Skip to main content
Log in

Comparison of the Effectiveness of Two Cognitive-Behavioral Group Therapy Programs for Schizophrenia: Results of a Short-Term Randomized Control Trial

  • Original paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

This study aimed to compare the effectiveness of two different cognitive-behavioural therapy programs in patients with schizophrenia and clarify which techniques are more effective on psychotic symptoms. With this purpose, 39 schizophrenia outpatients—assessed by independent assessors using Scale for the Assessment of Positive Symptoms, Scale for the Assessment of Negative Symptoms and by researchers using Psychotic Symptoms Rating Scales-were randomly assigned to routine care (RC), RC plus COPE-CBT or RC plus CBT groups. The repeated measures ANOVA results show that there was a significant reduction in the severity and frequency of hallucinations in CBT group and delusions in COPE-CBT group. Both CBT programs were found to be superior to RC group on some measures at post-treatment, as well as 3 months follow-up.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Addington, D., Addington, J., Maticka-Tyndale, E., & Joyce, J. (1992). Reliability and validity of a depression rating scale for schizophrenics. Schizophrenia Research,6(3), 201–208.

    Article  CAS  Google Scholar 

  • Andreasen, N. C. (1982). Negative symptoms in schizophrenia: Definition and reliability. Archives of General Psychiatry,39(7), 784–788.

    Article  CAS  Google Scholar 

  • Andreasen, N. C. (1984). The scale for the assessment of positive symptoms (SAPS). Iowa City: University of Iowa.

    Google Scholar 

  • Andres, K., Pfammatter, M., Fries, A., & Brenner, H. D. (2003). The significance of coping as a therapeutic variable for the outcome of psychological therapy in schizophrenia. European Psychiatry,18(4), 149–154.

    Article  Google Scholar 

  • Barrowclough, C., Haddock, G., Lobban, F., Jones, S., Siddle, R., Roberts, C., et al. (2006). Group cognitive behavioural therapy for schizophrenia: Randomized controlled trial. British Journal of Psychiatry,189, 527–532.

    Article  Google Scholar 

  • Bechdolf, A., Knost, B., Kuntermann, C., Schiller, S., Klosterkötter, J., Hambrecht, M., et al. (2004). A randomized comparison of group cognitive behavioural therapy and group psychoeducation in persons with schizophrenia. Acta Psychiatrica Scandinavica,110, 21–28.

    Article  CAS  Google Scholar 

  • Bechdolf, A., Knost, B., Nelson, B., Schneider, N., Veith, V., Yung, A. R., et al. (2010). Randomized comparison of group cognitive behaviour therapy and group psychoeducation in acute persons with schizophrenia: Effects on subjective quality of life. Australian and New Zealand Journal of Psychiatry,44(2), 144–150.

    Article  Google Scholar 

  • Beck, A. T., & Rector, N. A. (2000). Cognitive therapy for schizophrenia: A new therapy for the new millennium. American Journal of Psychotherapy, 54(3), 291–300.

    Article  CAS  Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry,4, 561–571.

    Article  CAS  Google Scholar 

  • Borras, L., Boucherie, M., Mohr, S., Lecomte, T., Perroud, N., & Huguelet, P. (2009). Increasing self-esteem: Efficacy of a group intervention for individuals with severe mental disorders. European Psychiatry,24(5), 307–316.

    Article  CAS  Google Scholar 

  • Erkoç, Ş., Arkonaç, O., Ataklı, C., & Özmen, E. (1991a). Pozitif belirtileri değerlendirme ölçeğinin güvenilirliği ve geçerliliği. Düşünen Adam,2, 20–24.

    Google Scholar 

  • Erkoç, Ş., Arkonaç, O., Ataklı, C., & Özmen, E. (1991b). Negatif belirtileri değerlendirme ölçeğinin güvenilirliği ve geçerliliği. Düşünen Adam,2, 16–18.

    Google Scholar 

  • Evren, E. C., Evren, B., & Erkıran, M. (2002). Suicidal ideation in schizophrenia: Relationship with positive and negative symptoms, depression and insight. Turkish Journal of Psychiatry,13, 255–264.

    PubMed  Google Scholar 

  • Gumley, A., Karatzias, A., Power, K., Reilly, J., McNay, L., & O’Grady, M. (2006). Early intervention for relapse in schizophrenia: Impact of cognitive behavioral therapy on negative beliefs about psychosis and self-esteem. British Journal of Clinical Psychology,45, 247–260.

    Article  Google Scholar 

  • Haddock, G., McCarron, J., Tarrier, N., & Faragher, E. B. (1999). Scales to measure dimensions of hallucinations and delusions: The psychotic symptom rating scales (PSYRATS). Psychological Medicine,29(4), 879–889.

    Article  CAS  Google Scholar 

  • Halperin, S., Nathan, P., Drummond, P., & Castle, D. (2009). A cognitive–behavioural, group-based intervention for social anxiety in schizophrenia. Australian and New Zealand Journal of Psychiatry,34, 809–813.

    Article  Google Scholar 

  • Hamilton, M. (1956). The assessment of anxiety states by rating. British Journal of Medical Psychology,32(1), 50–55.

    Article  Google Scholar 

  • Heinrichs, D. W., Hanlon, T. E., & Carpenter, W. T., Jr. (1953). The quality of life scale: An instrument for rating the schizophrenic deficit syndrome. Schizophrenia Bulletin,10(3), 388–398.

    Article  Google Scholar 

  • Hisli, N. (1989). Reliability andvalidity of the Beck depression inventory for university students. Turkish Journal of Psychology,7(23), 3–13.

