Cognitive Behavioral Therapy and Schizophrenia: A Survey of Clinical Practices and Views on Efficacy in the United States and United Kingdom
Research has shown that cognitive-behavioral therapy (CBT) is effective in the treatment of schizophrenia (Wykes et al. in Schizophr Bull 34(3):523–537, 2008 ). The majority of this research has been conducted in the United Kingdom (Beck and Rector in Am J Psychother 54:291–300, 2000 ) where the Nat...
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| Veröffentlicht in: | Community mental health journal 2010-02, Vol.46 (1), p.2-9 |
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| creator | Kuller, Andrew M. Ott, Brian D. Goisman, Robert M. Wainwright, Laurel D. Rabin, Rebecca J. |
| description | Research has shown that cognitive-behavioral therapy (CBT) is effective in the treatment of schizophrenia (Wykes et al. in Schizophr Bull 34(3):523–537,
2008
). The majority of this research has been conducted in the United Kingdom (Beck and Rector in Am J Psychother 54:291–300,
2000
) where the National Health Service recommends that CBT be delivered to all people with schizophrenia (NICE in Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update).
http://www.nice.org.uk/Guidance/CG82/NiceGuidance/pdf/English
,
2009
). In contrast, the corresponding American Psychiatric Association guidelines describe CBT as an adjunctive technique that “may benefit” patients (Lehman et al. in Am J Psychiatry 161:1–56,
2004
, p. 35). Anecdotal evidence also suggests a difference between UK and US clinicians’ use of and views on CBT with schizophrenia (Tarrier in Clinical handbook of psychological disorders: a step-by-step treatment manual. Guilford, New York,
2008
). In the present study 214 clinicians in the UK and US completed an internet survey examining this apparent discrepancy. UK and US participants were equally aware that empirical research supports the efficacy of CBT with schizophrenia. However, UK participants were more likely to practice CBT, rated CBT effectiveness more highly, and were more optimistic about the chances of recovery. These findings suggest fundamental differences in the attitudes and practices of UK and US clinicians. |
| doi_str_mv | 10.1007/s10597-009-9223-6 |
| format | Article |
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2008
). The majority of this research has been conducted in the United Kingdom (Beck and Rector in Am J Psychother 54:291–300,
2000
) where the National Health Service recommends that CBT be delivered to all people with schizophrenia (NICE in Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update).
http://www.nice.org.uk/Guidance/CG82/NiceGuidance/pdf/English
,
2009
). In contrast, the corresponding American Psychiatric Association guidelines describe CBT as an adjunctive technique that “may benefit” patients (Lehman et al. in Am J Psychiatry 161:1–56,
2004
, p. 35). Anecdotal evidence also suggests a difference between UK and US clinicians’ use of and views on CBT with schizophrenia (Tarrier in Clinical handbook of psychological disorders: a step-by-step treatment manual. Guilford, New York,
2008
). In the present study 214 clinicians in the UK and US completed an internet survey examining this apparent discrepancy. UK and US participants were equally aware that empirical research supports the efficacy of CBT with schizophrenia. However, UK participants were more likely to practice CBT, rated CBT effectiveness more highly, and were more optimistic about the chances of recovery. These findings suggest fundamental differences in the attitudes and practices of UK and US clinicians.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-009-9223-6</identifier><identifier>PMID: 19633957</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Antipsychotics ; Attitude of Health Personnel ; Attitudes ; Behavior modification ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Case management ; Chronic illnesses ; Clinical trials ; Cognitive behaviour therapy ; Cognitive therapy ; Cognitive Therapy - methods ; Community and Environmental Psychology ; Cross cultural studies ; Cross-Cultural Comparison ; Cross-Sectional Studies ; Efficacy ; Evidence-based practice ; Female ; Hallucinations ; Health services ; Health Services Research - statistics & numerical data ; Health staff related problems. Vocational training ; Humans ; Intervention ; Male ; Manuals ; Medical sciences ; Medicine ; Medicine & Public Health ; Mental health ; Mental health care ; Mental Patients ; Meta-analysis ; Middle Aged ; National health services ; Original Paper ; Patients ; Polls & surveys ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychosis ; Psychotropic drugs ; Schizophrenia ; Schizophrenia - epidemiology ; Schizophrenia - therapy ; Schizophrenic Psychology ; Social psychiatry. Ethnopsychiatry ; Socialized Medicine ; Treatment Outcome ; Treatments ; United Kingdom ; United States ; United States of America</subject><ispartof>Community mental health journal, 2010-02, Vol.46 (1), p.2-9</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-8f8fe44a70c5f5609b4d41693473a808044f224dd4f0dc7abba9375e74ddd5f03</citedby><cites>FETCH-LOGICAL-c464t-8f8fe44a70c5f5609b4d41693473a808044f224dd4f0dc7abba9375e74ddd5f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10597-009-9223-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10597-009-9223-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12837,27335,27915,27916,30990,30991,33765,33766,41479,42548,51310</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23227646$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19633957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kuller, Andrew M.</creatorcontrib><creatorcontrib>Ott, Brian D.</creatorcontrib><creatorcontrib>Goisman, Robert M.</creatorcontrib><creatorcontrib>Wainwright, Laurel D.</creatorcontrib><creatorcontrib>Rabin, Rebecca J.</creatorcontrib><title>Cognitive Behavioral Therapy and Schizophrenia: A Survey of Clinical Practices and Views on Efficacy in the United States and United Kingdom</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><addtitle>Community Ment Health J</addtitle><description>Research has shown that cognitive-behavioral therapy (CBT) is effective in the treatment of schizophrenia (Wykes et al. in Schizophr Bull 34(3):523–537,
2008
). The majority of this research has been conducted in the United Kingdom (Beck and Rector in Am J Psychother 54:291–300,
2000
) where the National Health Service recommends that CBT be delivered to all people with schizophrenia (NICE in Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update).
