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https://read.qxmd.com/read/30672074/exploring-the-implementation-of-cognitive-behaviour-therapy-for-psychosis-using-the-normalization-process-theory-framework
#1
Nikos Xanidis, Andrew Gumley
OBJECTIVE: Evidence suggests that only a minority of service users experiencing psychosis have access to Cognitive Behavioural Therapy for psychosis (CBTp). Normalization Process Theory (NPT) is a theoretical framework which focuses on processes by which interventions are implemented and normalized in clinical practice. This study explored the views and experiences of mental health professionals regarding the implementation of CBTp. Barriers and facilitators to implementation were explored using the NPT framework...
January 22, 2019: Psychology and Psychotherapy
https://read.qxmd.com/read/30639991/group-cognitive-behavioural-therapy-for-chinese-patients-with-psychotic-disorder-a-feasibility-controlled-study
#2
Agatha W S Wong, K T Ting, Eric Y H Chen
AIM: Evidence for the effectiveness of individual cognitive behavioural therapy for psychosis (CBTp) is promising but evidence for presenting CBTp in a group setting and in the Asian context is limited. The present study is to evaluate the feasibility and effectiveness of Group CBTp in clinical practice. METHOD: Forty-eight out-patients and day-patients with the schizophrenia spectrum disorders were recruited and randomly assigned to the group CBTp plus treatment as usual (TAU), or psychoeducation group (PsyEdI) plus TAU...
December 26, 2018: Asian Journal of Psychiatry
https://read.qxmd.com/read/30548375/a-qualitative-evaluation-of-the-effects-of-metacognitive-reflection-and-insight-therapy-living-more-consciously
#3
Steven de Jong, Ilanit Hasson-Ohayon, Rozanne van Donkersgoed, André Aleman, Gerdina Hendrika Maria Pijnenborg
OBJECTIVES: Extensive research showed that one of the major difficulties that people with schizophrenia spectrum disorders are struggling with involves their ability to reflect on their own and others' mental activities, also defined as metacognition. Several new psychotherapies have been developed to assist patients (re)gain metacognitive capacity, including Metacognitive Reflection and Insight Therapy (MERIT). The current study investigated the client's subjective experience of psychotherapy, to determine whether service users found MERIT effective and whether these gains align with quantitative findings, which processes they considered responsible for these benefits, in which ways participants found MERIT similar or different from other interventions, and whether they experienced non-desirable factors and outcomes...
December 12, 2018: Psychology and Psychotherapy
https://read.qxmd.com/read/30458850/the-u-i-study-study-protocol-for-a-feasibility-randomised-controlled-trial-of-a-pre-cognitive-behavioural-therapy-digital-informed-choice-intervention-to-improve-attitudes-towards-uptake-and-implementation-of-cbt-for-psychosis
#4
Kathryn Greenwood, Katie Alford, Ian O'Leary, Emmanuelle Peters, Amy Hardy, Kate Cavanagh, Andy P Field, Richard de Visser, David Fowler, Matthew Davies, Alexandra Papamichail, Philippa Garety
BACKGROUND: At least 40% of people with psychosis have persistent distressing symptoms despite optimal medication treatment. Cognitive behaviour therapy for psychosis (CBTp) is the only NICE-recommended individual therapy for psychosis, with effects on symptoms, distress and quality of life. Yet <10% of service-users receive it and 94% of trusts struggle to provide it. Of those offered it, 22-43% refuse or do not attend. We have developed a new pre-CBTp informed choice intervention to address knowledge and attitudes that influence uptake and implementation and now want to test it in a feasibility trial...
November 20, 2018: Trials
https://read.qxmd.com/read/30359995/-psychosis-cognitive-behavioral-treatment-strategies
#5
Klaus Hesse, Stefan Klingberg
Cognitive behavioral therapy (CBT) is an established treatment for the patients with psychosis including schizophrenia. The evidence for the efficacy of CBT is proved by randomized clinical trials and meta-analyses. Evidence-based treatment guidelines recommend CBT for routine treatment. The aim of this paper is to give a short practical guideline for different cognitive behavioral treatment strategies. Cognitive Behavior Therapy for psychosis (CBTp) is an adaptation of general principles of CBT modified for patients with psychotic disorders...
November 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://read.qxmd.com/read/30343250/using-fmri-and-machine-learning-to-predict-symptom-improvement-following-cognitive-behavioural-therapy-for-psychosis
#6
Eva Tolmeijer, Veena Kumari, Emmanuelle Peters, Steven C R Williams, Liam Mason
Cognitive behavioural therapy for psychosis (CBTp) involves helping patients to understand and reframe threatening appraisals of their psychotic experiences to reduce distress and increase functioning. Whilst CBTp is effective for many, it is not effective for all patients and the factors predicting a good outcome remain poorly understood. Machine learning is a powerful approach that allows new predictors to be identified in a data-driven way, which can inform understanding of the mechanisms underlying therapeutic interventions, and ultimately make predictions about symptom improvement at the individual patient level...
