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dc.contributor.authorSønmez, Nasrettin
dc.contributor.authorRomm, Kristin Lie
dc.contributor.authorØstefjells, Tiril
dc.contributor.authorGrande, Marit
dc.contributor.authorJensen, Lene Hunnicke
dc.contributor.authorHummelen, Benjamin
dc.contributor.authorTesli, Martin Steen
dc.contributor.authorMelle, Ingrid
dc.contributor.authorRøssberg, Jan Ivar
dc.identifier.citationSönmez, N., Romm, K. L., Østefjells, T., Grande, M., Jensen, L. H., Hummelen, B., ... & Røssberg, J. I. (2019). Cognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trial. Comprehensive Psychiatry, 152157.en
dc.description.abstractBackground Patients in early phases of psychosis often struggle with depressive symptoms and low self-esteem. The main aims of the present study were to examine whether cognitive behavior therapy (CBT) compared to treatment as usual (TAU) would reduce depressive symptoms (primary outcome) and increase self-esteem (secondary outcome). Furthermore, we wanted to examine whether CBT reduces symptoms measured with the PANSS (positive, negative, cognitive, or excited symptoms) or increases general functioning compared to TAU. Methods A total of 63 early psychosis patients were included and randomly assigned to receive either CBT (maximum 26 sessions) or TAU for a period of up to six months. A linear mixed model was used for longitudinal analysis, with a focus on whether patients in the CBT group or the TAU group changed differently to one another between the baseline and 15-month follow-up. Results There were no differences between the CBT group and TAU group regarding improvements in depressive symptoms measured with the Calgary Depression Scale for Schizophrenia (P = 0.188) or self-esteem measured with the Rosenberg Self-Esteem Scale (P = 0.580). However, patients in the CBT group improved significantly more on negative symptoms (P = 0.002) and social functioning (P = 0.001). Conclusions We did not find CBT to be more effective than TAU in reducing depressive symptoms or increasing self-esteem in patients with early psychosis. However, CBT seems to improve negative symptoms and functioning. These results still need to be replicated in further studies as the present one was merely an exploratory analysis.en
dc.relation.ispartofseriesComprehensive Psychiatry;97
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United Statesen
dc.titleCognitive behavior therapy in early psychosis with a focus on depression and low self-esteem: A randomized controlled trialen
dc.typeJournal articleen
dc.typePeer revieweden

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