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Therapeutic Factors Contributing to Change in Cognitive-Behavioral Group Therapy for Older Persons with Schizophrenia

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The contributions of homework, therapy participation, cognitive insight, and skills acquisition to treatment outcomes in group CBT for schizophrenia were examined. Increased cognitive insight was associated with reduced positive, negative and total symptoms, but not improved psychosocial functioning. Greater participation was associated with increased cognitive insight, reduction in total and negative symptoms, and a trend was found for positive symptoms. Greater homework adherence was associated with greater skill acquisition, but skill acquisition was not significantly associated with change in any outcome. The therapeutic factors contributing to change in CBT for schizophrenia appear different for symptom and psychosocial functioning outcomes.

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ACKNOWLEDGMENTS

This research was supported by the Office of Research and Development, Rehabilitation Research and Development and Medical Research Service, Department of Veterans Affairs, and the National Institute of Mental Health (R01MH61381 and 1P30MH066428). Portions of this research were presented at the 2004 American Psychological Association Meeting, in Honolulu, HI.

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Authors and Affiliations

  1. Psychology Service, Veterans Affairs San Diego Healthcare System, San Diego, USA

    Eric Granholm Ph.D., John R. McQuaid & Fauzia Simjee McClure

  2. Department of Psychiatry, University of California, San Diego, USA

    Eric Granholm Ph.D., Lisa A. Auslander, Jennifer D. Gottlieb & John R. McQuaid

  3. Department of Psychology, Massachusetts General Hospital, Boston, Massachusetts, USA

    Jennifer D. Gottlieb

  4. VA San Diego Healthcare System (116B), 3350 La Jolla Village Drive, SAn Diego, CA, 92161, USA

    Eric Granholm Ph.D.

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  1. Eric Granholm Ph.D.
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  2. Lisa A. Auslander
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  5. Fauzia Simjee McClure
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Correspondence to Eric Granholm Ph.D..

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Granholm, E., Auslander, L.A., Gottlieb, J.D. et al. Therapeutic Factors Contributing to Change in Cognitive-Behavioral Group Therapy for Older Persons with Schizophrenia. J Contemp Psychother 36, 31–41 (2006). https://doi.org/10.1007/s10879-005-9004-7

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