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Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia

Lookup NU author(s): Professor Douglas Turkington

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Abstract

Background: Little evidence exists to indicate whether community psychiatric nurses can achieve the results reported by expert cognitive-behavioural therapists in patients with schizophrenia. Aims: To assess the effectiveness and safety of a brief cognitive-behavioural therapy (CBT) intervention in a representative community sample of patients with schizophrenia in secondary care settings. Method: Apragmatic randomisedtrial was performed involving 422 patients and caters to compare a brief CBT intervention against treatment as usual. Results: Patients who received CBT (n=257) improved in overall symptomatology (P=0.015; number needed to treat [NNT]=13), insight (P<0.001; NNT=10) and depression (P=0.003; NNT=9) compared with the control group (n=165). Insight was clinically significantly improved (risk ratio=1.15, 95% Cl1.01-1.31).There was no increase in suicidal ideation. Conclusions: Community psychiatric nurses can safely and effectively deliver a brief CBT intervention to patients with schizophrenia and their carers.


Publication metadata

Author(s): Turkington D, Kingdon D, Turner T

Publication type: Article

Publication status: Published

Journal: British Journal of Psychiatry

Year: 2002

Volume: 180

Pages: 523-527

Print publication date: 01/01/2002

ISSN (print): 0007-1250

ISSN (electronic): 1472-1465

Publisher: Royal College of Psychiatrists

URL: http://dx.doi.org/10.1192/bjp.180.6.523

DOI: 10.1192/bjp.180.6.523

PubMed id: 12042231


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