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Cognitive-behavioural therapy and motivational intervention for schizophrenia and substance misuse. 18-month outcomes of a randomised controlled trial.

Authors :
Haddock G
Barrowclough C
Tarrier N
Moring J
O'Brien R
Schofield N
Quinn J
Palmer S
Davies L
Lowens I
McGovern J
Lewis S
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.

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