Cognitive therapy and recovery from acute psychosis: a controlled trial. I. Impact on psychotic symptoms.

摘要: BACKGROUND The application of cognitive therapy (CT) to psychosis is currently being developed in the UK. This paper reports a trial CT acute with objective hastening resolution positive symptoms and reducing residual symptoms. METHOD Of 117 patients non-affective psychosis, 69 satisfied inclusion criteria 40 proceeded stratified randomisation. experimental intervention involving individual group was compared receiving matched hours therapist input providing structured activities informal support; routine pharmacotherapy provided by clinicians blind allocation. Patients were monitored weekly using self-report mental state assessments during admission over subsequent nine months. RESULTS Both groups showed decline but this more marked (P < 0.001). At 9 months 5% group, v.56% control moderate or severe symptoms. CONCLUSION appears be potent adjunct standard care for psychosis. Issues concerning internal external validity study opportunities further research are discussed.