Schizophrenia Research
Volume 43, Issue 2 , Pages 71-90 , 16 June 2000

Cognitive behavioral psychotherapy for schizophrenia: a review of recent empirical studies

Received 15 March 1999 ,Accepted 13 July 1999.

References 

  1. Alford BA. Behavioral treatment of schizophrenia delusions: a single case experimental analysis. Behav. Ther. 1986;17:637–644
  2. Alford BA, Beck AT. Cognitive therapy of delusional beliefs. Behav. Res. Ther. 1994;32:369–380
  3. Alford BA, Correia CJ. Cognitive therapy of schizophrenia: theory and empirical status. Behav. Ther. 1994;25:17–33
  4. Ayllon T, Haughton E. Modification of symptomatic verbal behavior of mental patients. Behav. Res. Ther. 1964;2:87–97
  5. Ayllon T, Azrin N. The Token Economy: A Motivational System for Therapy and Rehabilitation. New York: Appleton-Century-Crofts; 1968;
  6. Barlow DH. Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic. New York: Guilford; 1988;
  7. Basco M, Rush A. Cognitive-behavioral Treatment of Manic-depressive Disorder. New York: Guilford; 1995;
  8. Beck AT. Successful outpatient psychotherapy of a chronic schizophrenic with a delusion based on borrowed guilt. Psychiatry. 1952;15:305–312
  9. Beck AT. Cognitive Therapy and the Emotional Disorders. New York: International Universities Press; 1976;
  10. Beck A, Rush A, Shaw B, Emery G. Cognitive Therapy of Depression. New York: Guilford; 1979;
  11. Beck AT, Freeman A  Associates . Cognitive Therapy of Personality Disorders. New York: Guilford; 1990;
  12. Beck AT, Rector NA. Cognitive therapy for schizophrenic patients. Harvard Ment. Hlth Lett. 1998;15
  13. Bentall RP, Haddock G, Slade PD. Cognitive behavior therapy for persistent auditory hallucinations: from theory to therapy. Behav. Ther. 1994;25:51–66
  14. Bentall RP, Kinderman P, Kaney S. The self, attributional processes and abnormal beliefs: towards a model of persecutory delusions. Behav. Res. Ther. 1994;32:331–341
  15. Blanchard JJ, Neale JM. The neuropsychological signature of schizophrenia: generalized or differential deficit?. Am. J. Psychiatry. 1994;151:40–48
  16. Bouchard S, Vallieres A, Roy M, Maziade M. Cognitive restructuring in the treatment of psychotic symptoms in schizophrenia: a critical analysis. Behav. Ther. 1996;27:257–277
  17. Braff DL, Heaton R, Kuck J, Cullum M, Moranville J, Grant I, et al. The generalized pattern of neuropsychological deficits in outpatients with chronic schizophrenia and heterogeneous Wisconsin Card Sorting Test results. Arch. Gen. Psychiatry. 1991;48:891–898
  18. Brenner HD, Hodel B, Roder V, Corrigan PW. Treatment of cognitive dysfunction and behavioral deficits in schizophrenia. Schizophr. Bull. 1992;18:21–26
  19. Brett-Jones JR, Garety PA, Hemsley DR. Measuring delusional experiences: A method and its application. Br. J. Clin. Psychol. 1987;26:257–265
  20. Brier A, Strauss JS. Self-control in psychotic disorders. Arch. Gen. Psychiatry. 1983;40:1141–1145
  21. Buchanan A, Reed A, Wesself S, Garett P, Taylor P, Grubin D, et al. Acting on delusions II: the phenomenological correlates of acting on delusions. Br. J. Psychiatry. 1993;163:77–81
  22. Buchkremer G, Klingberg S, Holle R, Schulze MH, Hornung WP. Psychoeducational psychotherapy for schizophrenic patients and their key relatives or care-givers: results of a 2-year follow-up. Acta Psychiatr. Scand. 1997;96:483–491
  23. Bustillo JR, Lauriello J, Keith SJ. Schizophrenia: Improving outcome. Harvard Rev. Psychiatry. 1999;6:229–240
  24. Chadwick P, Birchwood M. The omnipotence of voices: A cognitive approach to auditory hallucinations. Br. J. Psychiatry. 1994;164:190–201
