[Cognitive behavioral therapy for psychosis (CBTp): the concept and current practice]

Area of Science:

• Psychiatry
• Clinical Psychology

Background:

• Cognitive behavioral therapy (CBT) is increasingly applied to schizophrenia treatment, termed CBT for psychosis (CBTp).
• Established CBT techniques for mood and anxiety disorders can be adapted for schizophrenia.
• Therapeutic alliance and awareness of schizophrenia-specific cognitive biases are crucial.

Purpose of the Study:

• To review the principles and evidence base for CBTp.
• To discuss the adaptation of CBT for schizophrenia and its unique considerations.
• To highlight the potential for CBTp development in Japan.

Main Methods:

• Review of existing clinical studies and guidelines for CBTp.
• Adaptation of CBT principles for the cognitive profile of schizophrenia.
• Exploration of key therapeutic components such as collaborative empiricism and case formulation.

Main Results:

• Clinical studies in Europe and North America demonstrate the efficacy of CBTp.
• Key guidelines include collaborative empiricism, cognitive flexibility enhancement, and relapse prevention.
• Specific considerations for schizophrenia include normalization of information deficits and rapport building.

Conclusions:

• CBTp is an evidence-based approach for schizophrenia treatment.
• Further integration and practice of CBTp in Japan are anticipated to improve patient quality of life.
• Ongoing research is needed to address remaining questions and refine CBTp protocols.