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

TitleCognitive-behavioural therapy and motivational intervention for schizophrenia and substance misuse: 18-month outcomes of a randomised controlled trial
Publication TypeJournal Article
Year of Publication2003
AuthorsHaddock, G, Barrowclough, C, Tarrier, N, Moring, J, O'Brien, R, Schofield, N, Quinn, J, Palmer, S, Davies, L, Lowens, I, McGovern, J, Lewis, S
JournalBritish Journal of Psychiatry
Volume183
Pagination418-426
PublisherRoyal College of Psychiatrists
Place PublishedUnited Kingdom
Publication Languageeng
ISBN Number0007-12501472-1465
KeywordsCaregivers, cognitive behavior therapy, cognitive-behavioural treatment programme, comorbid substance misuse, Comorbidity, Drug abuse, family intervention, functioning, health economy outcomes, Motivation, Motivational intervention, Schizophrenia, schizophrenic patients, Treatment Outcomes
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. 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. 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. 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. 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. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

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