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A randomized comparison of group cognitive‐behavioural therapy and group psychoeducation in acute patients with schizophrenia: outcome at 24 months
Author(s) -
Bechdolf A.,
Köhn D.,
Knost B.,
Pukrop R.,
Klosterkötter J.
Publication year - 2005
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2005.00581.x
Subject(s) - psychoeducation , randomized controlled trial , medicine , schizophrenia (object oriented programming) , physical therapy , group psychotherapy , cognition , cognitive behavioral therapy , psychiatry , intervention (counseling)
Objective: We compared the effects of a brief group cognitive‐behavioural therapy (CBT) and a group psychoeducational (PE) programme in acute patients with schizophrenia 2 years after treatment. At 6‐month follow‐up, the CBT group had shown significantly less re‐hospitalization rates and on a descriptive level higher compliance with medication. Method: Eighty‐eight in‐patients with acute schizophrenia were randomized to receive a therapy envelope of 8 weeks including either 16 sessions of CBT or eight sessions of PE. Results: From the initial sample, 43 patients (48.9%) completed the 24‐month follow‐up. There were no significant group differences regarding re‐admission, symptoms or compliance with medication. However, on a descriptive level patients who received CBT on average experienced 21.8% less re‐hospitalizations, 71 days less in hospital and higher compliance ratings at the 24‐month follow‐up. Conclusion: The significant advantages of CBT at short‐term follow‐up were lost at long‐term follow‐up. However, on a descriptive level some advantages for CBT remained after 2 years.