A randomized comparison of group cognitive-behavioural therapy and group psychoeducation in patients with schizophrenia

Acta Psychiatr Scand. 2004 Jul;110(1):21-8. doi: 10.1111/j.1600-0447.2004.00300.x.


Objective: Although the efficacy of cognitive-behavioural therapy (CBT) in schizophrenia has been established in a number of studies, no information is available on the differential efficacy of CBT in comparison with patient psychoeducation (PE).

Method: Eighty-eight in-patients with schizophrenia were randomized to receive a therapy envelope of 8 weeks including either 16 sessions group CBT or eight [correction] sessions group PE treatment. Assessments took place at baseline, post-treatment and 6 month follow-up.

Results: Patients, who received CBT were significantly less rehospitalized than patients in the PE group during the follow-up period. On a descriptive level, CBT resulted in lower relapse rates and higher compliance ratings at post-treatment and at follow-up than PE. Both forms of therapy led to significant psychopathological improvement at post-treatment and at follow-up.

Conclusion: The brief group CBT intervention showed some superiority to the PE programme, which could be of considerable clinical and economical importance.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cognitive Behavioral Therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Education as Topic*
  • Psychotherapy, Group*
  • Schizophrenia / therapy*
  • Schizophrenic Psychology
  • Treatment Outcome