http://www.nice.org.uk/Guidance/CG82/NiceGuidance/pdf/English
,
2009
). In contrast, the corresponding American Psychiatric Association guidelines describe CBT as an adjunctive technique that “may benefit” patients (Lehman et al. in Am J Psychiatry 161:1–56,
2004
, p. 35). Anecdotal evidence also suggests a difference between UK and US clinicians’ use of and views on CBT with schizophrenia (Tarrier in Clinical handbook of psychological disorders: a step-by-step treatment manual. Guilford, New York,
2008
). In the present study 214 clinicians in the UK and US completed an internet survey examining this apparent discrepancy. UK and US participants were equally aware that empirical research supports the efficacy of CBT with schizophrenia. However, UK participants were more likely to practice CBT, rated CBT effectiveness more highly, and were more optimistic about the chances of recovery. These findings suggest fundamental differences in the attitudes and practices of UK and US clinicians.</description><subject>Adult</subject><subject>Antipsychotics</subject><subject>Attitude of Health Personnel</subject><subject>Attitudes</subject><subject>Behavior modification</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Case management</subject><subject>Chronic illnesses</subject><subject>Clinical trials</subject><subject>Cognitive behaviour therapy</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>Community and Environmental Psychology</subject><subject>Cross cultural studies</subject><subject>Cross-Cultural Comparison</subject><subject>Cross-Sectional Studies</subject><subject>Efficacy</subject><subject>Evidence-based practice</subject><subject>Female</subject><subject>Hallucinations</subject><subject>Health services</subject><subject>Health Services Research - statistics & numerical data</subject><subject>Health staff related problems. Vocational training</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Manuals</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental Patients</subject><subject>Meta-analysis</subject><subject>Middle Aged</subject><subject>National health services</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Polls & surveys</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychosis</subject><subject>Psychotropic drugs</subject><subject>Schizophrenia</subject><subject>Schizophrenia - epidemiology</subject><subject>Schizophrenia - therapy</subject><subject>Schizophrenic Psychology</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Socialized Medicine</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><subject>United Kingdom</subject><subject>United States</subject><subject>United States of America</subject><issn>0010-3853</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkV1rFDEUhgdR7Fr9Ad5IEMSr0ZOvycS7utQPLCi09TZkM8lOymyyTWZW1t_gjzbrDhYE0avAOc95T5Knqp5ieIUBxOuMgUtRA8haEkLr5l61wFzQmohW3q8WABhq2nJ6Uj3K-QYAOMbiYXWCZUOp5GJR_VjGdfCj31n01vZ652PSA7rqbdLbPdKhQ5em99_jtk82eP0GnaHLKe3sHkWHloMP3hT-S9Jm9MbmXxNfvf2WUQzo3LnSNnvkAxp7i67LJlsSRz3O6Fz55MO6i5vH1QOnh2yfzOdpdf3u_Gr5ob74_P7j8uyiNqxhY9261lnGtADDHW9ArljHcCMpE1S30AJjjhDWdcxBZ4RerbSkgltRSh13QE-rl8fcbYq3k82j2vhs7DDoYOOUleAMM0Jb-R8kleXrWftvklJOGBOikM__IG_ilEJ5sCKkpYxywAXCR8ikmHOyTm2T3-i0VxjUQb46yldFvjrIV02ZeTYHT6uN7e4mZtsFeDEDOhdtLulgfP7NEUqIaNghiBy5XFphbdPdDf--_Se3bsYk</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Kuller, Andrew M.</creator><creator>Ott, Brian D.</creator><creator>Goisman, Robert M.</creator><creator>Wainwright, Laurel D.</creator><creator>Rabin, Rebecca J.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7U3</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100201</creationdate><title>Cognitive Behavioral Therapy and Schizophrenia: A Survey of Clinical Practices and Views on Efficacy in the United States and United Kingdom</title><author>Kuller, Andrew M. ; Ott, Brian D. ; Goisman, Robert M. ; Wainwright, Laurel D. ; Rabin, Rebecca J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-8f8fe44a70c5f5609b4d41693473a808044f224dd4f0dc7abba9375e74ddd5f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Antipsychotics</topic><topic>Attitude of Health Personnel</topic><topic>Attitudes</topic><topic>Behavior modification</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Case management</topic><topic>Chronic illnesses</topic><topic>Clinical trials</topic><topic>Cognitive behaviour therapy</topic><topic>Cognitive therapy</topic><topic>Cognitive Therapy - methods</topic><topic>Community and Environmental Psychology</topic><topic>Cross