A randomized comparison of group cognitive-behavioural therapy and group psychoeducation in patients with schizophrenia
Version of Record online: 28 MAY 2004
Acta Psychiatrica Scandinavica
Volume 110, Issue 1, pages 21–28, July 2004
How to Cite
Bechdolf, A., Knost, B., Kuntermann, C., Schiller, S., Klosterkötter, J., Hambrecht, M. and Pukrop, R. (2004), A randomized comparison of group cognitive-behavioural therapy and group psychoeducation in patients with schizophrenia. Acta Psychiatrica Scandinavica, 110: 21–28. doi: 10.1111/j.1600-0447.2004.00300.x
- Issue online: 28 MAY 2004
- Version of Record online: 28 MAY 2004
- Accepted for publication January 8, 2004
- psychosocial intervention;
- cognitive-behaviour therapy
Objective: Although the efficacy of cognitive-behavioural therapy (CBT) in schizophrenia has been established in a number of studies, no information is available on the differential efficacy of CBT in comparison with patient psychoeduction (PE).
Method: Eighty-eight in-patients with schizophrenia were randomized to receive a therapy envelope of 8 weeks including either 16 sessions group CBT or 18 sessions group PE treatment. Assessments took place at baseline, post-treatment and 6 month follow-up.
Results: Patients, who received CBT were significantly less rehospitalized than patients in the PE group during the follow-up period. On a descriptive level, CBT resulted in lower relapse rates and higher compliance ratings at post-treatment and at follow-up than PE. Both forms of therapy led to significant psychopathological improvement at post-treatment and at follow-up.
Conclusion: The brief group CBT intervention showed some superiority to the PE programme, which could be of considerable clinical and economical importance.