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Cognitive behavioral therapy in prodromal psychosis
Jean Addington1, Catherine Marshall, Paul French
1Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Alberta, Canada. jmadding@ucalgary.ca
Preventing psychosis onset is a key research goal. Cognitive Behavioral Therapy (CBT) shows promise as a psychological intervention for the pre-psychotic phase, with existing trials offering insights for future research and treatment strategies.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- The field of psychosis research is actively seeking interventions to prevent the development of psychotic disorders.
- Significant progress has been made in understanding the pre-psychotic period over the last 15 years.
- Recent efforts focus on developing and testing treatments, including pharmacological and psychological approaches, to prevent or delay psychosis onset.
Purpose of the Study:
- To review existing clinical trials of cognitive behavioral therapy (CBT) for the prevention of psychosis.
- To discuss the implications of these trials for current treatment of the early phase of psychosis.
- To provide recommendations for the design of future research studies in this area.
Main Methods:
- Systematic review of completed clinical trials investigating CBT for individuals at risk of psychosis.
- Analysis of treatment outcomes and methodologies from existing studies.
- Discussion of the evidence base for CBT in preventing or delaying psychosis.
Main Results:
- Cognitive behavioral therapy (CBT) has garnered significant attention as a psychological intervention for the pre-psychotic phase.
- A relatively small number of clinical trials have been completed to date.
- The reviewed trials provide valuable data on the efficacy and application of CBT in this population.
Conclusions:
- Existing trials suggest that CBT is a viable psychological intervention for preventing or delaying the onset of psychosis.
- Further research is needed to optimize CBT protocols and confirm its long-term effectiveness.
- The findings have implications for clinical practice and the design of future prevention studies.
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