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Effectiveness of a brief cognitive–behavioural therapy intervention in the treatment of schizophrenia

  • Douglas Turkington (a1), David Kingdon (a2) and Trevor Turner (a3)
Abstract
Background

Little evidence exists to indicate whether community psychiatric nurses can achieve the results reported by expert cognitive–behavioural therapists in patients with schizophrenia.

Aims

To assess the effectiveness and safety of a brief cognitive- behavioural therapy (CBT) intervention in a representative community sample of patients with schizophrenia in secondary care settings.

Method

A pragmatic randomised trial was performed involving 422 patients and carers to compare a brief CBT intervention against treatment as usual.

Results

Patients who received CBT (n⩵257) improved in overall symptomatology (P⩵0.015; number needed to treat [NNT]⩵ 13), insight (P<0.001; NNT⩵10) and depression (P⩵0.003;NNT⩵9) compared with the control group (n⩵165). Insight was clinically significantly improved (risk ratio ⩵1.15,95% C1 1.01-1.31).There was no increase in suicidal ideation.

Conclusions

Community psychiatric nurses can safely and effectively deliver a brief CBT intervention to patients with schizophrenia and their carers.

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Copyright
Corresponding author
D. Turkington, Department of Psychiatry, University of Newcastle-upon-Tyne, Royal Victoria Infirmary, Queen Victoria Rd, Newcastle-upon-Tyne NEI 4LP, UK. Tel: 0191 282 4842; e-mail: douglas.turkington@ncl.ac.uk
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Declaration of interest

Funding was provided by Pfizer Ltd.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Effectiveness of a brief cognitive–behavioural therapy intervention in the treatment of schizophrenia

  • Douglas Turkington (a1), David Kingdon (a2) and Trevor Turner (a3)
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