cultural studies</topic><topic>Cross-Cultural Comparison</topic><topic>Cross-Sectional Studies</topic><topic>Efficacy</topic><topic>Evidence-based practice</topic><topic>Female</topic><topic>Hallucinations</topic><topic>Health services</topic><topic>Health Services Research - statistics & numerical data</topic><topic>Health staff related problems. Vocational training</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Manuals</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental Patients</topic><topic>Meta-analysis</topic><topic>Middle Aged</topic><topic>National health services</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Polls & surveys</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychosis</topic><topic>Psychotropic drugs</topic><topic>Schizophrenia</topic><topic>Schizophrenia - epidemiology</topic><topic>Schizophrenia - therapy</topic><topic>Schizophrenic Psychology</topic><topic>Social psychiatry. 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Academic</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuller, Andrew M.</au><au>Ott, Brian D.</au><au>Goisman, Robert M.</au><au>Wainwright, Laurel D.</au><au>Rabin, Rebecca J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive Behavioral Therapy and Schizophrenia: A Survey of Clinical Practices and Views on Efficacy in the United States and United Kingdom</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>46</volume><issue>1</issue><spage>2</spage><epage>9</epage><pages>2-9</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><abstract>Research has shown that cognitive-behavioral therapy (CBT) is effective in the treatment of schizophrenia (Wykes et al. in Schizophr Bull 34(3):523–537,
2008
). The majority of this research has been conducted in the United Kingdom (Beck and Rector in Am J Psychother 54:291–300,
2000
) where the National Health Service recommends that CBT be delivered to all people with schizophrenia (NICE in Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update).
http://www.nice.org.uk/Guidance/CG82/NiceGuidance/pdf/English
,
2009
). In contrast, the corresponding American Psychiatric Association guidelines describe CBT as an adjunctive technique that “may benefit” patients (Lehman et al. in Am J Psychiatry 161:1–56,
2004
, p. 35). Anecdotal evidence also suggests a difference between UK and US clinicians’ use of and views on CBT with schizophrenia (Tarrier in Clinical handbook of psychological disorders: a step-by-step treatment manual. Guilford, New York,
2008
). In the present study 214 clinicians in the UK and US completed an internet survey examining this apparent discrepancy. UK and US participants were equally aware that empirical research supports the efficacy of CBT with schizophrenia. However, UK participants were more likely to practice CBT, rated CBT effectiveness more highly, and were more optimistic about the chances of recovery. These findings suggest fundamental differences in the attitudes and practices of UK and US clinicians.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>19633957</pmid><doi>10.1007/s10597-009-9223-6</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Springer Nature - Complete Springer Journals |
| subjects | Adult Antipsychotics Attitude of Health Personnel Attitudes Behavior modification Behavior therapy. Cognitive therapy Biological and medical sciences Case management Chronic illnesses Clinical trials Cognitive behaviour therapy Cognitive therapy Cognitive Therapy - methods Community and Environmental Psychology Cross cultural studies Cross-Cultural Comparison Cross-Sectional Studies Efficacy Evidence-based practice Female Hallucinations Health services Health Services Research - statistics & numerical data Health staff related problems. Vocational training Humans Intervention Male Manuals Medical sciences Medicine Medicine & Public Health Mental health Mental health care Mental Patients Meta-analysis Middle Aged National health services Original Paper Patients Polls & surveys Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychosis Psychotropic drugs Schizophrenia Schizophrenia - epidemiology Schizophrenia - therapy Schizophrenic Psychology Social psychiatry. Ethnopsychiatry Socialized Medicine Treatment Outcome Treatments United Kingdom United States United States of America |
| title | Cognitive Behavioral Therapy and Schizophrenia: A Survey of Clinical Practices and Views on Efficacy in the United States and United Kingdom |
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