Abstract

SOUZA, Erika Leonardo de et al. Cognitive-behavioral therapy in prevention of psychosis in at-risk populations. Rev. bras.ter. cogn. [online]. 2013, vol.9, n.1, pp. 19-25. ISSN 1808-5687.  http://dx.doi.org/10.5935/1808-5687.20130004.

Individuals in Ultra High Risk (UHR) for psychosis are those presenting psychotic symptoms in insufficient severity, frequency and duration to fulfill diagnosis criteria for a psychotic disorder. Cognitive-behavioral therapy (CBT) is one of the psychosocial interventions that has been used to prevent or delay evolution from this at-risk state to a full blown psychosis. The objective of this study is to present and discuss the findings of controlled studies with CBR in prevention of transition for psychosis in UHR individuals. A non systematic review was conducted; summarizing the concept of UHR, the risk of transition for psychosis and presenting results of eight randomized controlled trials evaluating CBT for prevent transition for psychosis. Their results show that CBT is well accepted and efficient in reduce severity of symptoms in individuals in UHR. Nevertheless, the results about efficacy in prevent or delay psychosis onsets are heterogeneous and still insufficient for CBT be routinely recommended in clinical context.

Keywords : cognitive-behavioral therapy; prevention; psychosis; schizophrenia.

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