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Durability of the effects of cognitive–behavioural therapy in the treatment of chronic schizophrenia: 12-month follow-up

Published online by Cambridge University Press:  03 January 2018

Nicholas Tarrier ,
Anja Witttkowskj ,
Caroline Kinney ,
Eilis McCarthy ,
Juue Morris  and
Lloyd Humphreys
Nicholas Tarrier*
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Anja Witttkowskj
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Caroline Kinney
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Eilis McCarthy
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Juue Morris
Affiliation:
Department of Medical Biophysics, Medical Statistics Research Support Unit, University of Manchester
Lloyd Humphreys
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
*
Professor N. Tarrier, Department of Clinical Psychology. Withington Hospital, Manchester M20 8LR Tel: 0161 291 4319; Fax: 0161 291 3814; E-mail: ntarrier@fsl.with.man.ac.uk
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Abstract

Background

Persistent drug-resistant psychotic symptoms are a pervasive problem in the treatment of schizophrenia.

Aims

To evaluate the durability of the treatment effects of cognitive–behavioural therapy for chronic schizophrenia one year after treatment termination.

Method

A comparison of clinical outcomes was made at one-year follow-up from a randomised trial of cognitive–behavioural therapy, supportive counselling and routine care alone in the treatment of chronic schizophrenia.

Results

Seventy out of the 72 patients (97%) who completed treatment were assessed at follow-up. There were significant differences between the three groups when positive and negative symptoms were analysed by means of ANCOVAs. Between-group comparisons indicated significant differences between cognitive–behavioural therapy and routine care at follow-up for positive symptoms. There was a trend towards significance for both cognitive–behavioural therapy and supportive counselling to be superior to routine care alone on negative symptoms.

Conclusions

At 12-month follow-up the significant advantage of cognitive– behavioural therapy compared to routine care alone remained.

Type
Papers
Information
The British Journal of Psychiatry , Volume 174 , Issue 6 , June 1999 , pp. 500 - 504
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

The research was supported by a project grant from The Wellcome Trust.

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