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Psychotherapy in schizophrenia: a retrospective controlled study

Annbjørg Haram, Egil Jonsbu, Roar Fosse, Finn Skårderud and Torstein Hole

Psychosis, 2020, vol. 10, issue 2, 110-121

Abstract: IntroductionAlthough pharmacological interventions have been the mainstay of treatment for schizophrenia, there has been a growing recognition of the importance of psychotherapy.AimsTo investigate whether a novel psychotherapeutic approach, dialog therapy (DT), has an effect beyond standard psychiatric treatment (ST) in schizophrenia.MethodsTwenty-four patients diagnosed with schizophrenia and treated with DT and 24 patients matched on age, sex, and diagnosis receiving ST were included in the study.ResultsAt follow-up after a mean of 4 years and 1 month, the DT group had significantly higher scores on the GAF functions (GAF-F) and GAF symptoms (GAF-S) subscales compared to the ST group. Effect sizes (Cohen’s d) were very large, 238 for GAF-S and 241 for GAF-F. The number and doses of psychoactive drugs were significantly lower in the DT group compared to the ST group at follow-up, despite a shorter time in psychotherapy in the DT group.ConclusionsThis study provides preliminary evidence that dialog therapy may lead to improvements in symptoms and functioning compared to standard psychiatric treatment.

Date: 2020
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DOI: 10.1080/17522439.2018.1460392

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