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Cognitive behavioural therapy delivered by nurses improved insight and overall symptomatology in schizophrenia

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 QUESTION: In patients with schizophrenia in secondary care settings, does cognitive behavioural therapy (CBT) delivered by community psychiatric nurses (CPNs) improve symptoms?


Randomised {allocation concealed*}, unblinded,* controlled trial with 2–3 months of follow up.


6 centres in the UK (Belfast, Glasgow, Hackney, Newcastle, Southampton, and Swansea).


422 patients who were 18–65 years of age (mean age 40 y, 77% men) and were receiving treatment from psychiatric secondary care services. Exclusion criteria were need for inpatient care or intensive home treatment, primary diagnosis of drug or alcohol dependence, organic brain disease, or learning disability that could affect rating. Follow up was 84%.


Patients were allocated to CBT …

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  • Source of funding: Pfizer Ltd.

  • For correspondence: Dr D Turkington, University of Newcastle-upon-Tyne, Newcastle-upon-Tyne, UK. douglas.turkington{at}

  • * See glossary.

  • Information provided by author.