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ARE SOME TYPES OF PSYCHOTIC SYMPTOMS MORE RESPONSIVE TO COGNITIVE-BEHAVIOUR THERAPY?

Published online by Cambridge University Press:  06 March 2001

Nicholas Tarrier
Affiliation:
University of Manchester, U.K.
Caroline Kinney
Affiliation:
University of Manchester, U.K.
Ellis McCarthy
Affiliation:
University of Manchester, U.K.
Anja Wittkowski
Affiliation:
University of Manchester, U.K.
Lawrence Yusupoff
Affiliation:
University of Manchester, U.K.
Ann Gledhill
Affiliation:
University of Manchester, U.K.
Julie Morris
Affiliation:
Withington Hospital, Manchester, U.K.
Lloyd Humphreys
Affiliation:
University of Manchester, U.K.

Abstract

Results are presented from a randomized controlled trial indicating which psychotic symptoms respond to cognitive behaviour therapy. The aim of the study was to investigate whether different types of psychotic symptoms are more or less responsive to cognitive-behaviour therapy compared to treatment received by control groups. Seventy-two patients suffering from chronic schizophrenia who experienced persistent positive psychotic symptoms were assessed at baseline and randomized to either cognitive-behaviour therapy and routine care, supportive counselling and routine care, or routine care alone and were re-assessed after 3 months of treatment (post-treatment). Independent and blind assessment of outcome indicated delusions significantly improved with both cognitive behaviour therapy and supportive counselling compared to routine care. Hallucinations significantly decreased with cognitive-behaviour therapy compared to supportive counselling. There was no difference in the percentage change of hallucinations compared to delusions in patients treated by cognitive behaviour therapy. There was little change in measures of affective symptoms but there was no evidence that a reduction in positive symptoms was associated with an increase in depres sion. In fact, a reduction in positive symptoms was positively correlated with a reduction in depression. There were significant differences in the reductions in thought disorder and negative symptoms with an advantage of cognitive-behaviour therapy compared to routine care.

Type
Main Section
Copyright
© 2001 British Association for Behavioural and Cognitive Psychotherapies

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