scholarly journals Cognitive–behavioural techniques for general psychiatrists in the management of patients with psychoses

2000 ◽  
Vol 177 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Douglas Turkington ◽  
David Kingdon

BackgroundRecent research progress showing the benefits of cognitive therapy in schizophrenia leaves the general psychiatrist unsure whether to attempt to use such techniques.AimsTo test whether cognitive–behavioural techniques are beneficial in the management of patients with schizophrenia in general psychiatric practice.MethodA randomised controlled study comparing the use of cognitive–behavioural techniques and befriending in schizophrenia.ResultsSignificant improvement in symptoms occurred in the group treated with cognitive–behavioural techniques but not in the befriending group. During the 6-month follow-up period the cognitive–behavioural group tended to have shorter periods in hospital.ConclusionsGeneral psychiatrists could help their patients with schizophrenia by using cognitive–behavioural techniques. Such techniques are well within the capability of general psychiatrists, but their application would involve more of the consultant's time spent in direct contact with patients with psychoses.

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
L. Bergdahl ◽  
J.-E. Broman ◽  
A. H. Berman ◽  
K. Haglund ◽  
L. von Knorring ◽  
...  

Objective. The most effective nonpharmacological treatment for insomnia disorder is cognitive behavioural therapy-insomnia (CBT-i). However CBT-i may not suit everyone. Auricular acupuncture (AA) is a complementary treatment. Studies show that it may alleviate insomnia symptoms. The aim of this randomised controlled study was to compare treatment effects of AA with CBT-i and evaluate symptoms of insomnia severity, anxiety, and depression.Method. Fifty-nine participants, mean age 60.5 years (SD 9.4), with insomnia disorder were randomised to group treatment with AA or CBT-i. Self-report questionnaires, the Insomnia Severity Index (ISI), Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS-16), Epworth Sleepiness Scale (ESS), and Hospital Anxiety and Depression scale (HAD), were collected at baseline, after treatment, and at 6-month follow-up. A series of linear mixed models were performed to examine treatment effect over time between and within the groups.Results. Significant between-group improvements were seen in favour of CBT-i in ISI after treatment and at the 6-month follow-up and in DBAS-16 after treatment. Both groups showed significant within-group postintervention improvements in ISI, and these changes were maintained six months later. The CBT-i group also showed a significant reduction in DBAS-16 after treatment and six months later.Conclusions. Compared to CBT-i, AA, as offered in this study, cannot be considered an effective stand-alone treatment for insomnia disorder. The trial is registered with ClinicalTrials.govNCT01765959.


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Liv Marit Valen Schougaard ◽  
Caroline Trillingsgaard Mejdahl ◽  
Klaus Hvam Petersen ◽  
Anne Jessen ◽  
Annette de Thurah ◽  
...  

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Elisabetta Costantini ◽  
Massimo Lazzeri ◽  
Alessandro Zucchi ◽  
Raffaella Bruno ◽  
Eleonora Salvini ◽  
...  

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