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Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia

Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia
Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia
Declaration of interest: Funding was provided by Pfizer Ltd.
Background: Little evidence exists to indicate whether community psychiatric nurses can achieve the results reported by expert cognitive—behavioural therapists in patients with schizophrenia.
Aims: To assess the effectiveness and safety of a brief cognitive—behavioural therapy (CBT) intervention in a representative community sample of patients with schizophrenia in secondary care settings.
Method: A pragmatic randomised trial was performed involving 422 patients and carers to compare a brief CBT intervention against treatment as usual.
Results: Patients who received CBT (n=257) improved in overall symptomatology (P=0.015; number needed to treat [NNT]=13), insight (P<0.001; NNT=10) and depression (P=0.003; NNT=9) compared with the controlgroup (n=165). Insight was clinically significantly improved (risk ratio=1.15, 95% CI 1.01-1.31). There was no increase in suicidal ideation.
Conclusions: Community psychiatric nurses can safely and effectively deliver a brief CBT intervention to patients with schizophrenia and their carers.
0007-1250
523-527
Turkington, Douglas
3e0aca69-c932-4fb6-9145-6e19c7310700
Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Turner, Trevor
f97db254-432d-4fa8-aa52-30a52f33cada
Turkington, Douglas
3e0aca69-c932-4fb6-9145-6e19c7310700
Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Turner, Trevor
f97db254-432d-4fa8-aa52-30a52f33cada

Turkington, Douglas, Kingdon, David and Turner, Trevor (2002) Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia. The British Journal of Psychiatry, 180 (6), 523-527. (doi:10.1192/bjp.180.6.523).

Record type: Article

Abstract

Declaration of interest: Funding was provided by Pfizer Ltd.
Background: Little evidence exists to indicate whether community psychiatric nurses can achieve the results reported by expert cognitive—behavioural therapists in patients with schizophrenia.
Aims: To assess the effectiveness and safety of a brief cognitive—behavioural therapy (CBT) intervention in a representative community sample of patients with schizophrenia in secondary care settings.
Method: A pragmatic randomised trial was performed involving 422 patients and carers to compare a brief CBT intervention against treatment as usual.
Results: Patients who received CBT (n=257) improved in overall symptomatology (P=0.015; number needed to treat [NNT]=13), insight (P<0.001; NNT=10) and depression (P=0.003; NNT=9) compared with the controlgroup (n=165). Insight was clinically significantly improved (risk ratio=1.15, 95% CI 1.01-1.31). There was no increase in suicidal ideation.
Conclusions: Community psychiatric nurses can safely and effectively deliver a brief CBT intervention to patients with schizophrenia and their carers.

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Published date: June 2002
Organisations: Clinical & Experimental Sciences

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Local EPrints ID: 362579
URI: http://eprints.soton.ac.uk/id/eprint/362579
ISSN: 0007-1250
PURE UUID: 6f706fcd-3ee8-4d0c-b022-5b8201adfa64

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Date deposited: 27 Feb 2014 12:34
Last modified: 14 Mar 2024 16:09

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Contributors

Author: Douglas Turkington
Author: David Kingdon
Author: Trevor Turner

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