Group CBT for Early Psychosis—Are There Still Benefits One Year Later?

Lecomte, Tania; Wykes, Til

doi:10.1521/ijgp.2012.62.2.309

Cited by 31 publications

(24 citation statements)

References 31 publications

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“…The inclusion of non-verbal therapies and more precise statistical techniques may account for this difference. Furthermore, results from this review are not consistent with the notion that group processes can be effective in aiding the restructuring of false beliefs around delusions or hallucinations [15,71] in the treatment of positive symptoms [20,23,26]. As suggested by Wykes et al [7], it might be difficult for therapists to flexibly respond to a wide variety of individual therapeutic needs when addressing positive symptoms in groups.…”

Section: Discussionmentioning

confidence: 66%

Are Group Psychotherapeutic Treatments Effective for Patients with Schizophrenia? A Systematic Review and Meta-Analysis

Orfanos

Banks

Priebe

2015

Psychother Psychosom

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Background: Different psychotherapeutic treatments for schizophrenia are delivered in groups. However, little is known about the effectiveness of these group therapies for people with schizophrenia across different treatments with varying therapeutic orientations. This review aimed to (1) estimate the effect of different group psychotherapeutic treatments for schizophrenia and (2) explore whether any overall ‘group effect' is moderated by treatment intensity, diagnostic homogeneity and therapeutic orientation. Methods: A systematic search of randomised controlled trials exploring the effectiveness of group psychotherapeutic treatments for people with schizophrenia was conducted. Random-effect meta-analyses on endpoint symptom scores compared group psychotherapeutic treatments with treatment as usual and active sham groups. Findings on social functioning were described narratively, and meta-regression analyses on group characteristics were carried out. Results: Thirty-four eligible trials were included. A weak-to-moderate significant between-group difference in favour of group psychotherapeutic treatments was found for negative symptom scores (standard mean difference = -0.37, 95% confidence interval -0.60, -0.14; p < 0.01, I² = 59.8%) only when compared to treatment as usual and not to active sham groups. Improved social functioning was reported as a treatment outcome in the majority of studies compared to treatment as usual. The ‘group effect' on negative symptoms was positively related to ‘treatment intensity' (β = 0.32, standard error = 0.121; p < 0.05). Conclusion: Group psychotherapeutic treatments can improve negative symptoms and social functioning deficits in the treatment of schizophrenia. The effect occurs across different treatments and appears to be non-specific. Future research should identify the underlying mechanisms for the positive effect of participating in groups and explore how they can be maximised to increase the therapeutic benefit.

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Section: Discussionmentioning

confidence: 66%

Are Group Psychotherapeutic Treatments Effective for Patients with Schizophrenia? A Systematic Review and Meta-Analysis

Orfanos

Banks

Priebe

2015

Psychother Psychosom

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“…They found that people in both active treatment groups (CBTp and SST) had significantly improved scores on the BPRS negative symptom scale at post-treatment, but not at the six-month follow-up. At the one-year follow-up, people who received CBTp tended ( p = 0.06) to maintain the improvements in negative symptoms (Lecomte et al, 2012). …”

Section: Social Skills Trainingmentioning

confidence: 99%

“…Of these, 22 were RCTs that reported on negative symptom outcomes (see Table 1). Sixteen of these evaluated individual CBT, four evaluated group CBT, one evaluated a combination of individual and group CBT, and one evaluated group CBT in comparison to social skills training (SST; Lecomte et al, 2008; Lecomte, Leclerc, & Wykes, 2012), which we discuss in the SST section.…”

Section: Cognitive Behavioral Therapymentioning

confidence: 99%

“…We reviewed 21 CBT studies (one additional study of CBT compared to SST is discussed in the SST section; Lecomte et al, 2008, 2012) that included negative symptoms as a treatment outcome. Over half ( n = 12) of the studies compared CBT to an inactive control (TAU or waitlist), and the others ( n = 9) compared CBT to another active treatment.…”

Section: Cognitive Behavioral Therapymentioning

confidence: 99%

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Psychosocial treatments for negative symptoms in schizophrenia: Current practices and future directions

Elis

Caponigro

Kring

2013

Clinical Psychology Review

146

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Schizophrenia can be a chronic and debilitating psychiatric disorder. Though advancements have been made in the psychosocial treatment of some symptoms of schizophrenia, people with schizophrenia often continue to experience some level of symptoms, particularly negative symptoms, throughout their lives. Because negative symptoms are associated with poor functioning and quality of life, the treatment of negative symptoms is a high priority for intervention development. However, current psychosocial treatments primarily focus on the reduction of positive symptoms with comparatively few studies investigating the efficacy of psychosocial treatments for negative symptoms. In this article, we review and evaluate the existing literature on three categories of psychosocial treatments – cognitive behavioral therapy (CBT), social skills training (SST), and combined treatment interventions – and their impact on the negative symptoms of schizophrenia. Of the interventions reviewed, CBT and SST appear to have the most empirical support, with some evidence suggesting that CBT is associated with maintenance of negative symptom improvement beyond six months after treatment. It remains unclear if a combined treatment approach provides improvements above and beyond those associated with each individual treatment modality. Although psychosocial treatments show promise for the treatment of negative symptoms, there are many unanswered questions about how best to intervene. We conclude with a general discussion of these unanswered questions, future directions and methodological considerations, and suggestions for the further development of negative symptom interventions.

