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Is cognitive behavioural therapy effective for individuals experiencing thought disorder?
Nick Shryane1, Richard Drake2, Anthony P Morrison2
1Department of Social Statistics, University of Manchester, Manchester M13 9PL, UK.
Psychiatry Research
|February 3, 2020
Summary
Cognitive Behavioural Therapy (CBT) effectively treats psychosis symptoms like hallucinations and delusions, even with thought disorder. Initial treatment of thought disorder may enhance CBT benefits for psychosis patients.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Clinical guidelines recommend cognitive behavioural therapy (CBT) for psychosis.
- The impact of thought disorder on CBT effectiveness for psychosis remains unclear.
- Disorganized thinking may impede the efficacy of CBT in psychosis patients.
Purpose of the Study:
- To test if thought disorder interferes with CBT effectiveness for psychosis.
- To compare CBT with treatment as usual and supportive counselling.
- To analyze the influence of thought disorder on symptom reduction in psychosis.
Main Methods:
- Secondary data analysis from two large, single-blind randomised controlled trials.
- Latent growth curve modeling used to assess symptom development.
- Comparison of CBT, treatment as usual, and supportive counselling.
Main Results:
- CBT was more successful than counselling in reducing delusional frequency short-term.
- CBT significantly reduced hallucinatory distress at any point.
- Effectiveness of CBT was observed even in patients with high thought disorder.
Conclusions:
- Thought disorder does not appear to significantly hinder CBT effectiveness for psychosis.
- Clinicians should be cautious about restricting CBT for patients with thought disorder.
- Effective initial treatment of thought disorder is crucial for maximizing CBT benefits in psychosis.
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