Cognitive behavioral therapy for social activation in recent-onset psychosis: Randomized controlled trial
| العنوان: | Cognitive behavioral therapy for social activation in recent-onset psychosis: Randomized controlled trial |
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| المؤلفون: | Nathalie Franke, Frederike Schirmbeck, Karin Pos, Eva Velthorst, Mark van der Gaag, Anton B P Staring, Ben F. M. Wijnen, Carin J. Meijer, Filip Smit, Lieuwe de Haan |
| المساهمون: | MUMC+: KIO Kemta (9), RS: CAPHRI - R2 - Creating Value-Based Health Care, Promovendi PHPC, Health Services Research, APH - Mental Health, Graduate School, Adult Psychiatry, ANS - Mood, Anxiety, Psychosis, Stress & Sleep, Clinical Psychology |
| المصدر: | Journal of Consulting and Clinical Psychology, 87(2), 151-160. American Psychological Association Pos, K, Franke, N, Smit, F, Wijnen, B F M, Staring, A B P, Van Der Gaag, M, Meijer, C, De Haan, L, Velthorst, E & Schirmbeck, F 2019, ' Cognitive behavioral therapy for social activation in recent-onset psychosis : Randomized controlled trial ', Journal of Consulting and Clinical Psychology, vol. 87, no. 2, pp. 151-160 . https://doi.org/10.1037/ccp0000362 Journal of Consulting and Clinical Psychology, 87(2), 151-160. American Psychological Association Inc. Journal of consulting and clinical psychology, 87(2), 151-160. American Psychological Association Inc. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, 050103 clinical psychology, medicine.medical_treatment, Global Assessment of Functioning, law.invention, Randomized controlled trial, law, Single-Blind Method, psychosis, SCALE, Positive and Negative Syndrome Scale, Standard treatment, 05 social sciences, social activation, SDG 10 - Reduced Inequalities, RECOVERY, DEPRESSION, Cognitive behavioral therapy, Psychiatry and Mental health, Clinical Psychology, Treatment Outcome, RELIABILITY, Female, Schizophrenic Psychology, Psychology, Clinical psychology, Adult, Psychosis, Adolescent, DISORDERS, CBT, Dysfunctional family, Young Adult, Schizophrenia/therapy, SCHIZOPHRENIA METAANALYSIS, medicine, Humans, 0501 psychology and cognitive sciences, VALIDITY, Social Behavior, negative symptoms, Cognitive Behavioral Therapy, 1ST-EPISODE, medicine.disease, Mental illness, Psychotic Disorders/psychology, HIGH-RISK, Psychotic Disorders, Attitude, Schizophrenia |
| الوصف: | OBJECTIVE: Negative symptoms largely account for poor outcome in psychotic disorders but remain difficult to treat. A cognitive-behavioral approach to these symptoms showed promise in chronic schizophrenia patients. We explored whether a combination of group and individual treatment focused on social activation (CBTsa) could benefit patients recently diagnosed with a psychotic disorder. METHOD: A single-blind randomized controlled trial enrolled 99 participants recently diagnosed with schizophrenia or a related disorder that received treatment as usual (TAU; n = 50), or TAU plus CBTsa (n = 49). Negative symptoms (Brief Negative Symptom Scale) and social withdrawal (Positive and Negative Syndrome Scale) were primary outcomes. Secondary outcome measures included dysfunctional beliefs (Dysfunctional Attitudes Scale-Defeatist Performance Attitude), stigma Internalized Stigma of Mental Illness Scale (ISMIS), and symptom severity and functioning as measured with the Global Assessment of Functioning (GAF). Outcomes were compared directly posttreatment and at follow-up (6 months posttreatment). RESULTS: Intention-to-treat analyses showed significant improvement in GAF symptoms (p = .02, d = 0.36) and a decrease in negative symptoms on trend level (p = .08, d = -0.29) in CBTsa compared to TAU at posttreatment. These group differences were no longer apparent at 6 months follow-up. Social withdrawal and negative symptoms improved over time in both conditions. CONCLUSIONS: The current trial showed small positive effects on symptom severity posttreatment but did not demonstrate maintenance of longer-term effects in favor of the CBTsa group. Findings suggest that the treatment duration may have been too short to change dysfunctional beliefs, a potentially important maintaining factor of negative symptom severity. Longer intervention periods in later, more stable stages of the illness when intensive standard treatment has tapered off may yield more beneficial effects. (PsycINFO Database Record (c) 2019 APA, all rights reserved). |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0022-006X |
| DOI: | 10.1037/ccp0000362 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b5d115b15364979f09c8bb08387d9036 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85058856383&origin=inward |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b5d115b15364979f09c8bb08387d9036 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 0022006X |
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| DOI: | 10.1037/ccp0000362 |