  25. Chadwick P, Birchwood M, Trower P. Cognitive Therapy for Delusions, Voices and Paranoia. Chichester, UK: Wiley; 1996;
  26. Chadwick PDJ, Lowe CF. Measurement and modification of delusional beliefs. J. Consult. Clinical Psychol. 1990;58:225–232
  27. Chadwick PDJ, Lowe CF. A cognitive approach to measuring and modifying delusions. Behav. Res. Ther. 1994;32:355–367
  28. Chadwick PDJ, Lowe CF, Horne PJ, Higson PJ. Modifying delusions: The role of empirical testing. Behav. Ther. 1994;25:35–49
  29. Coursey RD, Keller A, Farrell EW. Individual psychotherapy and persons with serious mental illness: The client's perspective. Schizophr. Bull. 1995;21:283–301
  30. Davidson L, McGlashan TH. The varied outcomes of schizophrenia. Can. J. Psychiatry. 1997;42:34–43
  31. Dickerson FB, Boronow JJ, Ringel N, Parente F. Lack of insight among outpatients with schizophrenia. Psychiatr. Serv. 1997;48:195–199
  32. Drury V, Birchwood M, Cochrane R, MacMillan F. Cognitive therapy and recovery from acute psychosis: a controlled trial. I. Impact on psychotic symptoms. Br. J. Psychiatry. 1996;169:593–601
  33. Drury V, Birchwood M, Cochrane R, MacMillan F. Cognitive therapy and recovery from acute psychosis: a controlled trial. II. Impact on recovery time. Br. J. Psychiatry. 1996;169:602–607
  34. Drury V. Follow-up to study of CBT in acute schizophrenia. Schizophrenia Conf., Beck Institute, Philadelphia, PA. 1999;
  35. Edwards J, Maude D, McGorry P, Cocks J, Burnett P, Davern M, et al. Treatment of enduring positive symptoms in first-episode psychosis: A randomized controlled trial of CBT and clozapine. Schizophr. Res. 1999;36:278
  36. Ellis A. Reason and Emotion in Psychotherapy. New York: Lyle Stuart; 1962;
  37. Fenton WS, McGlashan TH. We can talk: Individual psychotherapy for schizophrenia. Am. J. Psychiatry. 1997;154:1993–1995
  38. Fenton WS. Evolving perspectives on individual psychotherapy for schizophrenia. Schizophr. Bull. 1999;in press
  39. Fowler D, Garety P, Kuipers E. Cognitive Behaviour Therapy for Psychoses: Theory and Practice. Chichester, UK: Wiley; 1995;
  40. Fowler D, Garety P, Kuipers E. Vulnerability-stress models of psychotic illness and their clinical implications. In: Cognitive Behaviour Therapy for Psychoses: Theory and Practice. Chichester, UK: Wiley; 1995;p. 15–25
  41. Frith CD. The Cognitive Neuropsychology of Schizophrenia. Hove, UK: Erlbaum; 1992;
  42. Garety PA, Kuipers L, Fowler D, Chamberlain F, Dunn G. Cognitive behavioural therapy for drug-resistant psychosis. Br. Med. J. 1994;67:259–271
  43. Garety P, Fowler D, Kuipers E, Freeman D, Dunn G, Bebbington P, et al. London–East Anglia randomised controlled trial of cognitive-behavioural therapy for psychosis. II. Predictors of outcome. Br. J. Psychiatry. 1997;171:420–426
  44. In:  Garfield SL,  Bergin AE editor. Handbook of Psychotherapy and Behavior Change. New York: Wiley; 1978;
  45. Glynn S. The token economy: Progress and pitfalls over 25 years. Behav. Mod. 1990;14:383–407
  46. Gunderson JG, Frank AF, Katz HM, Vannicelli ML, Frosch JP, Knapp PH. Effects of psychotherapy in schizophrenia: II. Comparative outcome of two forms of treatment. Schizophr. Bull. 1984;10:564–598
  47. Haddock G, Bentall RP, Slade PD. Psychological treatment of auditory hallucinations: Focusing or distraction?. In:  Haddock G,  Slade P editor. Cognitive-behavioural Interventions with Psychotic Disorders. London: Routledge; 1996;p. 45–70
