Cognitive-Behavioral Group Therapy for Schizophrenia

Treatment

DIAGNOSIS: Schizophrenia

TREATMENT: Cognitive-Behavioral Group Therapy for Schizophrenia

BRIEF SUMMARY

Basic premise: "Similar to Cognitive-Behavioral Therapy (CBT) for other types of problems, CBT for schizophrenia involves establishing a collaborative therapeutic relationship, developing a shared understanding of the problem, setting goals, and teaching the person techniques or strategies to reduce or manage their symptoms."
Essence of therapy: "The goal is not to 'cure' schizophrenia, but rather to improve the person’s ability to function independently, manage their schizophrenia, and to reduce the distress they experience in their daily life. Specific CBT approaches used in treating schizophrenia include cognitive restructuring, behavioral experiments / reality testing, self-monitoring and coping skills training. Unique considerations in treating schizophrenia include emphases on being non-confrontational and on normalizing psychotic experiences insomuch as they are on a continuum with non-psychotic experiences. CBT for schizophrenia can focus specifically on psychotic symptoms (i.e. hallucinations or delusional beliefs) but has also been shown to be helpful for addressing depression and / or anxiety associated with psychotic symptoms and their impact on the person’s life."

Cognitive behavioral therapy (CBT) for schizophrenia. (2016). Div12.org. Retrieved October 29, 2022, from https://div12.org/treatment/cognitive-behavioral-therapy-cbt-for-schizophrenia/

TREATMENT RESOURCES

TREATMENT MANUALS

The Indianapolis Vocational Intervention Program: A cognitive behavoral approach to addressing rehabilitation issues in schizophrenia (Davis, L. W., Lysaker, P. H., Lancaster, R. S., Bryson, G. J., & Bell, M. D.)

Social anxiety in schizophrenia: A cognitive behavioural group therapy programme (Kingsep, P., & Nathan, P.)

Group CBT for psychosis: A guidebook for clinicians (Lecomte, T., Leclerc, C., & Wykes, T.)

Voices group protocol (Wykes, T. Hayward, P., & P, A. -M.)

SUPPORTING STUDIES

Barrowclough, C., Haddock, G., Lobban, F., Jones, S., Siddle, R., Roberts, C., & Gregg, L. (2006). Group cognitive-behavioural therapy for schizophrenia. The British Journal of Psychiatry, 189(6), 527-532.

https://doi.org/10.1192/bjp.bp.106.021386

Lysaker, P. H., Bond, G., Davis, L. W., Bryson, G. J., & Bell, M. D. (2005). Enhanced cognitive-behavioral therapy for vocational rehabilitation in schizophrenia: Effect on hope and work. Journal of Rehabilitation & Development, 42(5), 673-682.

https://doi.org/10.1682/jrrd.2004.12.0157

Burlingame, G. M., Svien, H, Hoppe, L., Hunt, I., & Rosendahl, J. (2020). Group therapy for schizophrenia: A meta-analysis. Psychotherapy, 57(2), 219-236.

https://doi.org/10.1037/pst0000293

Johnson, D. P., Penn, D. L., Bauer, D. J., Meyer P., & Evans, E. (2008). Predictors of the therapeutic alliance in group therapy for individual with treatment-resistant auditory hallucinations. British Journal of Clinical Psychology, 47(2), 171-184.

https://doi.org/10.1348/014466507X241604

Kingsep, P., Nathan, P., & Castle, D. (2003). Cognitive behavioural group treatment for social anxiety in schizophrenia. Schizophrenia Research, 63(1-2), 121-129.

https://doi.org/10.1016/S0920-9964(02)00376-6Get

Klingberg, S., Wiedemann, G., & Buchkremer, G. (2001). Kognitive Verhaltenstherapie mit schizophrenen Patienten. Zeitschrift für Klinische Psychologie und Psychotherapie, 30(4).

https://doi.org/10.1026/0084-5345.30.4.259

Lecomte, T., Leclerc, C., Corbière, M., Wykes, T., Wallace, C. J., & Spidel, A. (2008). Group cognitive behavior therapy or social skills training for individuals with a recent onset of psychosis?: Results of a randomized controlled trial. The Journal of Nervous and Mental Disease, 196(12), 866-875.

https://doi.org/10.1097/NMD.0b013e31818ee23

Lecomte, T., Leclerc, C., & Wykes, T. (2012). Group CBT for early psychosis–are there still benefits one year later? International Journal of Group Psychotherapy, 62(2).

https://doi.org/10.1521/ijgp.2012.62.2.309

https://doi.org/10.1682/jrrd.2004.12.0157

Penn, D. L., Meyer, P. S., Evans, E., Wirth, R. J., Cai, K., & Burchinal, M. (2009). A randomized controlled trial of group cognitive-behavioral therapy vs. enhanced supportive therapy for auditory hallucinations. Schizophrenia Research, 109(1-3), 52-59.

https://doi.org/10.1016/j.schres.2008.12.009

Schaub, A., Mueser, K. T., von Werder, T., Engel, R., Möller, H. -J., & Falkai, P. (2016). A randomized controlled trial of group coping-oriented therapy vs supportive therapy in schizophrenia: Results of a 2-year follow-up. Schizophrenia Bulletin, 42(1), S71-S80.

https://doi.org/10.1093/schbul/sbw032

Wykes, T., Hayward, P., Thomas, N., Green, N., Surguladze, S., Fannon, D., & Landau, S. (2005). What are the effects of group cognitive behavior therapy for voices? A randomised control trial. Schizophrenia Research, 77(2-3), 201-210.

https://doi.org/10.1016/j.schres.2005.03.013Get