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Cognitive Therapy and Recovery from Acute Psychosis: a Controlled Trial: I. Impact on Psychotic Symptoms
Abstract
Background: The application of cognitive therapy (CT) to psychosis is currently being developed in the UK. This paper reports a trial of CT in acute psychosis with the objective of hastening the resolution of positive symptoms and reducing residual symptoms. Method: Of 117 patients with acute non-affective psychosis, 69 satisfied inclusion criteria and 40 proceeded to stratified randomisation. The experimental intervention involving individual and group CT was compared with a group receiving matched hours of therapist input providing structured activities and informal support; routine pharmacotherapy was provided by clinicians blind to group allocation. Patients were monitored weekly using self-report and mental state assessments during admission and over the subsequent nine months. Results: Both groups showed a decline in positive symptoms but this was more marked in the CT group (P < 0.001). At 9 months 5% of the CT group, v. 56% of the control group, showed moderate or severe residual symptoms. Conclusion: CT appears to be a potent adjunct to pharmacotherapy and standard care for acute psychosis. Issues concerning internal and external validity of the study and opportunities for further research are discussed.
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Metadata
- Authors
- Drury, V., Birchwood, M., Cochrane, R., & MacMillan, F.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1996-11
- Volume
- 169
- Issue
- 5
- Pages
- 593-601
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2021747099
- Cited by
- 407
- References
- 0
- FWCI
- 17.57
- Type
- journal article
- Language
- en
- Open access
- closed
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