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Cognitive-Behavioral Treatment of Schizophrenia

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Book cover Comprehensive Treatment of Schizophrenia

Summary

This chapter aims to briefly summarize the background and evidence base for adjunct psychosocial treatments of schizophrenia, with special emphasis on the program of research carried out in Manchester. The research of family interventions and cognitive-behavioral therapy is outlined. It is concluded that there is good evidence for the efficacy of both family intervention and cognitive-behavioral therapy and that their use should become part of established practice in the management of patients suffering from schizophrenia.

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References

  1. NHS Centre for Reviews and Dissemination (1999) Drug treatment for schizophrenia. Effective Health Care 5:1–12

    Google Scholar 

  2. Brown GW, Birley JLT, Wing JK (1972) The influence of family life on the course of schizophrenic disorders: a replication. Br J Psychiatry 121:241–258

    Article  PubMed  CAS  Google Scholar 

  3. Vaughn CE, Leff JP (1976) The influence of family factors and social factors on the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. Br J Psychiatry 129:125–137

    Article  PubMed  CAS  Google Scholar 

  4. Leff JP, Vaughn CE (1985) Expressed emotion in families. Guilford, New York

    Google Scholar 

  5. Kavanagh D (1992) Recent developments in expressed emotion and schizophrenia. Br J Psychiatry 160:601–620

    Article  PubMed  CAS  Google Scholar 

  6. Butzlaff RL, Hooley JM (1998) Expressed emotion and psychiatric relapse: a meta analysis. Arch Gen Psychiatry 55:547–552

    Article  PubMed  CAS  Google Scholar 

  7. Mari JJ, Streiner DL (1994) An overview of family intervention and relapse on schizophrenia: meta analysis of research findings. Psychol Med 24:565–578

    Article  PubMed  CAS  Google Scholar 

  8. Penn DL, Mueser KT (1996) Research update on the psychosocial treatment of schizophrenia. Am J Psychiatry 153:607–617

    PubMed  CAS  Google Scholar 

  9. Tarrier N (1996) A psychological approach to the management of schizophrenia. In: Moscarelli M, Sartorius N (eds) The economics of schizophrenia. Wiley, Chichester

    Google Scholar 

  10. Barrowclough C, Tarrier N (1992, reprinted 1997) Families of schizophrenic patients: a cognitive-behavioural intervention. Chapman & Hall, London

    Google Scholar 

  11. Tarrier N, Barrowclough C, Vaughn C, et al (1988) The community management of schizophrenia: a controlled trial of a behavioural intervention with families. Br J Psychiatry 153:532–542

    Article  PubMed  CAS  Google Scholar 

  12. Tarrier N, Barrowclough C, Vaughn C, et al (1989) The community management of schizophrenia: a controlled trial of a behavioural intervention with families: two year follow-up. Br J Psychiatry 154:625–628

    Article  PubMed  CAS  Google Scholar 

  13. Tarrier N, Barrowclough C, Porceddu K, et al (1994) The Salford Family Intervention project for schizophrenic relapse prevention: five and eight year accumulating relapses. Br J Psychiatry 165:829–832

    Article  PubMed  CAS  Google Scholar 

  14. Tarrier N (1987) An investigation of residual psychotic symptoms in discharged schizophrenic patients. Br J Clin Psychol 26:141–143

    Article  PubMed  Google Scholar 

  15. Falloon IRH, Talbot RE (1981) Persistent auditory hallucinations: coping mechanisms and implications for management. Psychol Med 11:329–339

    Article  PubMed  CAS  Google Scholar 

  16. Breier A, Strauss JS (1983) Self-control in psychotic disorders. Arch Gen Psychiatry 40:1141–1145

    Article  PubMed  CAS  Google Scholar 

  17. Cohen CI, Beck BS (1985) Personal coping styles of schizophrenic outpatients. Hosp Commun Psychiatry 36:407–410

    CAS  Google Scholar 

  18. Carr V (1988) Patient’s techniques for coping with schizophrenia: an exploratory study. Br J Med Psychol 61:339–352

    Article  PubMed  Google Scholar 

  19. Romme M, Escher A (1989) Hearing voices. Schizophr Bull 15:209–216

    CAS  Google Scholar 

  20. Kinney CF (1999) Coping with schizophrenia: the significance of appraisal. Unpublished PhD thesis, Faculty of Medicine, University of Manchester

    Google Scholar 

  21. Zeidner M, Endler NS (1996) Handbook of coping: theory, research and applications. Wiley, Chichester

    Google Scholar 

  22. Bandura A (1977) Self-efficacy: towards a unifying theory of behavior change. Psychol Rev 84:191–215

    Article  PubMed  CAS  Google Scholar 

  23. Nuechterlein KH (1987) Vulnerability models: state of the art. In: Hafner H, Gattaz W, Jangerick W (eds) Searches for the cause of schizophrenia. Springer-Verlag, Berlin

    Google Scholar 

  24. Kanfer FH, Saslow G (1965) Behavioral analysis: an alternative to diagnostic classification. Arch Gen Psychiatry 12:529–538

    Article  PubMed  CAS  Google Scholar 

  25. Haddock G, Tarrier N (1998) Assessment and formulation in the cognitive behavioural treatment of psychosis. In: Tarrier N, Wells A, Haddock G (eds) Treating complex cases: the cognitive behavioural therapy approach. Wiley, Chichester

    Google Scholar 

  26. Lowe CF, Higson PJ (1981) Self-instructional training and cognitive behaviour modification: a behavioural analysis. In: Davey G (ed) Applications of conditioning theory. Methuen, London, pp 162–188

