Effect of cognitive behavioral group therapy on rehabilitation of community patients with schizophrenia: A short-term randomized control trial

World J Psychiatry. 2023 Aug 19;13(8):583-592. doi: 10.5498/wjp.v13.i8.583.

Abstract

Background: The efficacy of cognitive behavioral group therapy (CBGT) for cognitive dys-function and negative symptoms of schizophrenia is established, but more evidence is required.

Aim: To assess the effectiveness of CBGT combined with mental health education as a treatment for schizophrenia compared with mental health education alone.

Methods: In all, 120 schizophrenia out-patients were randomized into CBGT combined with mental health education or single mental health education. The primary outcomes were positive and negative symptoms, cognitive function, excitatory factor, anxiety and depression symptom improvements on the positive and negative syndrome scale score. Secondary outcome measures included social function and drug compliance.

Results: There were significant differences between CBGT combined with mental health education and single mental health education on measures of positive and negative symptoms, cognitive functions, excitatory factor, anxiety and depression symptoms, and social functions. No other significant difference in outcomes was observed.

Conclusion: CBGT combined with mental health education may be relevant beneficial treatment method in reducing symptoms, cognitive and social functions of patients with schizophrenia.

Keywords: Cognitive behavioral group therapy; Community; Family members; Mental health; Psychological intervention; Schizophrenia; Social functions.