Cognitive behaviour therapy for first episode psychosis: Good for nothing or fit for purpose?

Psychosis ◽  
2009 ◽  
Vol 1 (2) ◽  
pp. 103-112 ◽  
Author(s):  
Anthony P. Morrison
Keyword(s):  
Cognitive Behaviour Therapy ◽  
First Episode Psychosis ◽  
First Episode ◽  
Behaviour Therapy ◽  
Episode Psychosis ◽  
Cognitive Behaviour ◽  
Fit For Purpose ◽  
Good For

Patient predictors of symptom and functional outcome following cognitive behaviour therapy or befriending in first-episode psychosis

2011 ◽  
Vol 132 (2-3) ◽  
pp. 125-130 ◽  
Author(s):  
Kelly Allott ◽  
Mario Alvarez-Jimenez ◽  
Eoin J. Killackey ◽  
Sarah Bendall ◽  
Patrick D. McGorry ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Cognitive Behaviour Therapy ◽  
First Episode Psychosis ◽  
First Episode ◽  
Behaviour Therapy ◽  
Episode Psychosis ◽  
Cognitive Behaviour

Preventing Episode II: Relapse Prevention in First-Episode Psychosis

2005 ◽  
Vol 13 (4) ◽  
pp. 384-387 ◽  
Author(s):  
John Gleeson ◽  
Keyword(s):  
Relapse Prevention ◽  
Cognitive Behaviour Therapy ◽  
First Episode Psychosis ◽  
First Episode ◽  
Psychological Processes ◽  
Behaviour Therapy ◽  
Episode Psychosis ◽  
Cognitive Behaviour ◽  
Prevention Of Relapse ◽  
Therapy Intervention

Objective: This paper outlines a rationale for expanding research and clinical innovations focused upon relapse prevention following a first episode of psychosis. Some general principles for further progress are extracted from an overview of the first-episode psychosis (FEP) relapse literature. A cognitive behaviour therapy intervention for relapse prevention for FEP, that has been developed at the Early Psychosis Prevention and Intervention Centre, is described to illustrate these principles. Conclusions: Further progress is needed in refining interventions specific to the prevention of relapse following FEP. Future progress is dependent upon improved understanding of the interaction of biological, interpersonal and psychological processes underpinning relapse.

The Credibility and Acceptability of Befriending as a Control Therapy in a Randomized Controlled Trial of Cognitive Behaviour Therapy for Acute First Episode Psychosis

2006 ◽  
Vol 34 (3) ◽  
pp. 277-291 ◽  
Author(s):  
Sarah Bendall ◽  
Henry J. Jackson ◽  
Eoin Killackey ◽  
Kelly Allott ◽  
Tracy Johnson ◽  
...  
Keyword(s):  
Controlled Trial ◽  
First Episode Psychosis ◽  
Drop Out ◽  
Control Treatment ◽  
First Episode ◽  
Future Research ◽  
Behaviour Therapy ◽  
Episode Psychosis ◽  
Cognitive Behaviour ◽  
Control Therapy

There is increasing evidence that cognitive behavioural therapy (CBT) is efficacious in treating psychosis. However, very little attention has been paid to the nature of the control treatments used in studies of this. Befriending has been used as a control treatment in several randomized control trials (RCTs) of CBT for psychosis as it is simple to learn and administer. The aim of the present study was to examine whether Befriending controlled for important non-specific aspects of therapy when compared to CBT in a RCT for acute first episode psychosis (FEP). These non-specific factors included time in, expectancy created by, and acceptability of therapy. Expectations and enjoyment of therapy were measured by questionnaire. Time in therapy and the number of drop-outs were also recorded. Results showed that Befriending was comparable to CBT on measures of expectancy, enjoyment of therapy and drop-out rate, but significantly different with regard to time in therapy. This suggests that Befriending is a credible and acceptable control therapy for FEP with modification to increase time in therapy sessions. Methodological issues are raised, and suggestions for future research are made regarding control treatments.

Gender differences in response to metacognitive training in people with first-episode psychosis.

2020 ◽  
Vol 88 (6) ◽  
pp. 516-525 ◽  
Author(s):  
Miriam Salas-Sender ◽  
Raquel López-Carrilero ◽  
Ana Barajas ◽  
Esther Lorente-Rovira ◽  
Esther Pousa ◽  
...  
Keyword(s):  
Gender Differences ◽  
First Episode Psychosis ◽  
First Episode ◽  
Metacognitive Training ◽  
Episode Psychosis

Cognitive clusters in first-episode psychosis: Overlap with healthy controls and relationship to concurrent and prospective symptoms and functioning.

2017 ◽  
Vol 31 (7) ◽  
pp. 787-797 ◽  
Author(s):  
Jacqueline Uren ◽  
Susan M. Cotton ◽  
Eoin Killackey ◽  
Michael M. Saling ◽  
Kelly Allott
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Healthy Controls ◽  
Episode Psychosis

Improving outcomes: Factors influencing help-seeking behaviors in immigrants and ethnic minorities with first-episode psychosis

2016 ◽  
Vol 13 (03) ◽  
pp. 152-157
Author(s):  
A. O. Berg ◽  
K. Leopold ◽  
S. Zarafonitis-Müller ◽  
M. Nerhus ◽  
L. H. Stouten ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Service Use ◽  
First Episode Psychosis ◽  
Pathways To Care ◽  
First Episode ◽  
Factors Influencing ◽  
Increased Risk ◽  
Episode Psychosis ◽  
The Hague

Summary Background: Immigrants have increased risk of a poor recovery from first episode psychosis (FEP). Early treatment can improve prognosis, but having an immigrant background may influence pathways to care. Method: We present research of service use and factors influencing treatment outcome in immigrants with FEP. Service use was assessed in in-patients at an early intervention center in Berlin, Germany. Duration of untreated psychosis and beliefs about illness was assessed in a FEP study in Oslo, Norway and cognitive functioning in patients with FEP schizophrenia from the regular mental health services in The Hague, the Netherlands. The proportion of immigrants in Berlin and Oslo was at level with the local populations, while the proportion in The Hague appeared to be higher. Result: There were clear indications that mental health literacy, probably based in different cultural expectations, were lower in first generation immigrants (FGI). Findings regarding clinical insight were ambiguous. There were also indications that FGI had more cognitive problems, based in higher stress levels or in cognitive styles. Early psychosis services must take issues of immigration and ethnicity into consideration.

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