Do Psychological Interventions Work for Psychosis in Adolescents?

Rhea Daruvala; Ajit Kumar; Soumitra Shankar Datta


Schizophr Bull. 2021;47(3):692-694. 

In This Article

Author's Conclusions

The main outcomes of most studies were equivocal. Analyses of data suggest that some psychological interventions may have some beneficial effects in the treatment of adolescents with psychosis, but the evidence is of low or very low certainty. Most importantly, the studies designed to compare a specific psychological intervention against TAU may naturally show that some kind of psychological intervention is superior to no additional psychological intervention, without highlighting much on the inherent mechanisms or psychological processes that have been beneficial to adolescents with psychosis. Studies that compared a specific type of psychological intervention with another did not find a significant difference between the intervention and control arm. It is also important to note that the results were based on a very small number of studies and participants with a variable risk of bias, and, as such, our estimate of the effects of these interventions should be viewed with considerable caution. Conducting further good-quality trials and adding further data are, therefore, needed before making definitive inferences about the effects of psychological interventions in the treatment of psychosis in adolescents. To date, scientific support for efficacy and effectiveness of psychological treatments for adolescences with schizophrenia is virtually missing and clinical trials with active control participants merits high priority.