Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-25T06:23:51.426Z Has data issue: false hasContentIssue false
  • English
  • Français

Durability of the effects of cognitive–behavioural therapy in the treatment of chronic schizophrenia: 12-month follow-up

Published online by Cambridge University Press:  03 January 2018

Nicholas Tarrier ,
Anja Witttkowskj ,
Caroline Kinney ,
Eilis McCarthy ,
Juue Morris  and
Lloyd Humphreys
Nicholas Tarrier*
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Anja Witttkowskj
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Caroline Kinney
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Eilis McCarthy
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Juue Morris
Affiliation:
Department of Medical Biophysics, Medical Statistics Research Support Unit, University of Manchester
Lloyd Humphreys
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
*
Professor N. Tarrier, Department of Clinical Psychology. Withington Hospital, Manchester M20 8LR Tel: 0161 291 4319; Fax: 0161 291 3814; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Persistent drug-resistant psychotic symptoms are a pervasive problem in the treatment of schizophrenia.

Aims

To evaluate the durability of the treatment effects of cognitive–behavioural therapy for chronic schizophrenia one year after treatment termination.

Method

A comparison of clinical outcomes was made at one-year follow-up from a randomised trial of cognitive–behavioural therapy, supportive counselling and routine care alone in the treatment of chronic schizophrenia.

Results

Seventy out of the 72 patients (97%) who completed treatment were assessed at follow-up. There were significant differences between the three groups when positive and negative symptoms were analysed by means of ANCOVAs. Between-group comparisons indicated significant differences between cognitive–behavioural therapy and routine care at follow-up for positive symptoms. There was a trend towards significance for both cognitive–behavioural therapy and supportive counselling to be superior to routine care alone on negative symptoms.

Conclusions

At 12-month follow-up the significant advantage of cognitive– behavioural therapy compared to routine care alone remained.

Type
Papers
Information
The British Journal of Psychiatry , Volume 174 , Issue 6 , June 1999 , pp. 500 - 504
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Declaration of interest

The research was supported by a project grant from The Wellcome Trust.

References

American Psychiatric Association (1987) Diagnostic and Statistical Manuel of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington. DC: American Psychiatric Association.Google Scholar
Andreason, N. C. (1981) Scale for the assessment of negative symptorns (SANS) British Journal of Psychiatry 115 (suppl 7), 53–58.Google Scholar
Davidson, T., Stayner, D. & Haglund, K. E. (1998) Phenomenological perspectives on the social functioning of people with schizophrenia. In Handbook of Social functioning m Schizophrenia (eds Mueser, K. & Tarrier, N). Needharn Heights. MA. Allyn & Baker Google Scholar
Drury, V., Birchwood, M., Cochrane, R., et al (1996) Cognitive therapy and recovery from acute psychosis. I: Impact on psychotic symptoms. British Journal of Psychiatry, 169, 593–601.Google Scholar
Farhall, J. & Voudouris, N. (1996) Persisting auditory hallucinations: prospects for non-medication interventions in a hospital population. Behaviour Change, 13, 112–123.CrossRefGoogle Scholar
Garety, P., Kuipers, L, Fowler, D., et al (1994) Cognitive behavioural therapy for drug resistant psychosis. British Journal of Medical Psycnology, 67, 259–271.CrossRefGoogle ScholarPubMed
Kinney, C. (1998) Coping with Schizophrene The Significance of Appraisal. PhD thesis. Manchester: University of Manchester.Google Scholar
Kuipers, E., Garety, P., Fowler, D., et al (1997) The London-East Anglia randomised controlled trial of cognitive - behavioural therapy for psychosis. I: Effects of the treatment phase British Journal of Psychiatry, 171, 319–337.Google Scholar
Kuipers, E., Fowter, D., Garety, P., et al (1998) London-East Anglia randornised controlled trial of cognitive-behavioural therapy for psychosis. III: Follow-up and economic evaluation at 18 months British Journal of Psychiatry, 173, 61–68 Google ScholarPubMed
Lukoff, D., Liberman, R. & Nuechterlein, K. (1986) Symptom monitoring in the rehabilitation of schizophrenic patients. Schizophrenia Bulletin, 12. 578–603 CrossRefGoogle ScholarPubMed
Tarrier, N. (1992) Management and modification of residual positive psychotic symptoms. In Innovations in the Psychological Management of Schizophrenia (eds Birchwood, M. & Tarrier, N) Chichester: Wiley & Sons.Google Scholar
Tarrier, N., Beckett, R., Harwood, S., et al (1993) A trial of two cognitive–behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients I: Outcome. British Journal of Psychiatry 162. 524–532 Google Scholar
Tarrier, N., Barrowclough, C., Porceddu, K., et al (1994) The Salford family intervention project: relapse rates of schizophrenia at five and eight years. British Journal of Psychiatry, 165, 829–832.CrossRefGoogle ScholarPubMed
Tarrier, N., Yusupoff, L., Kinney, C., et al (1998) A randomised controlled trial of intensive cognitive behaviour therapy for chronic schizophrenia. British Medical Journal, 317, 303–307 Google Scholar
Wing, J., Cooper, J. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptorns. Cambridge: Cambridge University Press Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.