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Cognitive Behaviour Therapy for Psychosis: Current Evidence and Future Directions

Published online by Cambridge University Press:  01 November 2008

Craig Steel
Craig Steel*
Affiliation:
University of Reading, UK
*
Reprint requests to Craig Steel, Charlie Waller Institute for Evidence Based Psychological Treatments, School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6AL, UK. E-mail: [email protected]
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Abstract

The past decade has seen considerable growth in the evidence base of cognitive behavioural therapy for psychosis. Consistent reports of moderate effect sizes have led to such interventions being recommended as part of routine clinical practice. Most of this evidence is based on a generic form of CBT for psychosis applied to a heterogeneous group. An increase in the effectiveness of cognitive behavioural interventions may require new protocols. Such therapeutic developments should be based on the theoretical understanding of the psychological processes associated with specific forms of psychotic presentation. The current evidence base of CBT for psychosis is reviewed, and barriers that have held back the development of this research are discussed.

Keywords

Cognitive behaviour therapypsychosisschizophreniaeffectivenessvoicesdelusions
Type
Treatment Applications
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 6: Developments in the Theory and Practice of Cognitive and Behavioural Therapies , November 2008 , pp. 705 - 712
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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References

Bach, P. and Hayes, S. C. (2002). The use of Acceptance and Commitment Therapy to prevent the rehospitalization of psychotic patients: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 70, 1129–1139.CrossRefGoogle ScholarPubMed
Beck, A. T. (1952). Successful out-patient psychotherapy of a chronic schizophrenic with a delusion based on borrowed guilt. Psychiatry, 15, 205–212.CrossRefGoogle ScholarPubMed
Bentall, R. P. (2007). Diagnosis under fire. The Psychologist, 20, 412.Google Scholar
Birchwood, M. and Trower, P. (2006). The future of cognitive-behavioural therapy for psychosis: not a quasi-neuroleptic. British Journal of Psychiatry, 188, 107–108.CrossRefGoogle Scholar
Chadwick, P. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359.CrossRefGoogle Scholar
Ehlers, A. and Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.CrossRefGoogle ScholarPubMed
Favrod, J., Vianin, P., Pomini, V. and Mast, F. (2006). A first step toward cognitive remediation of voices: a case study. Cognitive Behaviour Therapy, 35, 159–163.CrossRefGoogle ScholarPubMed
Fowler, D., Freeman, D., Smith, B., Kuipers, E., Bebbington, P., Bashforth, H., Coker, S., Gracie, A., Dunn, G. and Garety, P. (2006). The brief core schema questionnaire (BCSS): psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychological Medicine, 36, 749–759.CrossRefGoogle ScholarPubMed
Freeman, D. (2007). Suspicious minds: the psychology of persecutory delusions. Clinical Psychology Review, 27, 425–457.CrossRefGoogle ScholarPubMed
Freeman, D., Freeman, J. and Garety, P. (2006). Overcoming Paranoid and Suspicious Thoughts. London: Robinson Constable.Google Scholar
Garety, P. A., Fowler, D. A., Freeman, D., Bebbington, P., Dunn, G. and Kuipers, E. (2008). A randomised controlled trial of cognitive behavioural therapy and family intervention for the prevention of relapse and the reduction of symptoms in schizophrenia. British Journal of Psychiatry, 192, 412–423.CrossRefGoogle Scholar
Garety, P. A., Kuipers, E. K., Fowler, D., Freeman, D. and Bebbington, P. E. (2001). A cognitive model of the positive symptoms of psychosis. Psychological Medicine, 31, 189–195.CrossRefGoogle ScholarPubMed
Gumley, A., O'Grady, M., McNay, L., Reilly, J., Power, K. and Norrie, J. (2003). Early intervention for relapse in schizophrenia: results of a 12-month randomised controlled trial of cognitive behavioural therapy. Psychological Medicine, 33, 419–431.CrossRefGoogle ScholarPubMed
Kay, S. R., Fiszbein, A. and Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261–276.CrossRefGoogle ScholarPubMed
Lewis, S. W., Tarrier, N., Haddock, G., Bentall, R., Kinderman, P., Kingdon, D., Siddle, R., Drake, R., Everitt, J., Leadley, K., Benn, A., Glazebrook, K., Haley, C., Akhtar, S., Davies, L., Palmer, S., Faragher, B. and Dunn, G. (2002). Randomised controlled trial of cognitive-behaviour therapy in early schizophrenia: acute phase outcomes. British Journal of Psychiatry, 181 (S43), 91–97.CrossRefGoogle Scholar
Mayhew, S. and Gilbert, P. (2006). Compassionate mind training with people who hear malevolent voices: a case series report. Schizophrenia Research, 86, s60.CrossRefGoogle Scholar
