Expert consensus on cognitive behavioral therapy for schizophrenia: A Delphi study
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    Abstract:

    Objective To investigate the domestic application of cognitive behavioral therapy (CBT) for schizophrenia by Delphi method, in order to further standardize CBT for schizophrenia in China. Methods Expert consultant questionnaire was formulated on the basis of literature review and experts discussion. After two rounds of expert consultation, the technical components were evaluated comprehensively from four different dimensions: operability, frequency of use, contribution to therapeutic effect and acceptability of visitors, sorted according to the comprehensive technical rank. Descriptive statistical analysis was used to analyze the basic information of experts, the degree of concentration and coordination of experts' opinion. Reliability of the study was appraised by analyzing initiative and authority of experts. Results The average authority coefficient of the 23 experts was 0.84, and the initiative coefficient was 100%. After two rounds' of expert consultation, the techniques with variation coefficient over 0.30 in four dimensions were reduced significantly. The overall coordination coefficient of the four dimensions ranged from 0.4 to 0.5. 46 technique components were sorted according to integrated rank size. The top 35 technical components reach expert consensus in all dimensions except behavioral activation and voice diary. There was a certain degree of disagreement for the techniques ranking from 36 to 46 in treating negative symptoms. Conclusions The experts exert high enthusiasm into the study and have a high authority level. The result of the study is reliable. The coordination of the experts' opinions is high. The weights of techniques are determined and the rank of 46 technique components is achieved through two rounds of expert consultation.

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Fu ZY,Li ZJ,Guo ZH,et al. Expert consensus on cognitive behavioral therapy for schizophrenia:A Delphi study[J].Journal of Neuroscience and Mental Health,2018,18(8):571-576.DOI:10.3969/j. issn.1009-6574.2018.08.010.

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  • Online: October 29,2018
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