Early intervention for relapse in schizophrenia: results of a 12-month randomized controlled trial of cognitive behavioural therapy

Abstract

Background. The paper describes a randomized controlled trial of targeting cognitive behavioural therapy (CBT) during prodromal or early signs of relapse in schizophrenia. We hypothesized that CBT would result in reduced admission and relapse, reduced positive and negative symptoms, and improved social functioning.

The early warning symptom intervention for patients with bipolar affective disorder

“…org.uk). Fortunately, there is growing evidence for the effectiveness of similar interventions v. treatment as usual for patients with a relapsing remitting form of schizophrenia (as opposed to chronic unremitting schizophrenia) (Herz et al, 2000;Gumley et al, 2003). Consequently, NHS purchasers and providers may be persuaded to finance the intervention for all patients with serious mental illness in the UK under the assertive outreach, crisis team and early intervention for psychosis initiatives of the NHS plan.…”

Helping patients with paranoid and suspicious thoughts: a cognitive–behavioural approach

“…In acute psychosis, there is evidence that CBT can speed time to recovery (Drury et al, 1996;Lewis et al, 2002). Furthermore, there is a small amount of evidence that some forms of CBT may reduce relapse rates (Gumley et al, 2003). The intervention is certainly popular with patients.…”

Psychodynamic contributions to early intervention in psychosis

“…Factors that are helpful or exacerbating at such times are identified and strategies devised for implementation of ameliorating factors. Gumley et al (2003) andJ. Smith (2004, personal communication) have demonstrated convincingly the effectiveness of such measures.…”