Judith Lautner (judith) wrote,
Judith Lautner
judith

Brief cognitive behavioural intervention delivered by nurses reduces overall symptoms in schizophrenia

Turkington D, Kingdon D, Turner T. Effectiveness of a brief cognitive-behavioural therapy intervention in the treatment of schizophrenia. British Journal of Psychiatry 2002 June; 180: 523�7.[Abstract/Free Full Text]

QUESTION: Can community psychiatric nurses effectively deliver a brief cognitive behavioural therapy intervention for people with schizophrenia?

Key Words: cognitive behavioural therapy


Design
Randomised controlled trial.

Setting
6 psychiatric secondary care services in England, Ireland, Scotland and Wales.

Participants
422 people with schizophrenia in secondary care (defined using ICD-10 criteria). All were aged 18�65 years (mean 40 years); 23% women; 89% white. Exclusion criteria were deterioration; need for intensive home treatment; primary diagnosis of alcohol or drug dependence; organic brain disease or severe learning disability.

Intervention
Brief cognitive behavioural therapy or usual care. After 10 days of training, the intervention nurses visited patients for up to 6 hour-long sessions over 2�3 months. Carers received 3 optional sessions. All phases of cognitive behavioural therapy were included: assessment and engaging; developing explanations; case formulation; symptom management; adherence; core beliefs, and relapse prevention. Participants and their carers also received educational booklets.

Main outcome measures
Primary outcomes were overall symptoms (measured using Comprehensive Psychopathalogical Rating Scale), insight (Insight Rating Scale) and carer burden (Burden of Care Questionnaire). Secondary outcomes were schizophrenia symptoms (Schizophrenia Change Scale) and depression (Montgomery-Asberg Rating Scale).

Main results
The intervention group had improved overall symptoms, depression and insight (all p<0.05; see table). There was no increase in suicide ideation and no difference between groups in symptoms of schizophrenia or burden of care.

Conclusions
Previous research suggests that interventions delivered by expert cognitive behavioural therapists are beneficial for people with schizophrenia. This study found that community psychiatric nurses can also deliver brief cognitive behavioural interventions safely and effectively.
Subscribe

  • The Jerry Bruckheimer Effect

    I suppose it is the curse of anyone who is musical to be unable to ignore music. I am plagued by the piped in music in stores and I choke when I hear…

  • Adventures Downtown

    Yesterday I went downtown three times. The first time I passed by the pasty place and decided to stop and get one. The second time was to pick up a…

  • (no subject)

    NetworkedBlogs Blog: Judith's Topics: Personal, Mental Illness, Animal Rights Follow my blog

  • Post a new comment

    Error

    Anonymous comments are disabled in this journal

    default userpic

    Your reply will be screened

    Your IP address will be recorded 

  • 0 comments