| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Psychiatric Bulletin | Advances in Psychiatric Treatment | All RCPsych Journals |
|
|
|
||||||||||
|
||||||||||||
School of Neurology, Neurosciences and Psychiatry, University of Newcastle upon Tyne, UK
Department of Psychiatry, University of Southampton, UK
Hampshire Partnership NHS Trust, Mulford's Hill Centre, Tadley, UK
Cambridgeshire and Peterborough Mental Health NHS Trust, Lucille Van Geest Centre, Peterborough, UK
School of Neurology, Neurosciences and Psychiatry, University of Newcastle upon Tyne, UK
Department of Statistics, University of Southampton, UK
Correspondence: Professor Douglas Turkington, School of Neurology, Neurosciences and Psychiatry, Royal Victoria Infirmary, Richardson Road, Newcastle upon Tyne NE1 4LP. Tel.: +44 (0) 191 2824842, email: douglas.s.turkington{at}ncl.ac.uk
Declaration of interest None. Trial funded by a research grant from Pfizer.
Background Little is known about the medium-term durability of cognitive-behavioural therapy (CBT) in a community sample of people with schizophrenia.
Aims To investigate whether brief CBT produces clinically important outcomes in relation to recovery, symptom burden and readmission to hospital in people with schizophrenia at 1-year follow-up.
Method Participants (336 of 422 randomised at baseline) were followed up at a mean of 388 days (s.d.=53) by raters masked to treatment allocation (CBT or usual care).
Results At 1-year follow-up, participants who received CBT had significantly more insight (P=0.021) and significantly fewer negative symptoms (P=0.002). Brief therapy protected against depression with improving insight and against relapse; significantly reduced time spent in hospital for those who did relapse and delayed time to admission. It did not improve psychotic symptoms or occupational recovery, nor have a lasting effect on overall symptoms or depression at follow-up.
Conclusions Mental health nurses should be trained in brief CBT for schizophrenia to supplement case management, family interventions and expert therapy for treatment resistance.
Related articles in BJP:
This article has been cited by other articles:
|
|
 |
|
  P. Tyrer From the Editor's desk The British Journal of Psychiatry, June 1, 2008; 192(6): 482 - 482. [Full Text] [PDF]
|
|
|
|
 |
|
 E. McCann Brief cognitive-behavioural therapy reduces hospital readmission but does not reduce overall symptoms of schizophrenia Evid. Based Ment. Health, May 1, 2007; 10(2): 55 - 55. [Full Text] [PDF]
|
|
|
|
 |
|
 J. Landeen Brief cognitive behaviour therapy improved insight and reduced negative symptoms and readmissions in schizophrenia Evid. Based Nurs., April 1, 2007; 10(2): 51 - 51. [Full Text] [PDF]
|
|
|
|
 |
|
 G. Khandpur and S. P. Singh CBT for psychosis Advan. Psychiatr. Treat., March 1, 2007; 13(2): 155 - 156. [Full Text] [PDF]
|
|
|
|
|
|
F. Alam Effectiveness of cognitive-behavioural intervention by mental health nurses in schizophrenia The British Journal of Psychiatry, March 1, 2007; 190(3): 271 - 271. [Full Text] [PDF]
|
|
|
|
 |
|
 B. Smith Nurse-led cognitive behaviour therapy improved insight and reduced negative symptoms and readmissions in schizophrenia Evid. Based Med., February 1, 2007; 12(1): 21 - 21. [Full Text] [PDF]
|
|
|
|
 |
|
 D. G. Kingdon and H. Kirschen Who Does Not Get Cognitive-Behavioral Therapy for Schizophrenia When Therapy Is Readily Available? Psychiatr Serv, December 1, 2006; 57(12): 1792 - 1794. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Kingdon Psychological and social interventions for schizophrenia BMJ, July 29, 2006; 333(7561): 212 - 213. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Psychiatric Bulletin | Advances in Psychiatric Treatment | All RCPsych Journals |
