At discharge the patient can be well, have full mental capacity, with greatly
reduced psychotic symptoms, or even none at all.
She says a small, unpublished study done by her group has shown that brain training for people in the early stages of schizophrenia
reduced psychotic symptoms.
Not exact matches
Thus although individual CBT for persistent
psychotic symptoms when added to medication may confer some modest benefits in
reducing emotional distress, 2 and should continue to be offered, it is not efficacious in preventing further relapse among those recovering from a recent relapse.
Reviews of cognitive behaviour therapy in schizophrenia indicate that evaluations are mainly case studies or uncontrolled trials.3 — 5 Four controlled trials have suggested that cognitive behavioural interventions can result in a reduction of
psychotic and associated
symptoms that are resistant to medication in chronic schizophrenia, 6 — 9 and a single trial has shown reduction of
symptoms in acute schizophrenia.10 Although these trials are small and all suffer methodological limitations, particularly a lack of blind assessment, they represent encouraging evidence that cognitive behavioural interventions can have considerable benefits in
reducing persistent hallucinations and delusions.
Giving cognitive behaviour therapy in addition to routine care
reduced positive
psychotic symptoms more than giving routine care alone
The following hypotheses were tested: that the cognitive behaviour therapy would be superior to supportive counselling and routine care, and routine care alone, firstly, in
reducing positive
psychotic symptoms; secondly, in preventing the exacerbation of positive
symptoms and
reducing hospital stay; and, thirdly, by using the convention of the previous study of 50 % improvement in positive
symptoms as an indicator of considerable clinical improvement, 6 in the number of patients achieving such improvement.