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Titolo:
Efficacy of individualized cognitive-behavioral therapy for schizophrenic patients with negative symptoms and social disabilities: a controlled trial
Autore:
Bailer, J; Takats, I; Westermeier, C;
Indirizzi:
Zent Inst Seel Gesundheit, Abt Klin Psychol, D-68159 Mannheim, Germany Zent Inst Seel Gesundheit Mannheim Germany D-68159 159 Mannheim, Germany
Titolo Testata:
ZEITSCHRIFT FUR KLINISCHE PSYCHOLOGIE UND PSYCHOTHERAPIE
fascicolo: 4, volume: 30, anno: 2001,
pagine: 268 - 278
SICI:
1616-3443(2001)30:4<268:EOICTF>2.0.ZU;2-9
Fonte:
ISI
Lingua:
GER
Keywords:
schizophrenia; cognitive-behavioral therapy; negative symptoms; social disability;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Bailer, J Zent Inst Seel Gesundheit, Abt Klin Psychol, J 5, D-68159 Mannheim, Germany Zent Inst Seel Gesundheit J 5 Mannheim Germany D-68159 Germany
Citazione:
J. Bailer et al., "Efficacy of individualized cognitive-behavioral therapy for schizophrenic patients with negative symptoms and social disabilities: a controlled trial", Z KLIN P P, 30(4), 2001, pp. 268-278

Abstract

Background: Antipsychotic medication is often effective in treating positive symptoms in schizophrenia, but many patients, even those who benefit from newer antipsychotic drugs, continue to have negative symptoms and social disabilities. Therefore, adequate clinical treatment should include evidence-based psychosocial interventions to improve outcomes. Objective: To examine the beneficial effects of combining individualized cognitive-behavioral therapy (CBT) and pharmacological treatment on negative symptoms and socialdisabilities. Methods: A cross-over design was used to compare the efficacy of additional CBT with that of 'routine treatment' (RT, standard medication alone). During the first 3 months, group 1 (N = 20) received 24 sessionsCBT plus RT, followed by 3 months RT. Group 2 (N = 19) received at first 3months RT, followed by 3 months CBT+RT. Results: Patients in the CBT+PR condition (group 1) overall had significantly higher levels of improvement compared with those in the RT condition (group 2), and the gains obtained in the CBT+RT-phase could be maintained until the 3-months follow-up. The beneficial effects of additional CBT on negative symptoms and social disabilities could be replicated in group 2. Conclusions: Additional CBT may improve outcomes for schizophrenic outpatients with negative symptoms and social disabilities.

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Documento generato il 22/01/20 alle ore 19:06:00