Cognitive-behavioural therapy v. social activity therapy for people with psychosis and a history of violence: randomised controlled trial
Cognitive-behavioural therapy v. social activity therapy for people with psychosis and a history of violence: randomised controlled trial
复制标题
DOI：
10.1192/bjp.bp.107.039859
复制
发表时间：
2009-02-01
影响因子：
10.5
通讯作者：
Tarrier, Nicholas
中科院分区：
文献类型：
--
作者：
Haddock, Gillian;Barrowclough, Christine;Tarrier, Nicholas
攻击和暴力是精神分裂症的严重问题。认知行为疗法（CBT）已被证明是一种有效的精神病治疗方法，尽管迄今为止还没有研究评估CBT对精神病患者和有暴力史的人的影响。目的研究认知行为疗法对有精神分裂症诊断和暴力史的人的暴力、愤怒、精神病和风险结果的有效性。这是一项CBT与社会活动治疗（SAT）的单盲随机对照试验，主要结果是暴力，次要结果是愤怒、症状、功能和风险。结果在6个月和12个月时由匿名评估员评估（试验注册：NRR NO50087441）。结果在干预和随访期间，与对照组相比，CBT在暴力、妄想和风险管理方面有显著的益处。结论针对精神病和愤怒的认知行为疗法可能是一种减少暴力发生的有效治疗方法，值得进一步研究其疗效。
BackgroundAggression and violence are serious problems in schizophrenia. Cognitive-behavioural therapy (CBT) has been shown to be an effective treatment for psychosis although there have been no studies to date evaluating the impact of CBT for people with psychosis and a history of violence.AimsTo investigate the effectiveness of CBT on violence, anger, psychosis and risk outcomes with people who had a diagnosis of schizophrenia and a history of violence.MethodThis was a single-blind randomised controlled trial of CBT v social activity therapy (SAT) with a primary outcome of violence and secondary outcomes of anger, symptoms, functioning and risk. outcomes were evaluated by masked assessors at 6 and 12 months (trial registration: NRR NO50087441).ResultsSignificant benefits were shown for CBT compared with control over the intervention and follow-up period on violence, delusions and risk management.ConclusionsCognitive-behavioural therapy targeted at psychosis and anger may be an effective treatment for reducing the Occurrence of violence and further investigation of its benefits is warranted.