期刊论文详细信息
PSYCHIATRY RESEARCH 卷:285
Is cognitive behavioural therapy effective for individuals experiencing thought disorder?
Article
Shryane, Nick1  Drake, Richard2,3  Morrison, Anthony P.2,3  Palmier-Claus, Jasper4,5 
[1] Univ Manchester, Dept Social Stat, Manchester M13 9PL, Lancs, England
[2] Univ Manchester, Div Clin Psychol & Mental Hlth, Manchester, Lancs, England
[3] Greater Manchester Mental Hlth NHS Fdn Trust, Manchester, Lancs, England
[4] Univ Lancaster, Div Hlth Res, Spectrum Ctr Mental Hlth Res, Lancaster, Lancs, England
[5] Lancashire & South Cumbria NHS Fdn Trust, Preston, Lancs, England
关键词: Psychosis;    Cognitive behavioural therapy;    Thought disorder;    Randomized Controlled Trial;   
DOI  :  10.1016/j.psychres.2020.112806
来源: Elsevier
PDF
【 摘 要 】

Various clinical guidelines recommend cognitive behavioural therapy (CBT) to treat psychosis without reference to patients' thought disorder. However, there is a risk that disorganized thinking hampers CBT. We tested the prediction that thought disorder would interfere with the effectiveness of CBT for hallucinations and delusions, compared to treatment as usual and supportive counselling, in secondary data from two large, single blind randomised controlled trials. We fitted latent growth curve models separately for the development of frequency and distress of symptoms. CBT was significantly more successful than counselling in reducing delusional frequency in the short term and hallucinatory distress at any point, even in those with relatively high thought disorder. We found little evidence that clinicians should restrict CBT in this subgroup of patients. Nevertheless, the findings highlight the importance of effective initial treatment of thought disorder in maximising the benefit of CBT for psychosis, particularly for reducing distress from hallucinations.

【 授权许可】

Free   

【 预 览 】
附件列表
Files Size Format View
10_1016_j_psychres_2020_112806.pdf 974KB PDF download
  文献评价指标  
  下载次数:0次 浏览次数:0次