In this article, I will discuss the evidence for cognitive behavioral therapy for schizophrenia.
How well do you understand the symptoms of schizophrenia?
Briefly, schizophrenia is a disorder that can severely impair thought processes and can lead to delusions and hallucinations.Antipsychotic medication may be the treatment of choice for this condition, but it is more commonly used in conjunction with psychological therapies.
Cognitive-behavioral therapy is a widely used form of psychotherapy, but the scientific evidence for its effectiveness in treating schizophrenia has been unclear.
As evidence
Based on the conclusions of the experiments conducted to confirm the therapeutic effects, it seems that the therapeutic effects of cognitive behavioral therapy cannot be proven.
The studies were
The study was based on a review of 60 clinical trials involving 5,922 people, and included randomly assigned trials of cognitive behavioral therapy and standard treatment.
Cognitive-behavioral therapy is designed to help people reevaluate themselves, to tolerate their behavior, and to reduce their distress.
The results of these trials showed that symptom recurrence was possible even with long-term interventions, and that the long-term effects were less durable when compared to standard treatment.
The reviewer's comments were.
Currently, the available evidence on the effects of adding CBT to standard treatment for patients with schizophrenia is unclear and insufficient to draw definite conclusions.
Jones C, Hacker D, Xia J, Meaden A, Irving CB, Zhao S, Chen J, Shi C. Cognitive behavioural therapy plus standard care versus standard care for people with schizophrenia. Cochrane Database of Systematic Reviews 2018, Issue 12. Art. No.: CD007964. DOI: 10.1002/14651858.CD007964.pub2
Summary.
Just because the evidence is unclear, it does not mean that cognitive behavioral therapy itself is being rejected.
In the treatment of this syndrome, where long-term interventions are considered, the point that the expectation of long-term effects cannot be obtained is considered to be a point of concern.
However, if a reduction in symptoms can be expected in the short to medium term, it may be a good idea to add it to the usual treatment.