    Google Scholar 

  27. Karoly P, Kanfer FH (1982) Self-management and behaviour change: from theory to practice. Pergamon, New York

    Google Scholar 

  28. Haddock G, Tarrier N, Spaulding W, et al (1998) Individual cognitive-behaviour therapy in the treatment of schizophrenia: a review. Clin Psychol Rev 18:821–838

    Article  PubMed  CAS  Google Scholar 

  29. Tarrier N, Beckett R, Harwood S, et al (1993) A controlled trial of two cognitive behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: 1. Outcome. Br J Psychiatry 162:524–532

    Article  PubMed  CAS  Google Scholar 

  30. Tarrier N, Sharpe L, Beckett R, et al (1993) A controlled trial of two cognitive behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: II. Treatment specific changes in coping and problem solving. Soc Psychiatry Psychiatr Epidemiol 28:5–10

    Article  PubMed  CAS  Google Scholar 

  31. Tarrier N, Yusupoff L, Kinney C, et al (1998) A randomized controlled trial of intensive cognitive behaviour therapy for chronic schizophrenia. BMJ 317:303–307

    Article  PubMed  CAS  Google Scholar 

  32. Sackett D, Richardson WS, Rosenberg W, et al (1997) Evidence-based medicine. Churchill-Livingstone, Edinburgh

    Google Scholar 

  33. Tarrier N, Kinney C, McCarthy E, et al (2001) The cognitive-behavioural treatment of persistent symptoms in chronic schizophrenia: are some types of psychotic symptoms more responsive to cognitive-behaviour therapy? Behav Cogn Psychother 29:45–55

    Article  Google Scholar 

  34. Tarrier N, Yusupoff L, McCarthy E, et al (1998) Some reasons why patients suffering from chronic schizophrenia fail to continue in psychological treatment. Behav Cogn Psychother 26:177–181

    Google Scholar 

  35. Tarrier N, Wittkowski A, Kinney C, et al (1999) The durability of the effects of cognitive behaviour therapy in the treatment of chronic schizophrenia: twelve months follow-up. Br J Psychiatry 174:500–504

    Article  PubMed  CAS  Google Scholar 

  36. Tarrier N, Kinney C, McCarthy E, et al (2000) Two year follow-up of cognitive behaviour therapy and supportive counseling in the treatment of persistent symptoms in chronic schizophrenia. J Consul Clin Psychol 68:917–922

    Article  CAS  Google Scholar 

  37. Kuipers E, Garety P, Fowler D, et al (1997) The London-East Anglia randomized controlled trial of cognitive-behaviour therapy for psychosis. Br J Psychiatry 171:319–325

    Article  PubMed  CAS  Google Scholar 

  38. Kuipers E, Fowler D, Garety P, et al (1998) London-East Anglia randomized controlled trial of cognitive-behavioural therapy for psychosis. HI: Follow-up and economic evaluation. Br J Psychiatry 173:61–69

    Article  PubMed  CAS  Google Scholar 

  39. Sensky T, Turkington D, Kingdon D, et al (2000) Cognitive-behavioural treatment for persistent symptoms in schizophrenia. Arch Gen Psychiatry 57:165–173

    Article  PubMed  CAS  Google Scholar 

  40. Drury V, Birchwood M, Cochrane R, et al (1996) Cognitive therapy and recovery from acute psychosis: I. Impact on psychotic symptoms. Br J Psychiatry 169:593–601

    Article  PubMed  CAS  Google Scholar 

  41. Drury V, Birchwood M, Cochrane R, et al (1996) Cognitive therapy and recovery from acute psychosis: I. Impact on recovery time. Br J Psychiatry 169:602–607

    Article  PubMed  CAS  Google Scholar 

  42. Haddock G, Tarrier N, Morrison AP, et al (1999) A pilot study evaluating the effectiveness of individual inpatient cognitive-behavioural therapy in early psychosis. Soc Psychiatry Psychiatr Epidemiol 34:254–258

    Article  PubMed  CAS  Google Scholar 

  43. Lewis SW, Tarrier N, Haddock G, et al (2000) A randomized controlled trial of cognitive-behavioural therapy in acute early schizophrenia: the Socrates trial. Submitted for publication

    Google Scholar 

  44. Smith J, Hucker S (1994) Schizophrenia and substance abuse. Br J Psychiatry 165:13–21

    Article  PubMed  CAS  Google Scholar 

  45. Barrowclough C, Haddock G, Tarrier N, et al (2001) Randomised controlled trial of motivational interviewing and cognitive behavioural intervention for schizophrenic patients with associated drug and alcohol misuse. Am J Psychiatr (in press)

    Google Scholar 

  46. Miller WR, Rollnick S (1991) Motivational interviewing; preparing people to change addictive behaviour. Guilford Press, New York

    Google Scholar 

  47. Rollnick S, Miller WR (1995) What is motivational interviewing? Behav Cogn Psy-chother 23:325–334

    Article  Google Scholar 

  48. Tarrier N, Barrowclough C, Haddock G, et al (1999) The dissemination of innovative cognitive-behavioural psychosocial treatments for schizophrenia. Journal of Mental Health 8:569–582

    Article  Google Scholar 

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© 2002 Springer-Verlag Tokyo

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Tarrier, N., Barrowclough, C., Haddock, G. (2002). Cognitive-Behavioral Treatment of Schizophrenia. In: Kashima, H., Falloon, I.R.H., Mizuno, M., Asai, M. (eds) Comprehensive Treatment of Schizophrenia. Keio University International Symposia for Life Sciences and Medicine, vol 8. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68514-2_39

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  • DOI: https://doi.org/10.1007/978-4-431-68514-2_39

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68516-6

  • Online ISBN: 978-4-431-68514-2

  • eBook Packages: Springer Book Archive

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