Cognitive and behavioural therapies for psychosis
Cognitive and behavioural therapies for psychosis
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DOI：
10.1177/0004867413483370
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发表时间：
2013-06-01
影响因子：
4.6
通讯作者：
Thomas, Neil
中科院分区：
文献类型：
--
作者：
Farhall, John;Thomas, Neil
Australian & New Zealand Journal of Psychiatry, 47 (6)2008) found significant effects on positive, negative and mood symptoms, on severity of target symptoms and on social functioning. Another metaanalysis indentified a 26% reduction in readmission up to 18 months following CBTp relative to treatment as usual (NCCMH, 2009). At a minimum, the evidence to date clearly supports the efficacy of CBTp over routine care alone. Although some have questioned whether CBTp is superior to comparison therapies (Lynch et al., 2010), no other individual psychological therapy applied to psychosis has an equivalent level of empirical support. In addition, a small number of trials of effectiveness in routine practice (eg Lincoln et al., 2012) on balance demonstrate that the therapy can retain reasonable treatment effects in more routine implementation. Whilst this evidence base is established, the effect sizes have been modest. In part this may be attributable to methodological issues, particularly the heterogeneity of outcomes arising from an individualised therapy and the insensitivity of broad symptom measures when applied to primary outcomes such as symptom-related distress. Nonetheless, like all established treatments for schizophrenia, CBTp works for some but not for all.
