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Cognitive behavioural therapy (brief versus standard duration) for schizophrenia

Cognitive behavioural therapy (brief versus standard duration) for schizophrenia
Cognitive behavioural therapy (brief versus standard duration) for schizophrenia
BACKGROUND: Cognitive behavioural therapy for people with schizophrenia is a psychotherapeutic approach that establishes links between thoughts, emotions and behaviours and challenges dysfunctional thoughts. There is some evidence to suggest that cognitive behavioural therapy for people with psychosis (CBTp) might be an effective treatment for people with schizophrenia. There are however, limitations in its provision due to available resource and training issues. One way to tackle this issue might be to offer a brief version of CBTp.

OBJECTIVES: To review the effects of brief CBTp (6 to 10 regular sessions given in less than 4 months and using a manual) for people with schizophrenia compared with standard CBTp (12 to 20 regular sessions given in 4 to 6 months and using a manual).

SEARCH METHODS: We searched the Cochrane Schizophrenia Group's Trials Register (August 21, 2013) which is based on regular searches of CINAHL, BIOSIS, AMED, EMBASE, PubMed, MEDLINE, PsycINFO and registries of Clinical Trials. There are no language, date, document type, or publication status limitations for inclusion of records in the register. We inspected all references of the selected articles for further relevant trials. We also contacted experts in the field regarding brief CBTp studies.

SELECTION CRITERIA: Randomised controlled trials involving adults with schizophrenia or related disorders, comparing brief cognitive behavioural therapy for people with psychosis versus standard CBTp.

DATA COLLECTION AND ANALYSIS: Two review authors independently screened and assessed studies for inclusion using pre-specified inclusion criteria.

MAIN RESULTS: We found only seven studies which used a brief version of CBTp, but no study compared brief CBTp with CBTp of standard duration. No studies could be included.

AUTHORS' CONCLUSIONS: Currently there is no literature available to compare brief with standard CBTp for people with schizophrenia. We cannot, therefore, conclude whether brief CBTp is as effective, less effective or even more effective than standard courses of the same therapy. This lack of evidence for brief CBTp has serious implications for research and practice. Well planned, conducted and reported randomised trials are indicated.
1469-493X
CD010646
Naeem, Farooq
3a594558-6921-4e82-8098-38cd8d4e8aa0
Farooq, Saeed
24f12e1b-0833-43d3-8716-c7cf57b89efe
Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Naeem, Farooq
3a594558-6921-4e82-8098-38cd8d4e8aa0
Farooq, Saeed
24f12e1b-0833-43d3-8716-c7cf57b89efe
Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b

Naeem, Farooq, Farooq, Saeed and Kingdon, David (2014) Cognitive behavioural therapy (brief versus standard duration) for schizophrenia. Cochrane Database of Systematic Reviews, 4, CD010646. (doi:10.1002/14651858.CD010646.pub2). (PMID:24723312)

Record type: Article

Abstract

BACKGROUND: Cognitive behavioural therapy for people with schizophrenia is a psychotherapeutic approach that establishes links between thoughts, emotions and behaviours and challenges dysfunctional thoughts. There is some evidence to suggest that cognitive behavioural therapy for people with psychosis (CBTp) might be an effective treatment for people with schizophrenia. There are however, limitations in its provision due to available resource and training issues. One way to tackle this issue might be to offer a brief version of CBTp.

OBJECTIVES: To review the effects of brief CBTp (6 to 10 regular sessions given in less than 4 months and using a manual) for people with schizophrenia compared with standard CBTp (12 to 20 regular sessions given in 4 to 6 months and using a manual).

SEARCH METHODS: We searched the Cochrane Schizophrenia Group's Trials Register (August 21, 2013) which is based on regular searches of CINAHL, BIOSIS, AMED, EMBASE, PubMed, MEDLINE, PsycINFO and registries of Clinical Trials. There are no language, date, document type, or publication status limitations for inclusion of records in the register. We inspected all references of the selected articles for further relevant trials. We also contacted experts in the field regarding brief CBTp studies.

SELECTION CRITERIA: Randomised controlled trials involving adults with schizophrenia or related disorders, comparing brief cognitive behavioural therapy for people with psychosis versus standard CBTp.

DATA COLLECTION AND ANALYSIS: Two review authors independently screened and assessed studies for inclusion using pre-specified inclusion criteria.

MAIN RESULTS: We found only seven studies which used a brief version of CBTp, but no study compared brief CBTp with CBTp of standard duration. No studies could be included.

AUTHORS' CONCLUSIONS: Currently there is no literature available to compare brief with standard CBTp for people with schizophrenia. We cannot, therefore, conclude whether brief CBTp is as effective, less effective or even more effective than standard courses of the same therapy. This lack of evidence for brief CBTp has serious implications for research and practice. Well planned, conducted and reported randomised trials are indicated.

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More information

Published date: 11 April 2014
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 367277
URI: http://eprints.soton.ac.uk/id/eprint/367277
ISSN: 1469-493X
PURE UUID: 00a3b149-db59-4d3d-a105-55b5382cdd7a
ORCID for Farooq Naeem: ORCID iD orcid.org/0000-0001-5771-4088

Catalogue record

Date deposited: 28 Aug 2014 13:25
Last modified: 18 Feb 2021 16:46

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Contributors

Author: Farooq Naeem ORCID iD
Author: Saeed Farooq
Author: David Kingdon

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