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Related Experiment Videos

Cognitive-behavioral therapy for medication-resistant symptoms.

P A Garety1, D Fowler, E Kuipers

  • 1Academic Clinical Psychology Unit, St. Thomas' Hospital, London, United Kingdom.

Schizophrenia Bulletin
|February 7, 2001
PubMed
Summary

Cognitive-behavioral therapy (CBT) shows promise in reducing psychosis symptoms and potentially preventing relapse. Cognitive flexibility and insight may predict better outcomes in CBT for psychosis treatment.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Cognitive-behavioral therapy (CBT) for psychosis integrates Beck's cognitive models with stress-vulnerability and cognitive models of psychotic symptoms.
  • Schizophrenia treatment research explores various therapeutic modalities.

Purpose of the Study:

  • To describe cognitive-behavioral therapy (CBT) for psychosis.
  • To review evidence for CBT efficacy in psychosis.
  • To examine predictors of treatment response and discuss implications for patient selection and treatment duration.

Main Methods:

  • Review of controlled trials on CBT for psychosis.
  • Analysis of studies investigating factors predicting treatment response.
  • Discussion of implications based on current evidence.

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Main Results:

  • Four controlled trials indicate CBT reduces psychosis symptoms.
  • Preliminary evidence suggests cognitive flexibility and insight predict better outcomes.
  • No association found between intelligence or symptom severity and treatment outcome.
  • Individuals with only negative symptoms may have poorer outcomes.

Conclusions:

  • CBT for psychosis demonstrates encouraging efficacy in symptom reduction and potential relapse prevention.
  • Identifying individual treatment goals is crucial due to patient heterogeneity.
  • Cognitive flexibility and insight are potential indicators for treatment success in CBT for psychosis.