Eliza Martha de Paiva Barreto
Psiquiatra, mestre em Psiquiatria pela Universidade de São Paulo (USP). Fellow em terapia cognitiva e comportamental pelo Departamento de Psiquiatria do Massachusetts General Hospital (EUA).
Hélio Elkis
Professor-associado livre-docente do Departamento de Psiquiatria da Faculdade de Medicina da Universidade de São Paulo (FMUSP). Coordenador do Projeto Esquizofrenia (Projesq) do Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IPq-HC-FMUSP). Pós-doutorado pela Case Western Reserve University, EUA. Membro do International Psychopharmacology Algorithm Project (www.ipap.org)
Abstract:
Background: Cognitive behavior therapy (CBT) is one of the most efficacious psychotherapic techniques employed for the treatment of psychoses. Objective: The authors review the evidence from the main clinical trials, systematic reviews and meta-analyses where CBT was applied in the treatment of schizophrenia as well as other disorders of the psychotic spectrum. The main techniques utilized in the trials are also described. Method: PubMed and Cochrane search of randomized controlled trials and meta-analyses. Results and Conclusions: The randomized controlled trials and meta-analyses show that CBT is efficacious for certain symptoms of schizophrenia and may represent an add-on therapy for patients who are refractory to antipsychotics.
Keywords:Cognitive behavior therapy, schizophrenia, psychosis.