Imperial College London
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ProfessorMikeCrawford

Faculty of Medicine, Department of Brain Sciences

Professor of Mental Health Research
 
 
 
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Contact

 

+44 (0)20 3313 4161m.crawford

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Barnicot:2020:10.1016/j.cpr.2020.101929,
author = {Barnicot, K and Michael, C and Trione, E and Lang, S and Saunders, T and Sharp, M and Crawford, MJ},
doi = {10.1016/j.cpr.2020.101929},
journal = {Clinical Psychology Review},
title = {Psychological interventions for acute psychiatric inpatients with schizophrenia-spectrum disorders: A systematic review and meta-analysis},
url = {http://dx.doi.org/10.1016/j.cpr.2020.101929},
volume = {82},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Acute inpatient psychiatric wards are important yet challenging environments in which to implement psychological interventions for people with schizophrenia-spectrum disorders. No meta-analysis to date has evaluated whether psychological interventions are effective in this context. METHODS: We systematically searched Embase, Medline and PsycInfo databases for randomised controlled trials (RCTs) of psychological interventions implemented in acute inpatient psychiatric settings with individuals with schizophrenia-spectrum disorders. We conducted random effects meta-analyses of between-groups outcomes at post-intervention and relapse/re-hospitalisation rates by follow-up. RESULTS: Twenty-nine trials were suitable for meta-analysis. Psychological interventions improved post-intervention positive symptoms, social functioning and treatment compliance and reduced the risk of relapse/ re-hospitalisation, relative to control conditions. Analyses of specific intervention effects found positive effects of psychoeducation on several key outcomes (power>80%) and preliminary evidence for positive effects of acceptance and commitment therapy (ACT), cognitive behaviour therapy (CBT) and metacognitive training (MCT) on some outcomes (power<80%). CONCLUSION: Psychological interventions can be helpful for acute inpatients with schizophrenia-spectrum disorders. However, risk of bias was often high or unclear, and some analyses were underpowered. Further research should use more rigorous RCT designs and publish meta-analysable data on positive symptoms, general psychopathology, relapse/ re-hospitalisation, social functioning and treatment compliance.
AU  - Barnicot,K
AU  - Michael,C
AU  - Trione,E
AU  - Lang,S
AU  - Saunders,T
AU  - Sharp,M
AU  - Crawford,MJ
DO  - 10.1016/j.cpr.2020.101929
PY  - 2020///
SN  - 0272-7358
TI  - Psychological interventions for acute psychiatric inpatients with schizophrenia-spectrum disorders: A systematic review and meta-analysis
T2  - Clinical Psychology Review
UR  - http://dx.doi.org/10.1016/j.cpr.2020.101929
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33126038
UR  - http://hdl.handle.net/10044/1/84792
VL  - 82
ER  -
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