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“…38 Entre los pocos estudios que evalúan la efectividad de esta intervención en los síntomas negativos se encuentra el de Valencia et al 29 quienes reportan una disminución de la sintomatología negativa mediante programas de aprendizaje de habilidades sociales con duración de seis meses a un año. Por su parte, Lecomte, Leclerc y Wykes 39 encontraron en su estudio que a pesar de que existió una disminución de la gravedad de los síntomas negativos al momento del postratamiento, estos resultados no se mantuvieron en el seguimiento a 12 meses.…”

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La terapia cognitivo conductual y los síntomas negativos en la esquizofrenia

Vigil

Orellana

García

et al. 2015

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IntroductionSchizophrenia is a health and social problem of great dimensions, affecting not only the patient but their family and social environment. Within the psychotherapeutic approaches for patients with schizophrenia, Cognitive Behavioral Therapy (CBT) has most evidence of effectiveness for different porpoises and stages of the disorder. ObjectiveAnalyze the specific techniques and outcome on negative symptoms of the major CBT for patients with schizophrenia: Psychoeducation, Social Skills Training, Cognitive Remediation, CBT for positive symptoms and Cognitive Behavioral Recovery Oriented Therapy (CBT-R). MethodA searching and analysis of scientific literature published in English and Spanish between 1990 and 2014 were performed in PSYCLIT, MEDLINE, EBSCO-HOST and PROQUEST, employing as key words the names of the different CBT for schizophrenia and the diagnosis. Relevant literature included in review articles was also included. ResultsDespite the advances of CBT, the problems generated by negative symptoms of patients with schizophrenia are not completely solved. Discussion and conclusionCBT-R is considered a promising therapeutic style to achieve the objectives of recovery in patients with low psychosocial functioning and predominance of negative symptomatology.Key words: Cognitive Behavioral Therapy, schizophrenia, negative symptoms, recovery. RESUMEN IntroducciónLa esquizofrenia constituye un problema sanitario y social de grandes dimensiones que afecta no sólo al paciente sino a su entorno familiar y social. Dentro de las aproximaciones psicoterapéuticas dirigidas a pacientes con esquizofrenia, las terapias cognitivo conductuales (TCC) son las que cuentan con mayor evidencia de efectividad para diferentes propósitos y etapas del trastorno. ObjetivoAnalizar las técnicas y efectos específicos sobre síntomas negativos de las principales TCC para pacientes con esquizofrenia: Psicoeducación, Entrenamiento en Habilidades Sociales, Rehabilitación Cognitiva, TCC para Síntomas Positivos y TCC orientada a la Recuperación (TCC-R). MétodoSe llevó a cabo una búsqueda y análisis de literatura científica en PSYCLIT, MEDLINE, EBSCO-HOST y PROQUEST publicada entre 1990 y 2014 en revistas indexadas en inglés y español, utilizando como palabras clave los nombres de las diferentes TCC para la esquizofrenia que se cruzaron en todos los casos con el diagnóstico. Se recopiló también la literatura relevante citada en estos artículos, sobre todo en las revisiones de literatura antecedentes. ResultadosA pesar de los avances que han presentado las TCC en la recuperación de pacientes con diagnóstico de esquizofrenia, los problemas generados por la sintomatología negativa no han sido resueltos por completo. Discusión y conclusiónLa TCC-R se considera un estilo terapéutico prometedor para alcanzar los objetivos de recuperación de los pacientes con bajo funcionamiento psicosocial y predominio de sintomatología negativa.Palabras clave: Terapia cognitivo conductual, esquizofrenia, sínto-mas negativos, recuperación.

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Group CBT for Early Psychosis—Are There Still Benefits One Year Later?

Cited by 31 publications

References 31 publications

Are Group Psychotherapeutic Treatments Effective for Patients with Schizophrenia? A Systematic Review and Meta-Analysis

Are Group Psychotherapeutic Treatments Effective for Patients with Schizophrenia? A Systematic Review and Meta-Analysis

Psychosocial treatments for negative symptoms in schizophrenia: Current practices and future directions

La terapia cognitivo conductual y los síntomas negativos en la esquizofrenia

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