Related Experiment Video
Updated: Jun 6, 2025
10:32
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
18.4K
Effectiveness of a Videoconference-Based Cognitive Behavioral Therapy Program for Patients with Schizophrenia: Pilot
Masayuki Katsushima1,2, Hideki Nakamura3,4, Yuki Shiko5,6
1Department of Rehabilitation, Faculty of Health Care and Medical Sports, Teikyo Heisei University, Ichihara, Japan.
JMIR Formative Research
|November 29, 2024
Summary
Videoconference-based cognitive behavioral therapy for psychosis (vCBTp) significantly improved psychiatric symptoms in schizophrenia patients compared to usual care alone. This remote therapy offers a safe and effective way to increase access to CBTp for outpatients.
Area of Science:
- Psychiatry
- Clinical Psychology
- Telemedicine
Background:
- Cognitive behavioral therapy for psychosis (CBTp) has demonstrated efficacy but is not widely implemented in clinical practice.
- There is a need for accessible and scalable delivery methods for CBTp.
Purpose of the Study:
- To evaluate the effectiveness of one-on-one videoconference-based CBTp (vCBTp) compared to usual care (UC) alone for improving psychiatric symptoms in schizophrenia outpatients.
Main Methods:
- An exploratory randomized controlled trial involving 24 schizophrenia and schizoaffective disorder outpatients.
- Participants were assigned to either vCBTp plus UC or UC alone.
- vCBTp consisted of 7 weekly 50-minute remote sessions via tablet, with the Positive and Negative Syndrome Scale (PANSS) as the primary outcome measure at 8 weeks.
Main Results:
- The vCBTp plus UC group showed a significant reduction in PANSS total scores (-9.5) compared to the UC group (6.9) (P<.001).
- Significant improvements were observed in positive, negative, and general psychopathology symptoms.
- Secondary outcomes, including anxiety (GAD-7) and quality of life (EQ-5D-5L), also showed significant improvements in the vCBTp group.
Conclusions:
- Remote vCBTp is a safe and effective intervention for reducing psychiatric symptoms, general anxiety, and improving quality of life in schizophrenia outpatients.
- This approach enhances accessibility to CBTp, addressing barriers related to transportation and therapist shortages.
- The findings support the integration of vCBTp into routine outpatient care for schizophrenia.
Keywords:
cognitive behavioral therapyrandomized controlled trialremote therapyschizophreniavideoconferenceMore Related Videos
07:31A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
6.9K
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.7K
Related Concept Videos
01:25Cognitive Therapy
145
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
145
01:24Rational Emotive Behavior Therapy
43
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
43
01:30Negative and Cognitive Symptoms of Schizophrenia
44
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
44
01:26Modeling in Therapy
49
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
49
01:29Psychological and Sociocultural Causes of Schizophrenia
78
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
78
01:30Electroconvulsive Therapy
25
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
25