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Brief cognitive behavioural intervention delivered by nurses reduces overall symptoms in schizophrenia

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 QUESTION: Can community psychiatric nurses effectively deliver a brief cognitive behavioural therapy intervention for people with schizophrenia?


Randomised controlled trial.


6 psychiatric secondary care services in England, Ireland, Scotland and Wales.


422 people with schizophrenia in secondary care (defined using ICD-10 criteria). All were aged 18–65 years (mean 40 years); 23% women; 89% white. Exclusion criteria were deterioration; need for intensive home treatment; primary diagnosis of alcohol or drug dependence; organic brain disease or severe learning disability.


Brief cognitive behavioural therapy or usual care. After 10 days of training, the intervention nurses visited patients for up to 6 hour-long sessions over 2–3 months. Carers received 3 optional sessions. All phases of cognitive behavioural therapy …

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