2018: NeuroImage: Clinical
https://read.qxmd.com/read/30236037/a-case-study-of-two-adolescent-parent-pairs-describing-the-association-between-vagal-tone-and-social-emotional-adjustment-during-a-positive-cognitive-behaviour-therapy-programme
#7
Deborah van der Westhuizen, Nicolaas Claassen, Margaretha Viljoen
OBJECTIVE: A case study describing the association between vagal tone and social-emotional adaptation in two distressed adolescent-parent (A-P) pairs during a Positive Cognitive Behaviour Therapy Programme (P-CBTP). METHODS: Two A-P pairs completed a P-CBTP with pre- and post-intervention biosocial-emotional assessments; weekly training sessions over 7 weeks to develop individual strengths, new adaptive cognitions, positive discipline skills, optimism and knowledge on age-appropriate developmental expressions; augmented by moderate physical activity...
August 2018: Journal of Child and Adolescent Mental Health
https://read.qxmd.com/read/30016999/cognitive-behavioural-therapy-for-schizophrenia-outcomes-for-functioning-distress-and-quality-of-life-a-meta-analysis
#8
Keith R Laws, Nicole Darlington, Tejinder K Kondel, Peter J McKenna, Sameer Jauhar
BACKGROUND: The effect of cognitive behavioural therapy for psychosis (CBTp) on the core symptoms of schizophrenia has proven contentious, with current meta-analyses finding at most only small effects. However, it has been suggested that the effects of CBTp in areas other than psychotic symptoms are at least as important and potentially benefit from the intervention. METHOD: We meta-analysed RCTs investigating the effectiveness of CBTp for functioning, distress and quality of life in individuals diagnosed with schizophrenia and related disorders...
July 17, 2018: BMC Psychology
https://read.qxmd.com/read/29777343/the-effects-of-pre-treatment-depressive-symptoms-on-quality-of-life-across-cognitive-behavioral-therapy-for-chronic-pain
#9
Justin M Hughes, Eric A Seemann, J Michael George, K Dean Willis
Recent studies suggest that chronic pain affects millions and carries significant physical, financial, and social burdens, and thus adversely affects quality of life (QOL). Cognitive behavioral therapy for chronic pain (CBTp) is a non-pharmacological treatment method which has been shown to reduce a sufferer's experience of chronic pain and improve overall QOL. These and other studies also indicate that affective symptoms likely impact the effectiveness of CBTp. The current study focused on the effects of depressive symptoms on changes in QOL ratings across a 12-session CBT for chronic pain...
May 17, 2018: Journal of Clinical Psychology in Medical Settings
https://read.qxmd.com/read/29723013/implementing-cognitive-behavioral-therapy-for-psychosis-an-international-survey-of-clinicians-attitudes-and-obstacles
#10
MULTICENTER STUDY
Tania Lecomte, Crystal Samson, Farooq Naeem, Leslie Schachte, John Farhall
OBJECTIVE: This study aimed to better understand the implementation of cognitive behavioral therapy for psychosis (CBTp) by exploring the impact of clinicians' attitudes toward CBTp within the Theory of Planned Behavior framework (i.e., by considering attitudes, behaviors, intention, and social norms) as well as perceived obstacles and response to proposed solutions. METHOD: One hundred forty-two clinicians from 2 sites in Canada and 1 site in Australia answered an online survey involving both Likert scales and open-ended questions...
June 2018: Psychiatric Rehabilitation Journal
https://read.qxmd.com/read/29460461/expressive-suppression-is-associated-with-state-paranoia-in-psychosis-an-experience-sampling-study-on-the-association-between-adaptive-and-maladaptive-emotion-regulation-strategies-and-paranoia
#11
Clara Marie Nittel, Tania Marie Lincoln, Fabian Lamster, Dirk Leube, Winfried Rief, Tilo Kircher, Stephanie Mehl
OBJECTIVES: Although emotional instability and problems in emotion regulation (ER) are known to be linked to the formation and maintenance of psychosis and paranoia, it remains unclear whether the use of specific ER strategies is associated with it. The first aim of the study was to explore the association between emotional instability and paranoia. The second and third aims were to investigate whether the use of maladaptive ER strategies leads to paranoia in patients with psychosis in daily life and whether the use of more adaptive ER strategies reduces paranoia...
September 2018: British Journal of Clinical Psychology
https://read.qxmd.com/read/29352708/a-systematic-review-and-discussion-of-symptom-specific-cognitive-behavioural-approaches-to-delusions-and-hallucinations
#12
Tania M Lincoln, Emmanuelle Peters
Studies on cognitive behavioural therapy for psychosis (CBTp) have developed from evaluating generic approaches to focusing on specific symptoms. The evidence for targeted studies on delusions and hallucinations was reviewed. We included randomized controlled trials (RCTs) examining the effect of individualized CBT-based interventions focusing either on delusions or on hallucinations. Twelve suitable RCTs were identified. Four RCTs focused on delusions, of which three took a focused approach targeting mechanisms assumed causal to persecutory delusions...
