A pilot study evaluating the effectiveness of individual inpatient cognitive-behavioural therapy in early psychosis

N. Tarrier, A. P. Morrison, R. Hopkins, R. Drake, S. Lewis, G. Haddock

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background: Recent research indicates that cognitive-behaviour therapy (CBT) can be effective in ameliorating persistent positive symptoms in chronic psychotic patients. The effectiveness of CBT in acute and recent-onset psychosis has been little explored, although a recent pilot study indicated that CBT could significantly improve recovery in acutely psythotic inpatients. Method: Short-term individual CBT was compared to supportive counselling/psychoeducatiun (SC) as an adjunct to standard inpatient hospital care and meditation in 21 inpatients experiencing a recent-onset acute schizophrenic episode. Results: Both groups showed significant reductions in Brief Psychiatric Rating Scale (BPRS) scores following treatment, although there were no group differences. Time to discharge did not differ significantly between the groups, although there was a greater variance for the SC patients. Two-year follow-up showed no significant differences between the groups, although the number of patients who relapsed, the number of relapses and the time to recurrence of psychotic symptoms was lower in the CBT group than the SC group. Interestingly, the time to readmission was shorter in the CBT group. Conclusions: CBT and SC are acceptable treatments for recent-onset acutely psychotic inpatients. A larger randomised controlled trial over multiple hospital sites is warranted.
    Original languageEnglish
    Pages (from-to)254-258
    Number of pages4
    JournalSocial psychiatry and psychiatric epidemiology
    Volume34
    Issue number5
    DOIs
    Publication statusPublished - May 1999

    Keywords

    • Acute Disease
    • Adult
    • Analysis of Variance
    • standards: Cognitive Therapy
    • Episode of Care
    • Female
    • Hospitalization
    • Human
    • Male
    • Pilot Projects
    • standards: Psychotherapy, Brief
    • therapy: Psychotic Disorders
    • Recurrence

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