  48. Haddock G, Morrison AP, Hopkins R, Lewis Shon, Tarrier N. Individual cognitive-behavioural interventions in early psychosis. Br. J. Psychiatry. 1998;172(Suppl. 33):101–106
  49. Haddock G, Slade PD, Bentall RP, Reid D, Faragher EB. A comparison of the long-term effectiveness of distraction and focusing in the treatment of auditory hallucinations. Br. Med. J. 1998;71:339–349
  50. Haddock G, Tarrier N, Spaulding W, Yusupoff L, Kinney C, McCarthy E. Individual cognitive-behavioral therapy in the treatment of hallucinations and delusions: A review. Clin. Psychol. Rev. 1998;18:821–838
  51. Haddock G, Tarrier N, Morrison AP, Hopkins R, Drake R, Lewis S. A pilot study evaluating the effectiveness of individual inpatient cognitive-behavioural therapy in early psychosis. Soc. Psychiatry Psychiatr. Epidemiol. 1999;34:254–258
  52. Himadi B, Osteen F, Kaiser AJ, Daniel K. Assessment of delusional beliefs during the modification of delusional verbalizations. Behav. Resid. Treat. 1991;6:355–366
  53. Hogarty GE, Kornblith SJ, Greenwald D, DiBarry AL, Cooley S, Ulrich RF, et al. Three-year trials of personal therapy among schizophrenic patients living with or independent of family, I: description of study and effects of relapse rates. Am. J. Psychiatry. 1997;154:1504–1513
  54. Hole RW, Rush AJ, Beck AT. A cognitive investigation of schizophrenic delusions. Psychiatry. 1979;42:312–319
  55. Jackson H, McGorry P, Edwards J, Hulbert C, Henry L, Francey S, et al. Cognitively-oriented psychotherapy for early psychosis (COPE): preliminary results. Br. J. Psychiatry. 1998;172(Suppl. 33):93–100
  56. Jackson HJ, Edwards J, Hulbert C, McGorry PD. Recovery from psychosis: psychological interventions. In:  McGorry PD,  Jackson HJ editor. Recognition and Management of Early Psychosis: A Preventive Approach. Cambridge: Cambridge University Press; 1999;
  57. James DAE. The experimental treatment of two cases of auditory hallucinations. Br. J. Psychiatry. 1983;143:515–516
  58. Johnson DAW. Peer review of ‘Cognitive therapy and recovery from acute psychosis’. Br. J. Psychiatry. 1996;169:608–609
  59. Jones C, Cormac I, Mota J, Campbell C. Cognitive behavior therapy for schizophrenia (Cochrane Review). In: The Cochrane Library. Issue 4:Oxford Update Software; 1998;
  60. Kane JM, McGlashan TH. Treatment of schizophrenia. The Lancet. 1995;346:820–825
  61. Kates J, Rockland LH. Supportive psychotherapy of the schizophrenic patient. Am. J. Psychother. 1994;48:543–561
  62. Kemp R, David A, Hayward P. Compliance therapy: an intervention targeting insights and treatment adherence in psychotic patients. Behav. Cog. Psychother. 1996;24:331–350
  63. Kemp R, Hayward P, Applewhaite G, Everitt B, David A. Compliance therapy in psychotic patients: randomized controlled trial. Br. Med. J. 1996;312:345–349
  64. Kingdon DG, Turkington D. The use of cognitive behavior therapy with a normalizing rationale in schizophrenia: preliminary report. J. Nerv. Ment. Dis. 1991;179:207–211
  65. Kingdon DG, Turkington D. Cognitive-behavioral Therapy of Schizophrenia. New York: Guilford; 1994;
  66. Knapp M, Healey A. Economic evaluation of psychological treatment for schizophrenia. In:  Wykes T,  Tarrier N,  Lewis S editor. Outcome and innovation in psychological treatment of schizophrenia. Chichester, UK: Wiley; 1998;p. 259–282
  67. Kopelwicz A, Liberman RP. Biobehavioral treatment and rehabilitation of schizophrenia. Harvard Rev. Psychiatry. 1995;3:55–64
  68. Kuipers E. The management of difficult to treat patients with schizophrenia, using non-drug therapies. Br. J. Psychiatry. 1996;169(Suppl. 31):41–51
