TY - JOUR
T1 - A randomised controlled trial of cognitive behaviour therapy for psychosis in a routine clinical service
AU - Peters, Emmanuelle
AU - Landau, S.
AU - McCrone, P.
AU - Cooke, M.
AU - Fisher, P.
AU - Steel, C.
AU - Evans, R.
AU - Carswell, K.
AU - Dawson, K.
AU - Williams, S.
AU - Howard, A.
AU - Kuipers, E.
PY - 2010/10
Y1 - 2010/10
N2 - Objective:
To evaluate cognitive behaviour therapy for psychosis (CBTp) delivered by non-expert therapists, using CBT relevant measures.
Method:
Participants (N = 74) were randomised into immediate therapy or waiting list control groups. The therapy group was offered 6 months of therapy and followed up 3 months later. The waiting list group received therapy after waiting 9 months (becoming the delayed therapy group).
Results:
Depression improved in the combined therapy group at both the end of therapy and follow-up. Other significant effects were found in only one of the two therapy groups (positive symptoms; cognitive flexibility; uncontrollability of thoughts) or one of the two time points (end of therapy: general symptoms, anxiety, suicidal ideation, social functioning, resistance to voices; follow-up: power beliefs about voices, negative symptoms). There was no difference in costs between the groups.
Conclusion:
The only robust improvement was in depression. Nevertheless, there were further encouraging but modest improvements in both emotional and cognitive variables, in addition to psychotic symptoms.
AB - Objective:
To evaluate cognitive behaviour therapy for psychosis (CBTp) delivered by non-expert therapists, using CBT relevant measures.
Method:
Participants (N = 74) were randomised into immediate therapy or waiting list control groups. The therapy group was offered 6 months of therapy and followed up 3 months later. The waiting list group received therapy after waiting 9 months (becoming the delayed therapy group).
Results:
Depression improved in the combined therapy group at both the end of therapy and follow-up. Other significant effects were found in only one of the two therapy groups (positive symptoms; cognitive flexibility; uncontrollability of thoughts) or one of the two time points (end of therapy: general symptoms, anxiety, suicidal ideation, social functioning, resistance to voices; follow-up: power beliefs about voices, negative symptoms). There was no difference in costs between the groups.
Conclusion:
The only robust improvement was in depression. Nevertheless, there were further encouraging but modest improvements in both emotional and cognitive variables, in addition to psychotic symptoms.
U2 - 10.1111/j.1600-0447.2010.01572.x
DO - 10.1111/j.1600-0447.2010.01572.x
M3 - Article
SN - 1600-0447
VL - 122
SP - 302
EP - 318
JO - Acta Psychiatrica Scandinavica
JF - Acta Psychiatrica Scandinavica
IS - 4
ER -
