© 2004 BMJ Publishing Group Ltd., Royal College of Psychiatrists, & British Psychological Society
Therapeutics
Cognitive behavioural therapy improves psychotic symptoms at 18 months in people with schizophrenia
Tarrier N, Lewis S, Haddock G, et al. Cognitive-behavioural therapy in first-episode and early schizophrenia; 18-month follow-up of a randomised controlled trial. Br J Psychiatry 2004;184:231–9.
Q Does cognitive behavioural therapy improve symptoms in people with schizophrenia?
| The first 150 words of the full text of this article appear below. |
Design:
Randomised controlled trial.
Allocation:
Concealed.
Blinding:
Assessors blinded to treatment allocation.
Follow up period:
18 months.
Setting:
11 mental health units in Manchester, Salford, Liverpool and North Nottinghamshire, UK.
Patients:
309 people, admitted for the first or second time, presenting with schizophrenia, schizophreniform disorder, schizoaffective disorder, delusional disorder, or psychosis (DSM-IV criteria). Participants had psychotic symptoms, not caused by substance misuse, for >4 weeks and scored 4 or more on the Positive and Negative Syndrome Scale (PANSS). People detained in hospital under the Mental Health Act 1983 were excluded.
Intervention:
Participants were randomly assigned to cognitive behavioural therapy or supportive counselling plus usual care compared with usual care alone (included antipsychotic medication). Within five weeks of admission, participants received 15–20 hours of supportive counselling or cognitive behavioural therapy from experienced therapists. Both therapies aimed to treat delusional behaviour, hallucinations, abnormal beliefs, and related distress and to develop coping strategies.
Centre for Clinical Interventions, Perth, Western Australia, Australia
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