Cognitive behavioral therapy in adolescents with early-onset psychosis: a randomized controlled pilot study

Müller, Hendrik; Kommescher, Mareike; Güttgemanns, J.; Wessels, Helen; Walger, Petra; Lehmkuhl, Gerd; Kuhr, Kathrin; Hamacher, Stefanie; Lehmacher, Walter; Müller, Kerstin; Herrlich, Jutta; Wiedemann, Georg; Stösser, Dieter; Klingberg, Stefan; Bechdolf, Andreas

doi:10.1007/s00787-019-01415-4

Cited by 14 publications

(12 citation statements)

References 27 publications

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“…Preliminary evidence is provided for cognitive remediation (CR) efficacy in the first episode or in early schizophrenia, despite more research is needed to confirm the efficacy and the effectiveness of CR in the early course of schizophrenia ( 53 ). Concerning psychotherapy, although cognitive behavioral therapy (CBT) is an established treatment in AOS sample, only one report is currently available targeting early-onset patients ( 54 ). Only preliminary evidence was obtained with psychoeducation interventions ( 24 ), showing lower rates of rehospitalization in a small sample of adolescents with early onset psychosis ( 55 ).…”

Section: Introductionmentioning

confidence: 99%

Patterns of Care for Adolescent With Schizophrenia: A Delphi-Based Consensus Study

et al. 2022

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BackgroundThe current conceptualization of schizophrenia as neurodevelopmental disorder should lead to innovative public health policies in terms of a reorganization of the mental health care systems, particularly in the transition from adolescence to adulthood, to reduce personal, familiar, and social costs and burdens. The purpose of the project was to perform a survey among a panel of Italian schizophrenia experts, to share evidence-based information on adolescent schizophrenia and explore the degree of consensus among professionals in the following four macro-areas: early diagnosis; pharmacological treatment; health care system organization and transition process from adolescent to adulthood; and psychosocial interventions.MethodsThe consensus process consisted of a two-step web-based Delphi method, which took place between June and November 2021. The survey was developed by a panel of four psychiatrists and four child neuropsychiatrists, identified as key opinion leaders (KOLs). The KOLs identified 21 statements involving a total of 70 items with a major need of clarification on early-onset schizophrenia (EOS). The survey was distributed to 86 specialists in psychiatry and child neuropsychiatry.ResultsThe results revealed a large agreement among the expert group on all the investigated areas of adolescent schizophrenia patterns of care and management. Consensus was ultimately reached for 67 items of the Delphi survey (95.7%), while negative consensus was reached for 2 items and no consensus was reached for 1 item.ConclusionsOverall, results showed a significant gap between the acquired scientific knowledge and clinical practice. In this scenario, it should be necessary to plan specific initiatives at a multiple level, to edit recommendations on clinical decision-making, as well as to prompt changes at the political and organizational levels, also involving scientific societies, patients, and family associations, to overcome the barriers that delay the implementation process.

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Section: Introductionmentioning

confidence: 99%

Patterns of Care for Adolescent With Schizophrenia: A Delphi-Based Consensus Study

et al. 2022

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“…7 Cognitive behavioural therapy (CBT) is considered to be an effective treatment for schizophrenia. 8 A large number of researchers in various countries have published clinical research results on CBT for schizophrenia, including the differences between CBT and other psychosocial treatments, 9 10 the influence of drug dose on the efficacy of CBT 11 and comparisons of the efficacy of antipsychotic drugs and CBT. 12 However, there is currently a lack of bibliometric analysis on CBT for schizophrenia.…”

Section: Introductionmentioning

confidence: 99%

Global research on cognitive behavioural therapy for schizophrenia from 2000 to 2019: a bibliometric analysis via CiteSpace

et al. 2021

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BackgroundCognitive behavioural therapy (CBT) is considered to be an effective treatment for schizophrenia. In recent years, researchers have published clinical research results on CBT for schizophrenia. However, there is currently a lack of bibliometric analysis on CBT for schizophrenia.AimsTo understand the current situation and research trends of CBT for schizophrenia, and to provide valuable information for researchers in this field.MethodsLiterature was retrieved from the Web of Science Core Collection database. CiteSpace was used to visually analyse the current status of research on CBT for schizophrenia, as well as trends and points of general interest on this topic.ResultsA total of 1151 papers were retrieved. The annual number of publications has increased 417.65% from 2000 to 2019. Schizophrenia Research was the most active journal. McGorry enjoys considerable influence. The University of London is deemed to be the most active research institution. England and the USA retain the highest scientific productivity in this field. China and Norway might make more contributions to this field in the future. The most important research topics are randomised controlled trials of CBT for schizophrenia, meta-analysis, scale selection and research on the improvement of quality of life. Results from the following keywords ‘psychoeducation’, ‘insomnia’, ‘individual’, ‘mental illness’, ‘major depressive disorder’, ‘efficacy’, ‘internalised stigma’ and ‘remediation’ indicated new research frontiers in this field.ConclusionsThe field of CBT for schizophrenia is progressing and has great potential. The level and quality of research in this field is high. The proposal of research hotspots and frontiers serves as a direction for researchers in this field. Researchers around the world should strengthen their cooperation and communication to promote further development of this field.

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“…However, these results were not fully sustained at the six weeks follow-up [ 11 ]. In another study, significant improvement was reported in “material quality of life” in patients undergoing CBT compared to treatment per usual [ 12 ]. There was an improvement in sleep following a targeted CBT called CBT for insomnia in patients with persistent delusions and hallucinations [ 11 ].…”

Section: Reviewmentioning

confidence: 99%

The Role of Cognitive Behavioral Therapy in the Management of Psychosis

Agbor¹,

Kaur²,

Soomro³

et al. 2022

Cureus

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Cognitive behavioral therapy for psychosis (CBTp) as a modality of treatment is gaining attention. A number of authors have reported their experiences, including challenges, in administering CBTp for psychotic patients. With CBTp still evolving a lot more research is ongoing to fine-tune its benefits while mitigating the limitations to its use. The objectives of this review are to determine the role of CBTp in the overall improvement of a patient's quality of life, ascertain the number of hospitalizations with acute symptoms after the start of CBTp; and address the common drawbacks to CBTp in the management of psychosis. It was found that cognitive behavioral therapy (CBT) use can prevent the first episode of psychosis in ultra-high risk (UHR) and is effective in improving depression, self-esteem, and psychological well-being. Its use was associated with positive changes in thinking and mood, and sleep quality leading to improved everyday life. Patients who underwent CBT had fewer hospitalizations with a higher number of voluntary hospitalizations as compared to patients with usual care, who underwent a higher number of involuntary hospitalizations. Drawbacks included cost-ineffectiveness and resource limitation.

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Cognitive behavioral therapy in adolescents with early-onset psychosis: a randomized controlled pilot study

Cited by 14 publications

References 27 publications

Patterns of Care for Adolescent With Schizophrenia: A Delphi-Based Consensus Study

Patterns of Care for Adolescent With Schizophrenia: A Delphi-Based Consensus Study

Global research on cognitive behavioural therapy for schizophrenia from 2000 to 2019: a bibliometric analysis via CiteSpace

The Role of Cognitive Behavioral Therapy in the Management of Psychosis

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