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CBT has only been studied as an adjunctive treatment to pharmacotherapy for schizophrenia. Gould et al. (2001) conducted a meta-analysis of the effects of cognitive therapy (combined with pharmacotherapy) on decreasing psychotic symptoms (hallucinations and delusions) and modifying core dysfunctional beliefs in patients with schizophrenia, schizoaffective disorder, or delusional disorder. They found large acute treatment effects for cognitive therapy across seven controlled studies, and these effects were maintained, and even increased in some cases, over time. When compared with a control condition (waiting list, TAU, or psychological placebo), cognitive therapy was superior in five of the seven studies, but no significant differences between cognitive therapy and control conditions were seen in two of these studies.

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