    Google Scholar 

  • Kingdon, D. G., & Turkington, D. (1994). Cognitive behavioral therapy of schizophrenia. New York: The Guilford Press.

    Google Scholar 

  • Kingsep, P., Nathan, P., & Castle, D. (2003). Cognitive-behavioural group treatment for social anxiety in schizophrenia. Schizophrenia Research,63, 121–129.

    Article  Google Scholar 

  • Kuşçu, M. K., Çetinkaya-Duman, Z., Akman, M., Üçok, A., & Göktepe, E. O. (2006). Family centered evaluation of treatment outcome in schizophrenia: Marmara family interview for the assessment of psychiatric treatment. Turkish Journal of Psychiatry,17(3), 192–203.

    PubMed  Google Scholar 

  • Mann, S., & Chong, B. (2004). The effect of symptoms coping program in reducing psychotic symptoms and enhancing functions in Chinese with schizophrenia. American Journal of Psychiatric Rehabilitation,7, 69–82.

    Article  Google Scholar 

  • Moritz, S., Kerstan, A., Veckenstedt, R., Ranjbar, S., Vitzthum, F., Schmidt, C., et al. (2011). Further evidence for the efficacy of a metacognitive group training in schizophrenia. Behaviour Research and Therapy,49, 151–157.

    Article  CAS  Google Scholar 

  • Mortan, O., Tekinsav-Sütcü, S., & German-Köse, G. (2011). A pilot study on the effectiveness of a group-based cognitive-behavioural therapy program for coping with auditory hallucinations. Turkish Journal of Psychiatry,22(suppl. 1), 26–34.

    PubMed  Google Scholar 

  • Mortan-Sevi, O., Tekinsav-Sütcü, S., & Güneş, B. (2016). The assessment of auditory hallucinations and delusions: The reliability and validity of the Turkish version of psychotic symptom rating scales (PSYRATS). Turkish Journal of Psychiatry,27(2), 119–127.

    Google Scholar 

  • Roberts, D. L., Pinkham, A. E., & Penn, D. L. (2006). Schizophrenia. In P. J. Bieling, R. E. McCabe, & M. M. Antony (Eds.), Cognitive therapy in groups. New York: Guilford Press.

    Google Scholar 

  • Soygür, H., Aybaş, M., Hınçal, G., & Aydemir, Ç. (2000). Şizofreni hastaları için yaşam niteliği ölçeği: Güvenirlik ve yapısal geçerlik çalışması. Düşünen Adam,13(4), 204–210.

    Google Scholar 

  • Tarrier, N., Beckett, R., Harwood, S., Baker, A., Yusupoff, L., & Ugarteburu, I. (1993a). A trial of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in persons with schizophrenia: I. Outcome. British Journal of Psychiatry,162, 524–532.

    Article  CAS  Google Scholar 

  • Tarrier, N., Kinney, C., McCarthy, E., Wittkowski, A., Yusupoff, L., Gledhill, A., et al. (2001). Are some types of psychotic symptoms more responsive to cognitive-behaviour therapy. Behavioural and Cognitive Psychotherapy,29, 45–55.

    Article  Google Scholar 

  • Tarrier, N., Sharpe, L., Beckett, R., & Harwood, S. A. (1993b). A trial of two cognitive behavioural methods of treating drug-resistant psychotic symptoms in persons with schizophrenia: II. Treatment specific changes in coping and problem-solving skills. Social Psychiatry and Psychiatric Epidemiology,28(1), 5–10.

    Article  CAS  Google Scholar 

  • Turkington, D., Martindale, B., & Bloch-Thorsen, G. R. (2005). Schizophrenia. In G. O. Gabbard, J. S. Beck, & J. Holmes (Eds.), Oxford textbook of psychotherapy. New York: Oxford University Press.

    Google Scholar 

  • Wykes, T., Hayward, P., Thomas, N., Green, N., Surguladze, S., Fannon, D., et al. (2005). What are the effects of group cognitive behavioural therapy for voices: A randomised controlled trial. Schizophrenia Research,77, 201–210.

    Article  Google Scholar 

  • Wykes, T., Parr, A., & Landau, S. (1999). Group treatment of auditory hallucinations: Exploratory study of effectiveness. British Journal of Psychiatry,175, 180–185.

    Article  CAS  Google Scholar 

  • Yalom, I., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York: Basic Books.

    Google Scholar 

  • Yazıcı, M. K., Demir, B., Tanrıverdi, N., Karaağaoğlu, E., & Yolaç, P. (1998). Hamilton Anksiyete Değerlendirme Ölçeği: Değerlendiriciler arası güvenilirlik ve geçerlilik çalışması. Türk Psikiyatri Dergisi, 9, 114–117.

    Google Scholar 

  • Yung, A. R., Phillips, L. J., Nelson, B., Francey, S. M., PanYuen, H., Simmons, M. B., et al. (2011). Randomized controlled trial of interventions for young people at ultra-high risk for psychosis: 6 month analysis. Journal of Clinical Psychiatry,72(4), 430–440.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Oya Mortan Sevi.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Ethical committee approval was obtained from Bakırköy Mental Health and Illnesses Hospital Ethical Committee, Trial Number: B.10.4.İSM.04.34.26.08-216, İssue: 29506.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mortan Sevi, O., Tekinsav Sutcu, S., Yesilyurt, S. et al. Comparison of the Effectiveness of Two Cognitive-Behavioral Group Therapy Programs for Schizophrenia: Results of a Short-Term Randomized Control Trial. Community Ment Health J 56, 222–228 (2020). https://doi.org/10.1007/s10597-019-00448-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-019-00448-y

Keywords

Navigation