IngentaConnect A randomized comparison of group cognitive-behavioural therapy an...

Authors: Bechdolf A.; Knost B.; Kuntermann C.; Schiller S.; Klosterkötter J.; Hambrecht M.; Pukrop R.

Source: Acta Psychiatrica Scandinavica, Volume 110, Number 1, July 2004 , pp. 21-28(8)

Abstract:

Bechdolf A, Knost B, Kuntermann C, Schiller S, Klosterkötter J, Hambrecht M, Pukrop R. A randomized comparison of group cognitive-behavioural therapy and group psychoeducation in patients with schizophrenia.

Acta Psychiatr Scand 2004: 110: 21–28. © Blackwell Munksgaard 2004. Objective:

Although the efficacy of cognitive-behavioural therapy (CBT) in schizophrenia has been established in a number of studies, no information is available on the differential efficacy of CBT in comparison with patient psychoeduction (PE). Method:

Eighty-eight in-patients with schizophrenia were randomized to receive a therapy envelope of 8 weeks including either 16 sessions group CBT or 18 sessions group PE treatment. Assessments took place at baseline, post-treatment and 6 month follow-up. Results:

Patients, who received CBT were significantly less rehospitalized than patients in the PE group during the follow-up period. On a descriptive level, CBT resulted in lower relapse rates and higher compliance ratings at post-treatment and at follow-up than PE. Both forms of therapy led to significant psychopathological improvement at post-treatment and at follow-up. Conclusion:

The brief group CBT intervention showed some superiority to the PE programme, which could be of considerable clinical and economical importance.

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