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Outcomes of an effectiveness trial of cognitive-behavioural intervention by mental health nurses in schizophrenia.

Outcomes of an effectiveness trial of cognitive-behavioural intervention by mental health nurses in schizophrenia.
Outcomes of an effectiveness trial of cognitive-behavioural intervention by mental health nurses in schizophrenia.
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.
0007-1250
36-40
Turkington, D.
a1e362f5-4ff3-4d27-81cb-1c6ddbcbf5b9
Kingdon, D.
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Rathod, S.
104085c4-1d4b-4129-bf35-a05b0e4e02ef
Hammond, K.
78b13388-5c3a-4629-8647-b128ddfda720
Pelton, J.
2e9938e0-662c-440d-bd52-b03e07de7388
Mehta, R.
1bf632d1-d058-4861-87ca-ae06a07a938a
Turkington, D.
a1e362f5-4ff3-4d27-81cb-1c6ddbcbf5b9
Kingdon, D.
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Rathod, S.
104085c4-1d4b-4129-bf35-a05b0e4e02ef
Hammond, K.
78b13388-5c3a-4629-8647-b128ddfda720
Pelton, J.
2e9938e0-662c-440d-bd52-b03e07de7388
Mehta, R.
1bf632d1-d058-4861-87ca-ae06a07a938a

Turkington, D., Kingdon, D., Rathod, S., Hammond, K., Pelton, J. and Mehta, R. (2006) Outcomes of an effectiveness trial of cognitive-behavioural intervention by mental health nurses in schizophrenia. British Journal of Psychiatry, 2006 (189), 36-40. (doi:10.1192/bjp.bp.105.010884).

Record type: Article

Abstract

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.

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Published date: 2006

Identifiers

Local EPrints ID: 62626
URI: http://eprints.soton.ac.uk/id/eprint/62626
ISSN: 0007-1250
PURE UUID: 9da83574-9b52-4fe2-815c-2d57139c1f7b

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Date deposited: 12 Sep 2008
Last modified: 15 Mar 2024 11:31

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Contributors

Author: D. Turkington
Author: D. Kingdon
Author: S. Rathod
Author: K. Hammond
Author: J. Pelton
Author: R. Mehta

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