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OBJECTIVE: This study compared the practice of cognitive-behavioral therapy (CBT) for psychosis across research and routine clinical settings. METHODS: An observer-rated adherence measure was used to compare the content of 40 therapy sessions of clients with positive psychotic symptoms. Twenty therapist-client dyads came from a research setting in the United Kingdom and 20 from three clinical settings, two in the United Kingdom and one in the United States. In the research setting CBT was provided by research clinical psychologists and trained local therapists. In the clinical settings CBT was part of a case management service by trained therapists. RESULTS: Therapist adherence to CBT for psychosis did not differ between the research and clinical settings. However, clinicians in the research settings scored significantly higher on items for schema work (z=-1.98, p

Original publication

DOI

10.1176/ps.2007.58.10.1297

Type

Journal article

Journal

Psychiatr Serv

Publication Date

10/2007

Volume

58

Pages

1297 - 1302

Keywords

Adolescent, Adult, Clinical Trials as Topic, Cognitive Behavioral Therapy, Female, Humans, Male, Middle Aged, Practice Patterns, Physicians', Psychology, Clinical, Psychotic Disorders, United Kingdom, United States