Evaluation of cognitive restructuring for post-traumatic stress disorder in people with severe mental illness.
Br J Psychiatry
; 206(6): 501-8, 2015 Jun.
Article
en En
| MEDLINE
| ID: mdl-25858178
ABSTRACT
BACKGROUND:
A cognitive-behavioural therapy (CBT) programme designed for post-traumatic stress disorder (PTSD) in people with severe mental illness, including breathing retraining, education and cognitive restructuring, was shown to be more effective than usual services.AIMS:
To evaluate the incremental benefit of adding cognitive restructuring to the breathing retraining and education components of the CBT programme (trial registration clinicaltrials.gov identifier NCT00494650).METHOD:
In all, 201 people with severe mental illness and PTSD were randomised to 12- to 16-session CBT or a 3-session brief treatment programme (breathing retraining and education). The primary outcome was PTSD symptom severity. Secondary outcomes were PTSD diagnosis, other symptoms, functioning and quality of life.RESULTS:
There was greater improvement in PTSD symptoms and functioning in the CBT group than in the brief treatment group, with both groups improving on other outcomes and effects maintained 1-year post-treatment.CONCLUSIONS:
Cognitive restructuring has a significant impact beyond breathing retraining and education in the CBT programme, reducing PTSD symptoms and improving functioning in people with severe mental illness.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Psicoterapia Breve
/
Trastornos por Estrés Postraumático
/
Terapia Cognitivo-Conductual
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Trastornos Mentales
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
Límite:
Adult
/
Female
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Humans
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Male
Idioma:
En
Revista:
Br J Psychiatry
Año:
2015
Tipo del documento:
Article