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Cognitive Therapy and Recovery from Acute Psychosis: a Controlled Trial: II. Impact on Recovery Time
Abstract
Background: A trial of CT in acute psychosis conducted by the authors has shown a significant impact on the rate and degree of recovery of positive symptoms, the focus of the intervention. This paper seeks to determine whether these effects generalise to other features of acute psychosis including dysphoria, insight and ‘low level’ psychotic thinking which were not directly targeted. Method: Measures of dysphoria, insight and psychotic thinking were taken over a six-month period following presentation for acute psychosis. Using survival analysis, time to recovery from psychosis using three definitions of increasing stringency was compared between the CT and control group. Results: CT was associated with a 25–50% reduction in recovery time depending on the definition used. Conclusion: The impact of the CT intervention extended beyond positive symptoms to include insight, dysphoria and ‘low level’ psychotic thinking. Nevertheless this kind of ‘clinical’ recovery required a median of 20 weeks to complete. Implications for clinical models of acute care are discussed.
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Cited by
The stigma of mental illness: Explanatory models and methods for change
Corrigan, P. W., Kerr, A., & Knudsen, L. (2005) · Applied and Preventive Psychology · doi:10.1016/j.appsy.2005.07.001 · Cited by 538
Early intervention for psychosis
Marshall, M., & Rathbone, J. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004718.pub3 · Cited by 531
Kuipers, E., Garety, P., Fowler, D., Dunn, G., Bebbington, P., Freeman, D., & Hadley, C. (1997) · British Journal of Psychiatry · doi:10.1192/bjp.171.4.319 · Cited by 455
Efficacy of Psychological Therapy in Schizophrenia: Conclusions From Meta-analyses
Pfammatter, M. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbl030 · Cited by 401
Cognitive-behavioral therapy for schizophrenia: An empirical review
RECTOR, N. A., & BECK, A. T. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200105000-00002 · Cited by 387
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
- 602-607
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2136740391
- Cited by
- 178
- References
- 2
- FWCI
- 7.71
- Type
- journal article
- Language
- en
- Open access
- closed
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- Drury, V., Birchwood, M., Cochrane, R., & MacMillan, F. (1996). Cognitive Therapy and Recovery from Acute Psychosis: a Controlled Trial: II. Impact on Recovery Time. British Journal of Psychiatry. https://doi.org/10.1192/bjp.169.5.602
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
