Psychological treatment

Question 1

CBT-Evidence for effectiveness

Answer 1

Jauhar: 34 studies CBT w/ Schizophrenia
- small but significant effect on pos. and neg. symptoms
- Pontillo 2016
- reduction in freq. and severity of auditory hallucinations
- recommended by NICE

Question 2

CBT-Quality of evidence

Answer 2

Thomas
diff. studies use diff. CBT techniques with people who have diff. symptoms
- overall modest benefit for CBT conceal wide variety of efgfects of diff. CBT techniques on diff. symptoms
- hard to say how effective CBT will be for specific people w/ schiz.

Question 3

CBT- Cure?

Answer 3

• schiz. appears to be a biological condition
• psychological treatment improves ability to cope but doesn’t cure
• reduction in severity of pos. and neg. symptoms implies it is more than a coping mechanism

Question 4

FT- Evidence of effectiveness

Answer 4

McFarlane
- family therapy very effective
- relapse rate reduced by 50-60%
- particularly promising if used at the start of a mental health decline
- NICE recommends FT for every schiz. diagnosis
- benefits both early and full blown schiz.

Question 5

FT- Benefits whole family

Answer 5

Lobban and Barrowclough 2016 -
- effects are important as families provide bulk of care for schiz. people
- strengthening family function = less negative impact of schiz. on other family members
- strengthens family ability to support schiz. person
- wider benefits beyond positive impact on the identified patient

Question 6

FT - Which matters most

Answer 6

• FT reduces relapse rates so families better able to provide care which has a huge economic benefit
• State doesn’t need to pay as much
• FT significant therapeutic benefit for schiz. and their family
• everyone wins

Question 7

Every Quilt Covers Every Bed Warrmly

Answer 7

Evidence
Quality of Evidence
Cure?
Evidence
Benefit
Which