North Wales randomized controlled trial of cognitive behaviour therapy for acute schizophrenia spectrum disorders: outcomes at 6 and 12 months

2004 ◽  
Vol 34 (3) ◽  
pp. 413-422 ◽  
Author(s):  
M. STARTUP ◽  
M. C. JACKSON ◽  
S. BENDIX
Keyword(s):  
Social Functioning ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Important Change ◽  
Control Group ◽  
Schizophrenia Spectrum Disorders ◽  
Behaviour Therapy ◽  
Treatment As Usual ◽  
Randomized Controlled ◽  
Cognitive Behaviour

Background. Recent reviews of randomized controlled trials have concluded that cognitive behaviour therapy (CBT) is effective, as an addition to standard care, in the treatment of people suffering from schizophrenia. Most of the trials have been conducted with stabilized out-patients. The aim of this trial was to evaluate the effectiveness of CBT for in-patients suffering acute psychotic episodes, when delivered under conditions representative of current clinical practice.Method. Consecutive admissions meeting criteria were recruited. After screening, 43 were assigned at random to a treatment-as-usual (TAU) control group and 47 were assigned to TAU plus CBT. At baseline, 6 months and 12 months, patients were rated on symptoms and social functioning. CBT (maximum 25 sessions) began immediately after baseline assessment.Results. The CBT group gained greater benefit than the TAU group on symptoms and social functioning. A larger proportion of the CBT group (60%) than the TAU group (40%) showed reliable and clinically important change, and none of them (v. 17%) showed reliable deterioration compared with baseline.Conclusions. CBT for patients suffering acute psychotic episodes can produce significant benefits when provided under clinically representative conditions.

Cognitive behaviour therapy for violent men with antisocial personality disorder in the community: an exploratory randomized controlled trial

2008 ◽  
Vol 39 (4) ◽  
pp. 569-577 ◽  
Author(s):  
K. M. Davidson ◽  
P. Tyrer ◽  
P. Tata ◽  
D. Cooke ◽  
A. Gumley ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Social Functioning ◽  
Antisocial Personality Disorder ◽  
Cognitive Behaviour Therapy ◽  
Alcohol Misuse ◽  
Controlled Trial ◽  
Behaviour Therapy ◽  
Randomized Controlled ◽  
Cognitive Behaviour

BackgroundLittle information exists on treatment effectiveness in antisocial personality disorder (ASPD). We investigated the feasibility and effectiveness of carrying out a randomized controlled trial of cognitive behaviour therapy (CBT) in men with ASPD who were aggressive.MethodThis was an exploratory two-centre, randomized controlled trial in a community setting. Fifty-two adult men with a diagnosis of ASPD, with acts of aggression in the 6 months prior to the study, were randomized to either treatment as usual (TAU) plus CBT, or usual treatment alone. Change over 12 months of follow-up was assessed in the occurrence of any act of aggression and also in terms of alcohol misuse, mental state, beliefs and social functioning.ResultsThe follow-up rate was 79%. At 12 months, both groups reported a decrease in the occurrence of any acts of verbal or physical aggression. Trends in the data, in favour of CBT, were noted for problematic drinking, social functioning and beliefs about others.ConclusionsCBT did not improve outcomes more than usual treatment for men with ASPD who are aggressive and living in the community in this exploratory study. However, the data suggest that a larger study is required to fully assess the effectiveness of CBT in reducing aggression, alcohol misuse and improving social functioning and view of others. It is feasible to carry out a rigorous randomized controlled trial in this group.

GROUP COGNITIVE BEHAVIOUR THERAPY FOR ANGER: A PILOT STUDY

2003 ◽  
Vol 31 (1) ◽  
pp. 69-83 ◽  
Author(s):  
Ronald Siddle ◽  
Freda Jones ◽  
Fairuz Awenat
Keyword(s):  
Randomized Controlled Trial ◽  
Pilot Study ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Behaviour Therapy ◽  
Randomized Controlled ◽  
Cognitive Behaviour ◽  
Initial Appointment ◽  
The Difference ◽  
Group Cbt

Patients referred with anger problems often do not attend for treatment. The aim of this study was to determine if group Cognitive Behaviour Therapy (CBT) was feasible. Patients referred for help with their anger were assessed, given 6 sessions of group CBT and re-assessed. Of 119 patients referred, 49 (41%) did not attend the initial appointment. Patients who attended for interview were invited to participate in the group CBT. Only 11 patients (9%) of those referred for therapy attended for the full course of CBT. Thirty-four patients (29%) were exposed to at least one session of CBT, while 66 patients (56%) did not attend for any therapy. Patients who attended for some or all of the CBT treatment reported reductions in the frequency and intensity of their anger outbursts. There was also a significant reduction in measures of their anger traits. It could be concluded that group CBT is an appropriate way to deliver this therapy to patients with anger problems, but it is clear that many of those referred are ambivalent about therapy and will not attend. Figures are given that will allow the planning of a randomized controlled trial to evaluate the difference between individual and group based CBT for patients with anger problems.

scholarly journals Cognitive Behaviour Therapy for Bulimia Nervosa and Eating Disorders Not Otherwise Specified: Translation from Randomized Controlled Trial to a Clinical Setting

2014 ◽  
Vol 43 (6) ◽  
pp. 641-654 ◽  
Author(s):  
Sarah Knott ◽  
Debbie Woodward ◽  
Antonia Hoefkens ◽  
Caroline Limbert
Keyword(s):  
Eating Disorders ◽  
Randomized Controlled Trial ◽  
Eating Disorder ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Behaviour Therapy ◽  
Intention To Treat ◽  
Randomized Controlled ◽  
Eating Disorder Psychopathology ◽  
Cognitive Behaviour

Background: Enhanced Cognitive Behaviour Therapy (CBT-E) (Fairburn, Cooper and Shafran, 2003) was developed as a treatment approach for eating disorders focusing on both core psychopathology and additional maintenance mechanisms. Aims: To evaluate treatment outcomes associated with CBT-E in a NHS Eating Disorders Service for adults with bulimia and atypical eating disorders and to make comparisons with a previously published randomized controlled trial (Fairburn et al., 2009) and “real world” evaluation (Byrne, Fursland, Allen and Watson, 2011). Method: Participants were referred to the eating disorder service between 2002 and 2011. They were aged between 18–65 years, registered with a General Practitioner within the catchment area, and had experienced symptoms fulfilling criteria for BN or EDNOS for a minimum of 6 months. Results: CBT-E was commenced by 272 patients, with 135 completing treatment. Overall, treatment was associated with significant improvements in eating disorder and associated psychopathology, for both treatment completers and the intention to treat sample. Conclusions: Findings support dissemination of CBT-E in this context, with significant improvements in eating disorder psychopathology. Improvements to global EDE-Q scores were higher for treatment completers and lower for the intention to treat sample, compared to previous studies (Fairburn et al., 2009; Byrne et al., 2011). Level of attrition was found at 40.8% and non-completion of treatment was associated with higher levels of anxiety. Potential explanations for these findings are discussed.

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