT . . . [Full text of this article]

Robert C Durham

University of Dundee, Dundee, UK


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