[Cognitive-behavioural therapy in early psychosis: an open study in a clinical setting]

Can J Psychiatry. 2011 Jan;56(1):51-61. doi: 10.1177/070674371105600109.
[Article in French]


Objective: Meta-analysis results confirm that cognitive-behavioural therapy in psychosis (CBTp) is efficient for persistent symptoms. However, external validity remains unexplored. CBTp in early psychosis (in the first 5 years after diagnosis) seems especially relevant, given a possible impact on long-term course. However, the few studies that experimented with CBTp with this population had poor results. They all introduced therapy during an acute psychotic phase and most of them performed a limited number of sessions. Therefore, our introductory open study aimed to evaluate the efficiency of a 25-session Australian CBTp program, introduced during a stable phase in Quebec patients with early psychosis.

Method: The Active Cognitive Psychotherapy for Early Psychosis program was offered to 20 patients aged 14 years or older, at a rate of 1 weekly session during 6 months.

Results: The acceptance rate was 75%, the mean session compliance rate was 84%, and participants were satisfied with the program. Pre- and post-CBTp analyses indicated statistically significant improvements of psychotic symptomatology, which were maintained at 6-month follow-up. Self-criticism improvement was also statistically significant, post-CBTp.

Conclusion: CBTp seems to be appropriate in our clinical settings, including with adolescents. Moreover, the treatment dosage used seems to foster session compliance.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Antipsychotic Agents / therapeutic use
  • Cognitive Behavioral Therapy / methods*
  • Combined Modality Therapy
  • Delusions / diagnosis
  • Delusions / psychology
  • Delusions / therapy
  • Female
  • Follow-Up Studies
  • Hospitalization*
  • Humans
  • Male
  • Patient Satisfaction
  • Psychiatric Status Rating Scales
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy*
  • Quebec
  • Schizophrenia / diagnosis
  • Schizophrenia / therapy*
  • Schizophrenic Psychology*
  • Young Adult


  • Antipsychotic Agents