Evaluate Methods of Modifying Behaviour - Cognitive Behavioural Therapy Flashcards
Evaluate if is an effective form of treatment…
Elizabeth Kuipers et al (1997) randomly allocated 60 individuals with medication resistant symptoms to either a CBT plus standard care condition or a standard care only condition
After nine months 50% of the first group were considered to be improved compared to 31% of the second group
Suggests that CBT is significantly better, even though improvements are only marginal
Evaluate the lack of consistency…
Sameer Jauhar et al (2014) reported only small therapeutic effect from using CBT
Anthony Morrison et al (2014) reported that CBT significantly reduced psychotic symptoms
Initially suggests that CBT is ineffective, however the difference found could be due to Morrison’s cohort having choice and Laws’ having no choice, suggesting that choice is an important confounding variable
Evaluate short-term effectiveness…
Effectiveness seems to be limited to short-term programmes
Nicholas Tarrier et al (2014) studies individuals who received either CBT or standard care, and after eighteen months both groups had the same relapse rate
Noted that those given CBT were less negatively affected by their symptoms suggesting long-term benefits
Evaluate potential for negative experience…
Questioned whether CBT adds negatively to the burden of being diagnosed with schizophrenia
Elizabeth Kuipers et al (1997) reported clients were generally satisfied with their experience of CBT and thought it was an appropriate method
Indicating that reviewing the suitability of a therapy from the client’s perspective is important in assessing the value of the therapy
Evaluate how some limit access to CBT…
Some people working in psychiatric services may not feel that CBT is a viable option
Research reported that of the 142 individuals who had been diagnosed with schizophrenia in a specified time frame, only 49% of them had been referred to CBT
Poses the ethical issue that psychiatric prejudice may be limiting the access to CBT in individuals who could benefit from it
Evaluate if CBT is offered to everyone…
National Audit of Schizophrenia conducted by the Royal College of Psychiatrists (2014) found significant variations in the amount of people with schizophrenia who were being offered CBT
CBT for schizophrenia ranged from 67% to only 14%, with an average of 50% stating that they had not been offered CBT
Contradicts the guidance offered by NICE, and raising teh question of if we really have a National Health Service, shouldn’t everyone have the same access to treatment
Evaluate if CBT is cost effective…
Elizabeth Kuipers et al (1998) analysed the economic impacts of offering CBT, and reported that the costs involved were likely to be offset by the reduced utilisation of service costs in the future
Suggests that long-term costs of CBT being recouped as schizophrenics are less likely to need emergency services, and money can be saved for other treatments
Must remember that the budgets assigned to healthcare trusts often only allow the trust to deal with immediate care requirements
