Smits C T, van der Gaag M
Tijdschr Psychiatr. 2010;52(2):99-109.
BACKGROUND The publication of the Dutch multidisciplinary guidelines Schizophrenia and the launching of the Breakthrough project on schizophrenia led by the Trimbos Institute in 2006 aroused considerable interest in the Netherlands for the implementation of cognitive behavioural therapy for patients with schizophrenia. One of the reasons was that pharmacotherapy has its limitations in the treatment of schizophrenia; an antipsychotic drug does not lead to an adequate decrease in psychotic symptoms in all patients; cognitive behavioural therapy is then added as a form of psychotherapy. The effectiveness of cognitive behavioural therapy has been described in meta-analyses.
To ascertain the efficacy of cognitive behavioural therapy for the treatment of schizophrenia and to give advice on how this therapy can be implemented.
We reviewed relevant articles and meta-analyses via PubMed and Ovid using the search terms: 'cognitive behavioural therapy', 'continuity/psychosis', 'implementation', 'metaanalysis', 'nurse therapist', 'psychosis' , 'schizophrenia'. results Many randomised controlled trials show the effectiveness of cognitive behavioural therapy in the treatment of schizophrenia. At the moment, the encouraging results of scientific research are not being adequately transferred to clinical practice. However, the performance of special interventions by trained nurses is making implementation feasible.
Cognitive behavioural therapy is an effective treatment for schizophrenia. It is advisable that this type of therapy be made available to patients, in accordance with their specific needs.
背景 2006 年荷兰多学科精神分裂症指南的发布以及由特林博斯研究所牵头的精神分裂症突破项目的启动，在荷兰引起了对精神分裂症患者实施认知行为疗法的广泛关注。原因之一是药物治疗在精神分裂症治疗中有其局限性；抗精神病药物并非在所有患者中都能充分减轻精神症状；此时添加认知行为疗法作为心理治疗的一种形式。认知行为疗法的有效性已在荟萃分析中有所描述。
确定认知行为疗法治疗精神分裂症的疗效，并就如何实施该疗法提供建议。
我们通过 PubMed 和 Ovid 检索相关文章和荟萃分析，使用的检索词为：“认知行为疗法”、“连续性/精神病”、“实施”、“荟萃分析”、“护士治疗师”、“精神病”、“精神分裂症”。结果 许多随机对照试验表明认知行为疗法在治疗精神分裂症方面有效。目前，科学研究的令人鼓舞的结果尚未充分转化为临床实践。然而，由受过培训的护士进行特殊干预使实施变得可行。
认知行为疗法是治疗精神分裂症的有效方法。建议根据患者的具体需求为其提供这种治疗。