Moorhead, S., Samarasekera, N. and Turkington, D. (2005). Schemas, psychotic themes and depression: a preliminary investigation. Behavioural and Cognitive Psychotherapy, 33, 115–117.CrossRefGoogle Scholar
Moritz, S. and Woodward, T. (2007). Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619–625.CrossRefGoogle ScholarPubMed
Morrison, A. P. (2001). The interpretation of intrusions in psychosis: an integrative cognitive approach to psychotic symptoms. Behavioural and Cognitive Psychotherapy, 29, 257–276.CrossRefGoogle Scholar
Morrison, A. P., Frame, L. and Larkin, W. (2003). Relationships between trauma and psychosis: a review and integration. British Journal of Clinical Psychology, 42, 331–353.CrossRefGoogle ScholarPubMed
Myin-Germeys, I. and van Os, J. (2007). Stress-reactivity in psychosis: evidence for an affective pathway to psychosis. Clinical Psychology Review, 27, 409–424.CrossRefGoogle ScholarPubMed
Peters, E., Day, S., McKenna, J. and Orbach, G. (1999). Delusional ideation in religious and psychotic populations. British Journal of Clinical Psychology, 38, 83–96.CrossRefGoogle ScholarPubMed
Pfammatter, M., Junghan, U., and Brenner, H. (2006). Efficacy of psychological therapy in schizophrenia: conclusions from meta-analyses. Schizophrenia Bulletin, 32, S64–S80.CrossRefGoogle ScholarPubMed
Read, J., van Os, J., Morrison, A. and Ross, C. (2005) Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Psychiatrica Scandinavica, 112, 330–350.CrossRefGoogle ScholarPubMed
Romme, M. and Escher, S. (1989). Hearing voices. Schizophrenia Bulletin, 15, 209–216.CrossRefGoogle ScholarPubMed
Rosenberg, S. D., Mueser, K., Jankowski, M., Salyers, M. and Acker, K. (2004). Cognitive-behavioural treatment of posttraumatic stress disorder in severe mental illness: results of a pilot study. American Journal of Psychiatric Rehabilitation, 7, 170–186.CrossRefGoogle Scholar
Ross, K., Freeman, D., Dunn, G. and Garety, P. (2008). Can Jumping to Conclusions be Reduced in People with Delusions? An experimental investigation of a brief reasoning training module. Presented at the annual meeting of the British Association for Behavioural and Cognitive Psychotherapy, Edinburgh, UK.Google Scholar
Smucker, M. and Boos, A. (2005). Imagery rescripting and reprocessing therapy. In Freeman, A., Stone, M. and Martin, D. (Eds.), Comparative Treatments for Borderline Personality Disorder. New York: Springer.Google Scholar
Steel, C., Fowler, D. and Holmes, E. A. (2005). Traumatic intrusions in psychosis: an information processing account. Behavioural and Cognitive Psychotherapy, 33, 139–152.CrossRefGoogle Scholar
Steel, C., Garety, P., Freeman, D., Craig, E., Kuipers, E., Bebbington, P., Fowler, D. and Dunn, G. (2007). The multi-dimensional measurement of the positive symptoms of psychosis. International Journal of Methods in Psychiatric Research, 16, 88–96.CrossRefGoogle Scholar
Steel, C., Wykes, T., Ruddle, A., Shah, D., Smith, G. and Holmes, E. (2008). The Role of Imagery within Cognitive Training for Interpretation Bias within Schizophrenia. Presented at the annual meeting of the British Association for Behavioural and Cognitive Psychotherapy, Edinburgh, UK.Google Scholar
Tarrier, N. (2006). Case Formulation in Cognitive Behaviour Therapy: the treatment of challenging and complex clinical cases. London: Routledge.CrossRefGoogle Scholar
Trower, P., Birchwood, M., Meaden, A., Byrne, S., Nelson, A., and Ross, K. (2004). Cognitive therapy for command hallucinations: randomised controlled trial. British Journal of Psychiatry, 184, 312–320.CrossRefGoogle ScholarPubMed
Turkington, D., Kingdon, D., Turner, T. and the Insight Group (2002). Effectiveness of a brief cognitive behavioural therapy intervention in the treatment of schizophrenia. British Journal of Psychiatry, 180, 523–528.CrossRefGoogle ScholarPubMed
Vaughan, S. and Fowler, D. (2004). The distress experienced by voice hearers is associated with the perceived relationship between the voice hearer and the voice. British Journal of Clinical Psychology, 43, 143–153.CrossRefGoogle ScholarPubMed
Valmaggia, L., Bouman, T. and Schuurman, L. (2007). Attention training with auditory hallucinations: a case study. Cognitive and Behavioral Practice, 14, 127–133.CrossRefGoogle Scholar
Wykes, T., Hayward, P., Thomas, N., Green, N., Surguladze, S., Fannon, D. and Landau, S. (2005). What are the effects of group cognitive behaviour therapy for voices? A randomised control trial. Schizophrenia Research, 77, 201–210.CrossRefGoogle ScholarPubMed
Wykes, T., Steel, C., Everitt, B. and Tarrier, N. (2008). Cognitive behaviour therapy for schizophrenia: effect sizes, clinical models and methodological rigour. Schizophrenia Bulletin, 34, 523–537.CrossRefGoogle Scholar
Zimmermann, G., Favrod, J., Trieu, V. and Pomini, V. (2005). The effect of cognitive behavioural treatment on schizophrenia spectrum disorders: a meta-analysis. Schizophrenia Research, 77, 1–9.CrossRefGoogle ScholarPubMed
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