BackgroundThe efficacy of cognitive–behavioural therapy for schizophrenia is
established, but there is less evidence for a group format.AimsTo evaluate the effectiveness of group cognitive – behavioural therapy
for schizophrenia.MethodIn all, 113 people with persistent positive symptoms of schizophrenia
were assigned to receive group cognitive – behavioural therapy or
treatment as usual. The primary outcome was positive symptom improvement
on the Positive and Negative Syndrome Scales. Secondary outcome measures
included symptoms, functioning, relapses, hopelessness and
self-esteem.ResultsThere were no significant differences between the cognitive-behavioural
therapy and treatment as usual on measures of symptoms or functioning or
relapse, but group cognitive – behavioural therapy treatment resulted in
reductions in feelings of hopelessness and in low self-esteem.ConclusionsAlthough group cognitive – behavioural therapy may not be the optimum
treatment method for reducing hallucinations and delusions, it may have
important benefits, including feeling less negative about oneself and
less hopeless for the future.
Is the psychological composition of the therapeutic group associated with individual outcomes in group cognitive behavioural therapy for chronic pain?
