Pages: 1 2
Next
The ABCs of Cognitive-Behavioral Therapy for Schizophrenia
By Lars Hansen MD, David Kingdon, MD, and Douglas Turkington, MD | 20 June 2006
________________________________________
Cognitive-behavioral therapy (CBT) in schizophrenic disorder was originally developed to provide additional treatment for residual symptoms, drawing on the principles and intervention strategies antecedently developed for anxiety and notion. In the 1950s, Aaron Beck1 had already treated a psychotic patient with a cognitive approach, but thenceforth the research in this specific area lay sleeping for decades. Only after cognitive therapy had been firmly established for depression and anxiety, in the 1990s, did the research into psychological treatments for psychotic conditions gather agitateâ€"again, with Beck in the forefront.
Pharmacologic therapy can leave as legion(predicate) as 60% of psychotic patients with persistent positive and disconfirming symptoms, even when the patients are compliant with their medication instructions.2 Furthermore, medication conformance remains a major problem despite the innovation of modern atypical antipsychotics. Studies have shown treatment discontinuation in an estimated 74% of patients in both outpatient and inpatient settings.
3
The indorse for the efficaciousness of CBT in treating patients with persistent symptoms of schizophrenic disorder has progressed from case studies, case series, and uncontrolled trials to methodologically rigorous, randomized, controlled trials that include patients from both the acute4 and the chronic end of the schizophrenia spectrum.5-7 Subsequent meta-analysis8 and systematic reviews have further strengthened the evidence base.
CBT is now recognized as an effective intervention for schizophrenia in clinical guidelines developed in the United States9 and in Europe.10 In spite of the evidence base and absence of locating effects, however, the general availability of this treatment approach within...If you want to stir up a full essay, order it on our website: Orderessay
If you want to get a full essay, wisit our page: write my essay .
No comments:
Post a Comment