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Study Of Cognitive ReAlignment Therapy in Early Schizophrenia
ISRCTN ISRCTN65818527
DOI 10.1186/ISRCTN65818527
ClinicalTrials.gov identifier
EudraCT number
Public title Study Of Cognitive ReAlignment Therapy in Early Schizophrenia
Scientific title
Acronym SOCRATES
Serial number at source G9519373
Study hypothesis To evaluate the effectiveness of cognitive behaviour therapy in parallel with drug treatments as usual in early acute schizophrenia. The hypothesis is that CBT is an acceptable adjunct to drug treatment which will accelerate resolution of target psychotic symptoms and reduce relapse.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Neurosciences, psychiatry
Participants - inclusion criteria Consecutive sample of in- or day-patients admitted with 1st and 2nd episode schizophrenia aged 18-65. Further inclusion criteria:
1. Able to give informed consent
2. Meet Diagnostic and Statistical Manual of Mental Disorders, Fourth
Edition (DSMIV) diagnostic criteria for schizophrenia, schizophreniform or schizoaffective disorder with at least a 1 month history of positive symptoms
3. No significant history of organic brain disease or substance misuses for major aetiological factor for psychosis
4. Positive and negative syndrome scale (PANSS) for schizophrenia score of at least 4 on item hallucinatory behaviour and/or item delusions
5. Score of less than 5 on PANSS item conceptual disorganisation
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/04/1996
Anticipated end date 31/03/2000
Status of trial Completed
Patient information material
Target number of participants 236
Interventions Cognitive behaviour therapy/drug treatments
Primary outcome measure(s) 1. Change on core symptom scores on hallucination and delusion rating scales
2. Change in total symptoms scores on PANSS
3. Time to criterion of 50% recovery operationally defined -
4. Number of days in hospital before 1st discharge and during follow-up
5. Time to relapse
6. Follow-up symptom and outcome scores at 3.9 and 18 months
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications Lewis, S., Tarrier, N., Haddock, G., et al (2002) Randomised, controlled trial of cognitive-behavioural therapy in early schizophrenia: acute-phase outcomes. British Journal of Psychiatry, 181 (suppl. 43), s91-s97
Contact name Professor  SW  Lewis
  Address School of Psychiatry and Behavioural Science
University of Manchester
Withington Hospital
West Didsbury
  City/town Manchester
  Zip/Postcode M20 8LR
  Country United Kingdom
  Email
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 23/10/2000
Last edited 23/09/2009
Date ISRCTN assigned 23/10/2000
© 2013 ISRCTN unless otherwise stated.