  69. Kuipers E, Garety P, Fowler D, Dunn G, Bebbington P, Freeman D, et al. London–East Anglia randomised controlled trial of cognitive-behavioural therapy for psychosis. I. effects of the treatment phase. Br. J. Psychiatry. 1997;171:319–327
  70. Kuipers E, Fowler D, Garety P, Chisholm D, Freeman D, Dunn G, et al. London–East Anglia randomised controlled trial of cognitive-behavioural therapy for psychosis. III. follow-up and economic evaluation at 18 months. Br. J. Psychiatry. 1998;173:61–68
  71. Lewis S, Tarrier N, Haddock G, Bentall RP, Kinderman P. Cognitive-behaviour Therapy in Early Schizophrenia. Medical Research Council Grant Application. 1995;
  72. Liberman RP, Wallace CJ, Blackwell G, Kopelowicz A, Vaccaro JV, Mintz J. Skills training versus psychosocial occupational therapy for persons with persistent schizophrenia. Am. J. Psychiatry. 1998;155:1087–1091
  73. Linehan M, Armstrong H, Suarez A, Allmon D, Heard H. Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Arch. Gen. Psychiatry. 1991;48:1060–1064
  74. Lowe CF, Chadwick PDJ. Verbal control of delusions. Behav. Ther. 1990;21:461–479
  75. McGlashan TH. What has become of the psychotherapy of schizophrenia?. Acta Psychiatr. Scand. 1994;90(Suppl. 384):147–152
  76. McNally SE, Goldberg JO. Natural cognitive coping strategies in schizophrenia. Br. J. Med. Psychol. 1997;70:159–167
  77. May PRA. Treatment of Schizophrenia: A Comparative Study of Five Treatment Methods. New York: Science House; 1968;
  78. Mechanic D. Emerging trends in mental health policy and practice. Hlth Affairs. 1998;17:82–98
  79. Mueser KT, Drake RE, Bond GR. Recent advances in psychiatric rehabilitation for patients with severe mental illness. Harvard Rev. Psychiatry. 1997;5:123–137
  80. Nuechterlein KH, Subotnik KL. The cognitive origins of schizophrenia and prospects for intervention. In:  Wykes T,  Tarrier N,  Lewis S editor. Outcome and Innovation in Psychological Treatment of Schizophrenia. Chichester, UK: Wiley; 1998;p. 43–58
  81. Patterson RC, Teigen JR. Conditioning and post-hospital generalization of nondelusional responses in a chronic psychotic patient. J. Appl. Behav. Anal. 1973;6:65–70
  82. Paul GL, Lentz RJ. Psychosocial Treatment of Chronic Mental Patients: Milieu vs. Social Learning Programs. Cambridge, MA: Harvard University Press; 1977;
  83. Penn DL, Mueser KT. Research update on psychosocial treatment of schizophrenia. Am. J. Psychiatry. 1996;153:607–617
  84. Perris C. Cognitive Therapy with Schizophrenic Patients. New York: Guilford; 1989;
  85. Perry A, Tarrier N, Morriss R, McCarthy E, Limb K. A randomised controlled trial of teaching bipolar patients to identify early symptoms of relapse and obtain early treatment. Br. Med. J. 1999;318:149–153
  86. Scott J. Cognitive therapy of affective disorders: A review. J. Affect. Dis. 1996;37:1–11
  87. Scott J, Wright JH. Cognitive therapy for chronic and severe mental disorders. In:  Dickstein LJ,  Riba MB,  Oldham JM editor. Review of Psychiatry. Vol. 16:Washington, DC: American Psychiatric Press; 1997;p. 135–170
  88. Scott JE, Dixon LB. Psychological interventions for schizophrenia. Schizophr. Bull. 1995;21:621–630
  89. Sensky T, Siddle R, O'Carroll M, Scott J, Turkington D, Kingdon D, et al. A randomized controlled trial of cognitive behaviour therapy in the management of treatment-resistant schizophrenia. Schizophr. Res. 1998;29:164
  90. Sensky, T., Turkington, D., Kingdon, D., A randomised controlled trial of cognitive-behavioural therapy for persistent symptoms of schizophrenia resistant to medication. Submitted for publication.
