Non biological treatment for SZ: CBT

Question 1

Who conducted and meta analysis of high quality studies of CBT (randomised controlled trials)?

What did they find?

Answer 1

NICE (2014) (National Institute for Health Care Excellence)

Support for CBT - they found that hospitalisation rates had dropped, time spent in hospital was reduced and symptom severity reduced.

Question 2

Who provided support from studies of drug resistant clients?

Answer 2

Kuipers et al (1997)

Drug resistant clients improved when given CBT targeting their delusions and hallucinations.

This is useful for patients that do not respond to rug treatment as there is a second treatment available.

Question 3

Who conducted a study and found that CBT did not reduce symptoms or prevent relapse?

Answer 3

McKenna and Kingdon (2014)

Compared CBT with a routine treatment and found that CBT was only superior in two out of nine trials.

Question 4

What application value does CBT have?

Answer 4

It is used to develop independent living skills. It can improve a person’s quality of life by discussing and developing personal and social skills. It is a more long lasting solution than drug treatment.

Question 5

How does CBT fit in with issues and debates?

Answer 5

Ethics

Challenging a person’s delusions can be distressing so must be managed with sensitivity (avoiding psychological harm).