Cognitive Behavioral Therapy in the Treatment of Psychotic Disorders: A Systematic Review

Cyprus Turkish Journal of Psychiatry & Psychology Vol.7 Issue.3

Doi:10.35365/ctjpp.25.3.12


REVIEW ARTICLE / DERLEME YAZISI


Cognitive Behavioral Therapy in the Treatment of Psychotic Disorders: A Systematic Review

Cognitive Behavioral Therapy in the Treatment of Psychotic Disorders: A Systematic Review

Deniz Kılıç1, Meryem Karaaziz2

Abstract:

The purpose of this review study is to examine the effectiveness of Cognitive Behavioural Therapy (CBT) in individuals experiencing psychotic disorders. A systematic review method was used in this study, and no field studies or scales were used. The studies reviewed in English cover the years 2010-2024. These studies consist of randomised controlled trials and review articles. Twelve studies were included in the search results. The findings of the included studies indicate that CBT, when applied in addition to pharmacological treatment, is effective in reducing post-traumatic symptoms, alleviating dissociative symptoms, coping with auditory hallucinations, and improving positive symptoms. However, the effects of CBT on negative symptoms and social functioning were found to be more limited. Furthermore, CBT has been shown to reduce transition rates to psychotic disorders in the prodromal phase and to improve mild symptoms. In individuals with a history of trauma, statistically significant gains were observed in terms of post-traumatic symptoms, delusion severity, emotional distress, and perceived improvement. Research findings generally indicate that the effect of CBT on psychotic disorders depends on the type of symptom, the individual’s history, and the continuity of the treatment process. It is particularly emphasised that adding CBT to standard treatment provides more substantial positive effects over time on positive symptoms such as delusions, hallucinations, and anxiety. The studies examined show that when applied in addition to pharmacological treatment, CBT is an effective method that increases treatment compliance, accelerates the recovery process, and enables results to be achieved in a short time. The results of this study demonstrate that CBT is an evidence-based, valuable complementary treatment option in the clinical practice of treating psychotic disorders and that it makes a meaningful contribution.

Keywords: Psychotic disorder, Cognitive behavioral therapy, Systematic review.


1MSc, Near East University, Institute of Graduate Studies, Department of Clinical Psychology, Nicosia, TRN Cyprus, E-mail: [email protected], Orcid Id: 0009-0007-5113-8201

2Assoc. Prof. Dr., Near East University, Faculty of Arts and Sciences, Department of Psychology, Nicosia, TRN Cyprus, E-mail: [email protected], Orcid Id: 0000-0002-0085-612X

Address of Correspondence/Yazışma Adresi: Deniz Kılıç, Near East University, Institute of Graduate Studies, Department of Clinical Psychology, Nicosia, TRN Cyprus, E-mail: [email protected]

Date of Received/Geliş Tarihi: 28.07.2024, Date of Revision/Düzeltme Tarihi: 21.06.2024, Date of Acceptance/Kabul Tarihi: 26.06.2025, Date of Online Publication/Çevirimiçi Yayın Tarihi: 22.09.2025

Citing/Referans Gösterimi: Kılıç, D. & Karaaziz, M. (2025). Cognitive Behavioral Therapy in the Treatment of Psychotic Disorders: A Systematic Review. Cyprus Turkish Journal of Psychiatry & Psychology, 7(3), 317-325.


© 2025 The Author(s). Published by Cyprus Mental Health Institute / Cyprus Turkish Journal of Psychiatry and Psychology (www.ktppdergisi.com). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 license which permits use, sharing, adaptation, distribution and reproduction in any medium or format, provided the original work is properly cited and is not used for commercial purposes. https://creativecommons.org/licenses/by-nc-sa/4.0/

 

Authors: Deniz Kılıç , Meryem Karaaziz

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DOI: 10.35365/ctjpp.25.3.12