scholarly journals Is adjunctive CBT really effective for schizophrenia?

2019 ◽  
Vol 25 (05) ◽  
pp. 273-278
Author(s):  
Katherine Reid
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Antipsychotic Medication ◽  
Pharmacological Treatment ◽  
Standard Care ◽  
Cochrane Review ◽  
Behavioural Therapy ◽  
Clinical Context ◽  
Cognitive Behavioural

SUMMARYAlthough antipsychotic medication remains the mainstay of treatment for schizophrenia, medications alone are not always successful. Cognitive–behavioural therapy (CBT) is recommended as an adjunct to pharmacological treatment. The Cochrane review under consideration evaluates the effects of offering CBT as an add-on to standard care compared with standard care alone, and this commentary puts those findings into their clinical context.DECLARATION OF INTERESTNone.

scholarly journals Cognitive behavioural therapy plus standard care versus standard care for people with schizophrenia

2019 ◽  
Vol 25 (05) ◽  
pp. 272
Author(s):  
Christopher Jones ◽  
David Hacker ◽  
Jun Xia ◽  
Alan Meaden ◽  
Claire B. Irving ◽  
...  
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Standard Care ◽  
Behavioural Therapy ◽  
Cognitive Behavioural

London–East Anglia randomised controlled trial of cognitive–behavioural therapy for psychosis

1997 ◽  
Vol 171 (4) ◽  
pp. 319-327 ◽  
Author(s):  
Elizabeth Kuipers ◽  
Philippa Garety ◽  
David Fowler ◽  
Graham Dunn ◽  
Paul Bebbington ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Cognitive Behavioural Therapy ◽  
Standard Care ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Psychotic Symptoms ◽  
Control Group ◽  
Improve Outcome ◽  
Cognitive Behavioural ◽  
Randomised Controlled

BackgroundA series of small, mainly uncontrolled, studies have suggested that techniques adapted from cognitive–behavioural therapy (CBT) for depression can improve outcome in psychosis, but no large randomised controlled trial of intensive treatment for medication-resistant symptoms of psychosis has previously been published.MethodSixty participants who each had at least one positive and distressing symptom of psychosis that was medication-resistant were randomly allocated between a CBT and standard care condition (n=28) and a standard care only control condition (n=32). Therapy was individualised, and lasted for nine months. Multiple assessments of outcome were used.ResultsOver nine months, improvement was significant only in the treatment group, who showed a 25% reduction on the BPRS. No other clinical, symptomatic or functioning measure changed significantly. Participants had a low drop-out rate from therapy (11%), and expressed high levels of satisfaction with treatment (80%). Fifty per cent of the CBT group were treatment responders (one person became worse), compared with 31% of the control group (three people became worse and another committed suicide)ConclusionsCBT for psychosis can improve overall symptomatology. The findings provide evidence that even a refractory group of clients with a long history of psychosis can engage in talking about psychotic symptoms and their meaning, and this can improve outcome.

scholarly journals Cognitive behavioural therapy for myalgic encephalomyelitis/chronic fatigue syndrome is not effective. Re-analysis of a Cochrane review

2019 ◽  
Vol 6 (1) ◽  
pp. 205510291984061 ◽  
Author(s):  
Mark Vink ◽  
Alexandra Vink-Niese
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Cognitive Behavioural Therapy ◽  
Cochrane Review ◽  
Chronic Fatigue ◽  
Behavioural Therapy ◽  
Adverse Outcomes ◽  
High Rate ◽  
Fatigue Syndrome ◽  
Cognitive Behavioural ◽  
Objective Improvement

Analysis of the 2008 Cochrane review of cognitive behavioural therapy for chronic fatigue syndrome shows that seven patients with mild chronic fatigue syndrome need to be treated for one to report a small, short-lived subjective improvement of fatigue. This is not matched by an objective improvement of physical fitness or employment and illness benefit status. Most studies in the Cochrane review failed to report on safety or adverse reactions. Patient evidence suggests adverse outcomes in 20 per cent of cases. If a trial of a drug or surgical procedure uncovered a similar high rate, it would be unlikely to be accepted as safe. It is time to downgrade cognitive behavioural therapy to an adjunct support-level therapy, rather than a treatment for chronic fatigue syndrome.

scholarly journals Strategies for preventing occupational stress in healthcare workers: past evidence, current problems

2021 ◽  
Vol 27 (3) ◽  
pp. 205-210
Author(s):  
Riccardo De Giorgi ◽  
Bianca M. Dinkelaar
Keyword(s):  
Occupational Stress ◽  
Cognitive Behavioural Therapy ◽  
Real World ◽  
Healthcare Workers ◽  
Cochrane Review ◽  
Behavioural Therapy ◽  
Risk Of Bias ◽  
Alternative Interventions ◽  
Effective Interventions ◽  
Cognitive Behavioural

SUMMARYThe problem of occupational stress in healthcare workers is hardly new, but effective interventions in this area are lacking despite being sorely needed – especially in the ongoing COVID-19 pandemic. The results of a Cochrane review suggest that cognitive–behavioural therapy and mental and physical relaxation reduce stress more than no intervention but not more than alternative interventions, and that changing work schedules may lead to a reduction of stress. Other organisational interventions showed no effect on stress levels. However, the evidence is of low quality owing to risk of bias and lack of precision. This commentary critically appraises the review and attempts to put its findings into the current real-world context.

Cognitive behavioural therapy with behavioural analysis for pharmacological treatment-resistant chronic insomnia

2013 ◽  
Vol 210 (2) ◽  
pp. 515-521 ◽  
Author(s):  
Isa Okajima ◽  
Masaki Nakamura ◽  
Shingo Nishida ◽  
Akira Usui ◽  
Ken-ichi Hayashida ◽  
...  
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Pharmacological Treatment ◽  
Behavioural Therapy ◽  
Chronic Insomnia ◽  
Treatment Resistant ◽  
Behavioural Analysis ◽  
Cognitive Behavioural
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