Is cognitive behavioural therapy effective for individuals experiencing thought disorder?
作者: Nick ShryaneRichard DrakeAnthony P. MorrisonJasper Palmier-Claus
作者单位: 1Department of Social Statistics, University of Manchester, Manchester M13 9PL, UK
2Division of Clinical Psychology and Mental Health, University of Manchester, Manchester, UK
3Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
4Spectrum Centre for Mental Health Research, Division of Health Research, Lancaster University, Lancashire, UK
5Lancashire & South Cumbria NHS Foundation Trust, Lancashire, UK
刊名: Psychiatry Research, 2020, Vol.285
来源数据库: Elsevier Journal
DOI: 10.1016/j.psychres.2020.112806
关键词: PsychosisCognitive behavioural therapyThought disorderRandomized Controlled Trial
原始语种摘要: Abstract(#br)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...
全文获取路径: Elsevier  (合作)
影响因子:2.456 (2012)

  • behavioural 行为
  • disorder 无序
  • psychosis 精神病
  • cognitive 修]认知[识
  • effective 有效的
  • thought 思索
  • delusional 妄想的
  • distress 损坏
  • supportive 支援性
  • hallucinatory 幻想的