This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database.
Centre for Reviews and Dissemination. Cognitive behaviour therapy for schizophrenia. University of York. Evidence briefings. 2009
The NICE clinical guideline on schizophrenia1 recommends that cognitive behaviour therapy (CBT) should be offered to all people with schizophrenia.
This recommendation is based primarily on evidence that CBT can reduce hospitalisation compared with standard care. A meta-analysis of randomised trials reported a 24% relative reduction in hospitalisation at
follow-up (up to 18 months after treatment). Duration of hospitalisation was reduced by an average of 8 days.
Overall, the quality of the evidence supporting the recommendation is high to moderate. Differences in participant characteristics and details of the CBT intervention suggest some uncertainty about the generalisability of the findings across different settings. However, a number of the relevant trials were performed in UK NHS settings.
Evidence for the cost-effectiveness of CBT is limited but an economic model produced by the NICE Guideline Development Group indicated that provision of CBT is likely to result in cost savings overall.
The performance of Leeds Partnership Foundation Trust (LPFT) in providing CBT for service users with schizophrenia was rated 'average' by the Care Quality Commission in 2005/6 and 2007/8. An internal audit (April 2009) revealed that 17 out of 75 eligible service users had been offered CBT; 27 people were offered other psychosocial interventions.
If LPFT implements CBT for service users who are currently receiving standard care, the research evidence suggests that one hospital admission could be avoided for every 13 patients treated.
Subject indexing assigned by CRD
Cognitive Therapys; Schizophrenia
Country of organisation
An English language summary is available.
Address for correspondence
University of York, York YO10 5DD, United Kingdon. Tel: +44 1094 321040 Email: firstname.lastname@example.org
Date abstract record published