Cognitive behaviour therapy

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7119.1376 (Published 22 November 1997) Cite this as: BMJ 1997;315:1376

Review was unsystematic

  1. Michael Sharpe, Senior lecturer in psychological medicinea,
  2. Simon Wessely, Professor of epidemiological and liaison psychiatryb
  1. a University of Edinburgh, Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh EH10 5HF
  2. b Department of Psychological Medicine, King's College Hospital, London SE5 9RS
  3. c Swedish Council on Technology Assessment in Health Care, Postbox 16158, S-103 24 Stockholm, Sweden

    Editor—Cognitive behaviour therapy has an established place within psychiatry1 and is now beginning to make an important contribution to general medicine. Enright's review was disappointing in its coverage of these non-psychiatric applications of cognitive behaviour therapy.

    Despite the author's claim that the review was based on a complete survey of the literature the non-psychiatric applications were addressed only briefly. Readers were instead referred to an unsystematic and incomplete list of trials. For example, this list omitted a well conducted randomised trial of cognitive behaviour therapy for medically unexplained symptoms published recently in the BMJ.2

    The summary comments on these trials were subjective and potentially misleading. For …

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