Cognitive therapy and recovery from acute psychosis: a controlled trial. 3. Five-year follow-up.
TLDR
Cognitive therapy applied in the acute phase of a psychotic disorder can produce enduring and significant clinical benefits if experience of relapse can be minimised.Abstract:
Background This paper describes the 5-year outcome of a cohort of
patients who had received a cognitive therapy intervention during an acute
episode of non-affective psychosis. Method Thirty-four out of the original 40 patients who had taken
part in a randomised controlled trial of a cognitive intervention were
assessed, using standardised instruments completed at entry into the study. In
the original trial, half the patients received a cognitive therapy programme
(CT group) and the other half received recreational activities and support
(ATY group). Results At follow-up no significant differences in relapse rate,
positive symptoms or insight between the groups were found, although the CT
group did show significantly greater perceived ‘Control over illness’ than the
ATY group. For individuals who had experienced a maximum of one relapse in the
follow-up period, self-reported residual delusional beliefs and observer-rated
hallucinations and delusions were significantly less in the CT than in the ATY
group. Conclusion Cognitive therapy applied in the acute phase of a
psychotic disorder can produce enduring and significant clinical benefits if
experience of relapse can be minimised.read more
Citations
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Cognitive Behavior Therapy for Schizophrenia: Effect Sizes, Clinical Models, and Methodological Rigor
TL;DR: CBTp had beneficial effect on positive symptoms, however, psychological treatment trials that make no attempt to mask the group allocation are likely to have inflated effect sizes.
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Psychological treatments in schizophrenia: I. Meta-analysis of family intervention and cognitive behaviour therapy
Stephen Pilling,Paul Bebbington,Elizabeth Kuipers,Philippa Garety,John R. Geddes,G Orbach,Celia J. A. Morgan +6 more
TL;DR: Family therapy, in particular single family therapy, had clear preventative effects on the outcomes of psychotic relapse and readmission, and CBT produced higher rates of ‘important improvement’ in mental state and demonstrated positive effects on continuous measures of mental state at follow-up.
Journal ArticleDOI
Cognitive therapy for the prevention of psychosis in people at ultra-high risk: randomised controlled trial.
Anthony P. Morrison,Paul French,Walford L,Shôn Lewis,A. Kilcommons,Joanne Green,Sophie Parker,Richard P. Bentall +7 more
TL;DR: Cognitive therapy appears to be an acceptable and efficacious intervention for people at high risk of developing psychosis.
Journal ArticleDOI
Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders
Cherrie Galletly,David J. Castle,Frances Dark,Verity Humberstone,Assen Jablensky,Eoin Killackey,Jayashri Kulkarni,Patrick D. McGorry,Olav Nielssen,Nga Tran +9 more
TL;DR: This guideline takes a holistic approach, addressing all aspects of the care of people with schizophrenia and related disorders, not only correct diagnosis and symptom relief but also optimal recovery of social function, and uses a clinical staging model as a framework for recommendations regarding assessment, treatment and ongoing care.
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The Lambeth Early Onset (LEO) Team: randomised controlled trial of the effectiveness of specialised care for early psychosis
Tom K. J. Craig,Philippa Garety,Paddy Power,Nikola Rahaman,Susannah Colbert,Miriam Fornells-Ambrojo,Graham Dunn +6 more
TL;DR: Limited evidence shows that a team delivering specialised care for patients with early psychosis is superior to standard care for maintaining contact with professionals and for reducing readmissions to hospital.
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