We conducted a meta-analysis using all available controlled treatment outco
me studies of cognitive therapy (CT) for psychotic symptoms in schizophreni
a. Effect sizes were calculated for seven studies involving 340 subjects. T
he mean effect size for reduction of psychotic symptoms was 0.65. The findi
ngs suggest that cognitive therapy is an effective treatment for patients w
ith schizophrenia who have persistent psychotic symptoms. Follow-up analyse
s in four studies indicated that patients recieving CT continued to make ga
ins over time (ES = 0.93). Further research is needed to determine the repl
icability of standardized cognitive interventions, to evaluate the clinical
significance of cognitive therapy for schizophrenia, and to determine whic
h patients are most likely to benefit from this intervention. (C) 2001 Else
vier Science B.V. All rights reserved.