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Cognitive-behavioural therapy and motivational intervention for schizophrenia and substance misuse. 18-month outcomes of a randomised controlled trial.
- Source :
-
The British journal of psychiatry : the journal of mental science [Br J Psychiatry] 2003 Nov; Vol. 183, pp. 418-26. - Publication Year :
- 2003
-
Abstract
- Background: Comorbid substance misuse in people with schizophrenia is associated with poor clinical and social outcomes. There are few studies of psychological treatments for this population and little long-term follow-up of their benefits.<br />Aims: To investigate symptom, substance use, functioning and health economy outcomes for patients with schizophrenia and their carers 18 months after a cognitive-behavioural treatment (CBT) programme.<br />Method: Patients with dual diagnosis from a randomised controlled trial of motivational intervention, individual CBT and family intervention were assessed on multiple outcomes at 18-month follow-up. Carers were assessed on symptom, functioning and needs over 12 months. Health economy data were collected over 18 months.<br />Results: There were significant improvements in patient functioning compared with routine care over 18 months. No significant differences between treatment groups were found in carer or cost outcomes.<br />Conclusions: The treatment programme was superior to routine care on outcomes relating to illness and service use, and the cost was comparable to the control treatment.
- Subjects :
- Caregivers psychology
Costs and Cost Analysis methods
Diagnosis, Dual (Psychiatry)
Female
Humans
Male
Mental Health Services economics
Middle Aged
Psychiatric Status Rating Scales
Recurrence
Schizophrenic Psychology
Substance-Related Disorders psychology
Treatment Outcome
Cognitive Behavioral Therapy methods
Motivation
Schizophrenia therapy
Substance-Related Disorders therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0007-1250
- Volume :
- 183
- Database :
- MEDLINE
- Journal :
- The British journal of psychiatry : the journal of mental science
- Publication Type :
- Academic Journal
- Accession number :
- 14594917
- Full Text :
- https://doi.org/10.1192/bjp.183.5.418