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Intensive cognitive behaviour therapy for chronic schizophrenia

BMJ 1999; 318 doi: (Published 30 January 1999) Cite this as: BMJ 1999;318:331

Specific effect of cognitive behaviour therapy for schizophrenia is not proved

  1. David Curtis, Consultant in psychiatry. (
  1. Royal London Hospital, London E1 1BB
  2. School of Psychiatry and Behavioural Science, University of Manchester, Withington Hospital, Manchester M20 8LR

    EDITOR — Tarrier et al'srandomised controlled trial of intensive cognitive behaviour therapy for patients with chronic schizophrenia seems to show that cognitive behaviour therapy offers advantages over routine care alone. It is not clear, however, that the patients receiving cognitive behaviour therapy did better than a third group, which received non-specific supportive counselling. The outcomes in this group were intermediate between those for the cognitive behaviour therapy and routine care groups and apparently did not differ significantly from either, although the paper is not as clear as it could be on this point.

    This study provides some evidence …

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