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A systematic review and meta-analysis of low intensity CBT for psychosis
journal contribution
posted on 2023-06-09, 01:11 authored by Cassie Hazell, Mark HaywardMark Hayward, Kate CavanaghKate Cavanagh, Clara StraussClara StraussSixteen sessions of individual cognitive behavior therapy for people with psychosis (CBTp) is recommended. However, access to CBTp is poor, so the potential of low intensity CBTp (fewer than 16 sessions of face-to-face contact) is being explored. A systematic review and meta-analysis was conducted of 10 controlled trials evaluating low intensity CBTp. Significant between-group effects were found on the primary outcome, symptoms of psychosis, at post-intervention (d = - 0.46, 95% CI: - 0.06, - 0.86) and follow-up (d = - 0.40, 95% CI: - 0.06, - 0.74). Study quality did not moderate post-intervention psychosis outcomes, nor did contact time/number of sessions or therapy format (individual versus group). Between-group effects on secondary outcomes (depression, anxiety and functioning) were not significant at post-intervention, but became significant at follow-up for depression and functioning outcomes (but not for anxiety). Overall, findings suggest that low intensity CBTp shows promise with effect sizes comparable to those found in meta-analyses of CBTp more broadly. We suggest that low intensity CBTp could help widen access. Future research is called for to identify mechanisms of change and to ascertain moderators of outcome so that low intensity CBTp targets key mechanisms (so that scarce therapy time is used effectively) and so that interventions offered are matched to patient need.
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Publication status
- Published
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- Published version
Journal
Clinical Psychology ReviewISSN
0272-7358Publisher
ElsevierExternal DOI
Volume
45Page range
183-192Department affiliated with
- Primary Care and Public Health Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2016-05-10First Open Access (FOA) Date
2016-10-04First Compliant Deposit (FCD) Date
2016-10-04Usage metrics
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