Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial

Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and incre...
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Autor*in:	Nasrettin Sönmez [verfasserIn] Kristin Lie Romm [verfasserIn] Tiril Østefjells [verfasserIn] Marit Grande [verfasserIn] Lene Hunnicke Jensen [verfasserIn] Benjamin Hummelen [verfasserIn] Martin Tesli [verfasserIn] Ingrid Melle [verfasserIn] Jan Ivar Røssberg [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Übergeordnetes Werk:	In: Comprehensive Psychiatry - Elsevier, 2019, 97(2020), Seite -
Übergeordnetes Werk:	volume:97 ; year:2020 ; pages:-

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.comppsych.2019.152157

Katalog-ID:	DOAJ007588046

Internformat


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520			\|a Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials
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allfields	10.1016/j.comppsych.2019.152157 doi (DE-627)DOAJ007588046 (DE-599)DOAJ7954f39d9b9742eead4395e1f9219649 DE-627 ger DE-627 rakwb eng RC435-571 Nasrettin Sönmez verfasserin aut Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials Psychiatry Kristin Lie Romm verfasserin aut Tiril Østefjells verfasserin aut Marit Grande verfasserin aut Lene Hunnicke Jensen verfasserin aut Benjamin Hummelen verfasserin aut Martin Tesli verfasserin aut Ingrid Melle verfasserin aut Jan Ivar Røssberg verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 97(2020), Seite - (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:97 year:2020 pages:- https://doi.org/10.1016/j.comppsych.2019.152157 kostenfrei https://doaj.org/article/7954f39d9b9742eead4395e1f9219649 kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X1930080X kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 97 2020 -
spelling	10.1016/j.comppsych.2019.152157 doi (DE-627)DOAJ007588046 (DE-599)DOAJ7954f39d9b9742eead4395e1f9219649 DE-627 ger DE-627 rakwb eng RC435-571 Nasrettin Sönmez verfasserin aut Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials Psychiatry Kristin Lie Romm verfasserin aut Tiril Østefjells verfasserin aut Marit Grande verfasserin aut Lene Hunnicke Jensen verfasserin aut Benjamin Hummelen verfasserin aut Martin Tesli verfasserin aut Ingrid Melle verfasserin aut Jan Ivar Røssberg verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 97(2020), Seite - (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:97 year:2020 pages:- https://doi.org/10.1016/j.comppsych.2019.152157 kostenfrei https://doaj.org/article/7954f39d9b9742eead4395e1f9219649 kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X1930080X kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 97 2020 -
allfields_unstemmed	10.1016/j.comppsych.2019.152157 doi (DE-627)DOAJ007588046 (DE-599)DOAJ7954f39d9b9742eead4395e1f9219649 DE-627 ger DE-627 rakwb eng RC435-571 Nasrettin Sönmez verfasserin aut Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials Psychiatry Kristin Lie Romm verfasserin aut Tiril Østefjells verfasserin aut Marit Grande verfasserin aut Lene Hunnicke Jensen verfasserin aut Benjamin Hummelen verfasserin aut Martin Tesli verfasserin aut Ingrid Melle verfasserin aut Jan Ivar Røssberg verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 97(2020), Seite - (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:97 year:2020 pages:- https://doi.org/10.1016/j.comppsych.2019.152157 kostenfrei https://doaj.org/article/7954f39d9b9742eead4395e1f9219649 kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X1930080X kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 97 2020 -
allfieldsGer	10.1016/j.comppsych.2019.152157 doi (DE-627)DOAJ007588046 (DE-599)DOAJ7954f39d9b9742eead4395e1f9219649 DE-627 ger DE-627 rakwb eng RC435-571 Nasrettin Sönmez verfasserin aut Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials Psychiatry Kristin Lie Romm verfasserin aut Tiril Østefjells verfasserin aut Marit Grande verfasserin aut Lene Hunnicke Jensen verfasserin aut Benjamin Hummelen verfasserin aut Martin Tesli verfasserin aut Ingrid Melle verfasserin aut Jan Ivar Røssberg verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 97(2020), Seite - (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:97 year:2020 pages:- https://doi.org/10.1016/j.comppsych.2019.152157 kostenfrei https://doaj.org/article/7954f39d9b9742eead4395e1f9219649 kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X1930080X kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 97 2020 -
allfieldsSound	10.1016/j.comppsych.2019.152157 doi (DE-627)DOAJ007588046 (DE-599)DOAJ7954f39d9b9742eead4395e1f9219649 DE-627 ger DE-627 rakwb eng RC435-571 Nasrettin Sönmez verfasserin aut Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials Psychiatry Kristin Lie Romm verfasserin aut Tiril Østefjells verfasserin aut Marit Grande verfasserin aut Lene Hunnicke Jensen verfasserin aut Benjamin Hummelen verfasserin aut Martin Tesli verfasserin aut Ingrid Melle verfasserin aut Jan Ivar Røssberg verfasserin aut In Comprehensive Psychiatry Elsevier, 2019 97(2020), Seite - (DE-627)330080377 (DE-600)2049049-5 15328384 nnns volume:97 year:2020 pages:- https://doi.org/10.1016/j.comppsych.2019.152157 kostenfrei https://doaj.org/article/7954f39d9b9742eead4395e1f9219649 kostenfrei http://www.sciencedirect.com/science/article/pii/S0010440X1930080X kostenfrei https://doaj.org/toc/0010-440X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 97 2020 -
language	English
source	In Comprehensive Psychiatry 97(2020), Seite - volume:97 year:2020 pages:-
sourceStr	In Comprehensive Psychiatry 97(2020), Seite - volume:97 year:2020 pages:-
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Psychiatry
isfreeaccess_bool	true
container_title	Comprehensive Psychiatry
authorswithroles_txt_mv	Nasrettin Sönmez @@aut@@ Kristin Lie Romm @@aut@@ Tiril Østefjells @@aut@@ Marit Grande @@aut@@ Lene Hunnicke Jensen @@aut@@ Benjamin Hummelen @@aut@@ Martin Tesli @@aut@@ Ingrid Melle @@aut@@ Jan Ivar Røssberg @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	330080377
id	DOAJ007588046
language_de	englisch
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Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. 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callnumber-first	R - Medicine
author	Nasrettin Sönmez
spellingShingle	Nasrettin Sönmez misc RC435-571 misc Psychiatry Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial
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topic_title	RC435-571 Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial
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title	Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial
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title_full	Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial
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author_browse	Nasrettin Sönmez Kristin Lie Romm Tiril Østefjells Marit Grande Lene Hunnicke Jensen Benjamin Hummelen Martin Tesli Ingrid Melle Jan Ivar Røssberg
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title_sort	cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: a randomized controlled trial
callnumber	RC435-571
title_auth	Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial
abstract	Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials
abstractGer	Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials
abstract_unstemmed	Background: Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods: A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results: There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions: We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.ClinicalTrials.gov Identifier: NCT01511406. Keywords: Cognitive behavior therapy, First-episode psychosis, Randomized controlled trials
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title_short	Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial
url	https://doi.org/10.1016/j.comppsych.2019.152157 https://doaj.org/article/7954f39d9b9742eead4395e1f9219649 http://www.sciencedirect.com/science/article/pii/S0010440X1930080X https://doaj.org/toc/0010-440X
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Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial

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