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A randomised controlled trial of cognitive behaviour therapy for psychosis in a routine clinical service

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Peters, E., Landau, S., McCrone, P., Cooke, M., Fisher, P., Steel, C., Evans, R., Carswell, K., Dawson, K., Williams, S., Howard, A. and Kuipers, E. (2010) A randomised controlled trial of cognitive behaviour therapy for psychosis in a routine clinical service. Acta Psychiatrica Scandinavica, 122 (4). pp. 302-318. ISSN 0001-690X

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To link to this article DOI: 10.1111/j.1600-0447.2010.01572.x

Abstract/Summary

Objective: To evaluate CBTp delivered by non-expert therapists, using CBT relevant measures. Methods: Participants (N=74) were randomised into immediate therapy or waiting list control groups. The therapy group was offered six months of therapy and followed up three months later. The waiting list group received therapy after waiting nine 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 timepoints (end of therapy: PANSS 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. Conclusions: 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.

Item Type:Article
Refereed:Yes
Divisions:Faculty of Life Sciences > School of Psychology and Clinical Language Sciences > Psychopathology and Affective Neuroscience
Faculty of Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology
ID Code:8001
Uncontrolled Keywords:cognitive functioning;psychology;psychoses;randomised controlled trial;schizophrenia
Publisher:Wiley-Blackwell

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