Insight in schizophrenia and the effect of cognitive behaviour therapy
Insight in schizophrenia and the effect of cognitive behaviour therapy
Method: A randomised trial carried out at six sites in the United Kingdom, in which participants with schizophrenia and their carers received six sessions of insight focused CBT ( and three sessions for carers) from trained nurses in the community.
Results: At the end of therapy (three months), the intervention group demonstrated statistically significant improvement in insight into adherence with treatment (p=0.003) and insight into ability to re-label their psychotic symptoms as pathological (p=0.02) compared with the Treatment as usual group. Those participants who demonstrated improved insight into having mental illness, schizophrenia, tended to become depressed (p=0.03). At one-year follow-up assessment, the result of insight into adherence remained significant (p=0.01).
The African-Caribbean group at three months and the Black African group at one year has a statistically significant higher dropout rate and poor improvement in insight compared with the white group following therapy.
Participants in part time employment at three months did significantly better than the other groups following therapy. There was no statistically significant improvement in psychotic psychopathology.
The correlations between components of insight and between insight and psychopathology improved with therapy.
Conclusions: A brief CBT programme delivered by nurses can improve insight into compliance with treatment in patients with schizophrenia in the community and the results are durable at one year. This may have a role in relapse prevention. Acceptance of the diagnosis of schizophrenia may have implications.
There are problems in engaging patients from ethnic minorities and the need for further development and research in this area is highlighted.
University of Southampton
Rathod, Shanaya
b4dddbe5-e4aa-4069-bd03-20cd6332639c
2003
Rathod, Shanaya
b4dddbe5-e4aa-4069-bd03-20cd6332639c
Rathod, Shanaya
(2003)
Insight in schizophrenia and the effect of cognitive behaviour therapy.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
Method: A randomised trial carried out at six sites in the United Kingdom, in which participants with schizophrenia and their carers received six sessions of insight focused CBT ( and three sessions for carers) from trained nurses in the community.
Results: At the end of therapy (three months), the intervention group demonstrated statistically significant improvement in insight into adherence with treatment (p=0.003) and insight into ability to re-label their psychotic symptoms as pathological (p=0.02) compared with the Treatment as usual group. Those participants who demonstrated improved insight into having mental illness, schizophrenia, tended to become depressed (p=0.03). At one-year follow-up assessment, the result of insight into adherence remained significant (p=0.01).
The African-Caribbean group at three months and the Black African group at one year has a statistically significant higher dropout rate and poor improvement in insight compared with the white group following therapy.
Participants in part time employment at three months did significantly better than the other groups following therapy. There was no statistically significant improvement in psychotic psychopathology.
The correlations between components of insight and between insight and psychopathology improved with therapy.
Conclusions: A brief CBT programme delivered by nurses can improve insight into compliance with treatment in patients with schizophrenia in the community and the results are durable at one year. This may have a role in relapse prevention. Acceptance of the diagnosis of schizophrenia may have implications.
There are problems in engaging patients from ethnic minorities and the need for further development and research in this area is highlighted.
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Published date: 2003
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Local EPrints ID: 465140
URI: http://eprints.soton.ac.uk/id/eprint/465140
PURE UUID: 4a3a1c7a-dfa7-4867-9a51-d06834b35033
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Date deposited: 05 Jul 2022 00:25
Last modified: 16 Mar 2024 19:58
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Author:
Shanaya Rathod
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