  91. Shepherd M, Watt D, Falloon I, Smeeton N. The natural history of schizophrenia: a five year follow-up of outcome and predictors in a representative sample of schizophrenics. Psychol. Med. Monogr. Suppl. 1989;15:1–46
  92. Spaulding W, Reed D, Storzbach D, Sullivan M, Weiler M, Richardson C. The effects of a remediational approach to cognitive therapy in schizophrenia. In:  Wykes T,  Tarrier N,  Lewis S editor. Outcome and Innovation in Psychological Treatment of Schizophrenia. Chichester, UK: Wiley; 1998;p. 145–160
  93. Startup M, Jackson M. A Controlled Trial of Cognitive-behaviour Therapy for Schizophrenia and Related Disorders (Unpublished protocol). 1999;
  94. Strauss JS. Hallucinations and delusions as points on continua function: Rating scale evidence. Arch. Gen. Psychiatry. 1969;21:581–586
  95. Strauss JS. Subjective experiences of schizophrenia: toward a new dynamic psychiatry. Schizophr. Bull. 1989;15:179–187
  96. Tarrier N. Management and modification of residual positive psychotic symptoms. In:  Birchwood M,  Tarrier N editor. Innovations in the Psychological Management of Schizophrenia: Assessment, Treatment and Services. Chichester, UK: Wiley; 1992;p. 147–169
  97. Tarrier N, Beckett R, Harwood S, Baker A, Yusupoff L, Ugarteburu I. A trial of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: I. outcome. Br. J. Psychiatry. 1993;162:524–532
  98. Tarrier N, Sharpe L, Beckett R, Harwood S, Baker A, Yusupoff L. A trial of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: II. treatment-specific changes in coping and problem-solving skills. Soc. Psychiatry Psychiatr. Epidemiol. 1993;28:5–10
  99. Tarrier N, Yusupoff L, Kinney C, McCarthy E, Gledhill A, Haddock G, et al. Randomised controlled trial of intensive cognitive behaviour therapy for patients with chronic schizophrenia. Br. Med. J. 1998;317:303–307
  100. Tarrier N, Wittkowski A, Kinney C, McCarthy E, Morris J, Humphreys L. The durability of the effects of cognitive-behaviour therapy in the treatment of chronic schizophrenia: twelve months follow-up. Br. J. Psychiatry. 1999;174:500–504
  101. Tarrier, N., Kinney, C., McCarthy, E., Wittkowski, A., Yusupoff, L., Gledhill, A., Morris, J., Humphreys, L., The cognitive-behavioural treatment of persistent symptoms in chronic schizophrenia: are some types of psychotic symptoms more responsive to cognitive-behaviour therapy? Submitted for publication.
  102. Valmaggia LR, Slooff CJ. Cognitive Behaviour Therapy for Persistent Positive Symptoms of Schizophrenia (Unpublished protocol). 1998;
  103. Watts FN, Powell GE, Austin SV. The modification of abnormal beliefs. Br. Med. J. 1973;46:359–363
  104. Wykes T, Parr A-M, Landau S. Group treatment for auditory hallucinations: An exploratory study of effectiveness. Br. J. Psychiatry. 1999;175:180–185
  105. Zubin J, Spring B. Vulnerability — a new view on schizophrenia. J. Abnorm. Psychol. 1977;86:103–126

PII: S0920-9964(99)00153-X

Schizophrenia Research
Volume 43, Issue 2 , Pages 71-90 , 16 June 2000