• Medicine · Sep 2024

    Meta Analysis

    Cognitive-behavioral therapy for negative symptoms of schizophrenia: A systematic review and meta-analysis.

    • Feifei Xu and Sheng Xu.
    • School of Psychology, Zhejiang Normal University, Jinhua, China.
    • Medicine (Baltimore). 2024 Sep 6; 103 (36): e39572e39572.

    BackgroundCognitive-behavioral intervention techniques are increasingly demonstrating their efficacy in preventing relapses and managing problems in patients with schizophrenia. There is still variation in its effectiveness for negative symptoms, such as mood-related symptoms and motivation to engage socially.MethodsA systematic search was conducted in PubMed, Web of Science for English literature on cognitive-behavioral therapy (CBT) interventions in patients with schizophrenia. The search included randomized controlled trials and nonrandomized controlled trials. The search period extended from the inception of the databases to September 30, 2022. Two researchers independently performed quality assessment and data extraction based on predefined inclusion and exclusion criteria.ResultsDiscrepancies were resolved through discussion or consultation with a third researcher. Initially, 169 articles were retrieved through database searches and other means. After applying the inclusion and exclusion criteria, 10 randomized controlled studies were included in the final analysis. The intervention group comprised a total of 680 patients with schizophrenia, while the control group included 686 patients with schizophrenia. Meta-analysis results demonstrated a statistically significant difference in negative symptom reduction between the CBT intervention group (WMD = -1.19, 95% CI [-1.73, -0.66], P < .0001) and the control group.ConclusionWe have analyzed the effectiveness of CBT based on our previous research, CBT was found to effectively improve negative symptoms in individuals diagnosed with schizophrenia.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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