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CBTp
Evaluation
Effectiveness
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Created by
Billy Dudden
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Cards (3)
Outcome studies
NICE
schizophrenia review 2014 (
meta-analysis
) -
CBTp
with
drugs
, compared to just
drugs
CBTp was
effective
- reduced
hospitalisation
rates, reduced
symptom severity
, and improved
social functioning
Wykes
et al. - other benefits for
comorbid
conditions; improved
low mood
, reduced
anxiety
Counterpoint to outcome studies
Jüni
et al. - problems with
methodology
; no
controls
, no
random allocation
, not
blind
, therefore overstates effectiveness
Jauhar
et al. - after
methodologically unsound
studies were removed, only
tiny
therapeutic effect
, benefits likely
overstated
Lack of benefit for
acute phase
Addington
&
Addington
- Not useful in the
initial/acute
phase;
self-reflection
is difficult for
schizophrenics
in this stage
Once
stabilised
with
antipsychotics
, group-based
CBTp
is effective