January 16, 2018: Schizophrenia Research
https://read.qxmd.com/read/29033279/guided-self-help-cognitive-behaviour-intervention-for-voices-give-results-from-a-pilot-randomised-controlled-trial-in-a-transdiagnostic-sample
#13
Cassie M Hazell, Mark Hayward, Kate Cavanagh, Anna-Marie Jones, Clara Strauss
BACKGROUND: Few patients have access to cognitive behaviour therapy for psychosis (CBTp) even though at least 16 sessions of CBTp is recommended in treatment guidelines. Briefer CBTp could improve access as the same number of therapists could see more patients. In addition, focusing on single psychotic symptoms, such as auditory hallucinations ('voices'), rather than on psychosis more broadly, may yield greater benefits. METHOD: This pilot RCT recruited 28 participants (with a range of diagnoses) from NHS mental health services who were distressed by hearing voices...
May 2018: Schizophrenia Research
https://read.qxmd.com/read/28738854/understanding-clinician-attitudes-towards-implementation-of-guided-self-help-cognitive-behaviour-therapy-for-those-who-hear-distressing-voices-using-factor-analysis-to-test-normalisation-process-theory
#14
Cassie M Hazell, Clara Strauss, Mark Hayward, Kate Cavanagh
BACKGROUND: The Normalisation Process Theory (NPT) has been used to understand the implementation of physical health care interventions. The current study aims to apply the NPT model to a secondary mental health context, and test the model using exploratory factor analysis. This study will consider the implementation of a brief cognitive behaviour therapy for psychosis (CBTp) intervention. METHODS: Mental health clinicians were asked to complete a NPT-based questionnaire on the implementation of a brief CBTp intervention...
July 24, 2017: BMC Health Services Research
https://read.qxmd.com/read/28716789/identification-of-the-delivery-of-cognitive-behavioural-therapy-for-psychosis-cbtp-using-a-cross-sectional-sample-from-electronic-health-records-and-open-text-information-in-a-large-uk-based-mental-health-case-register
#15
Craig Colling, Lauren Evans, Matthew Broadbent, David Chandran, Thomas J Craig, Anna Kolliakou, Robert Stewart, Philippa A Garety
OBJECTIVE: Our primary objective was to identify cognitive behavioural therapy (CBT) delivery for people with psychosis (CBTp) using an automated method in a large electronic health record database. We also examined what proportion of service users with a diagnosis of psychosis were recorded as having received CBTp within their episode of care during defined time periods provided by early intervention or promoting recovery community services for people with psychosis, compared with published audits and whether demographic characteristics differentially predicted the receipt of CBTp...
July 17, 2017: BMJ Open
https://read.qxmd.com/read/28651663/brief-coping-strategy-enhancement-for-distressing-voices-an-evaluation-in-routine-clinical-practice
#16
Mark Hayward, Rebecca Edgecumbe, Anna-Marie Jones, Clio Berry, Clara Strauss
BACKGROUND: Hearing voices can be a common and distressing experience. Psychological treatment in the form of cognitive behavioural therapy for psychosis (CBTp) is effective, but is rarely available to patients. The barriers to increasing access include a lack of time for clinicians to deliver therapy. Emerging evidence suggests that CBTp delivered in brief forms can be effective and offer one solution to increasing access. AIMS: We adapted an existing form of CBTp, coping strategy enhancement (CSE), to focus specifically on distressing voices in a brief format...
March 2018: Behavioural and Cognitive Psychotherapy
https://read.qxmd.com/read/28517948/randomized-controlled-trial-of-an-internet-cognitive-behavioral-skills-based-program-for-auditory-hallucinations-in-persons-with-psychosis
#17
RANDOMIZED CONTROLLED TRIAL
Jennifer D Gottlieb, Vasudha Gidugu, Mihoko Maru, Miriam C Tepper, Matthew J Davis, Jennifer Greenwold, Ruth A Barron, Brian P Chiko, Kim T Mueser
OBJECTIVE: Despite strong evidence supporting the effectiveness of cognitive-behavioral therapy for psychosis (CBTp), most clinicians in the United States have received little or no training in the approach and access remains very low, indicating a potential role for technology in increasing access to this intervention. Coping With Voices (CWV) is a 10-session, interactive, Web-based CBTp skills program that was developed to meet this need, and was shown to be feasible and associated with reduced severity of auditory hallucinations in a previous pilot study...
September 2017: Psychiatric Rehabilitation Journal
https://read.qxmd.com/read/28434719/pituitary-volume-reduction-in-schizophrenia-following-cognitive-behavioural-therapy
#18
Preethi Premkumar, Danielle Bream, Adegboyega Sapara, Dominic Fannon, Anantha P Anilkumar, Elizabeth Kuipers, Veena Kumari
Cognitive behavioural therapy (CBT) for psychosis (CBTp) aims to lower the stress of psychotic symptoms. Given that the pituitary is involved in stress regulation, CBT-led stress reduction may be accompanied by a change in pituitary volume. This study aimed to determine whether CBTp reduces pituitary volume in schizophrenia. The relation between pre-therapy memory and CBTp-led pituitary volume change was also examined given that poor memory relates to a blunted cortisol awakening response, denoting impaired stress response, in schizophrenia...
February 2018: Schizophrenia Research
https://read.qxmd.com/read/28390407/a-qualitative-study-to-explore-views-of-patients-carers-and-mental-health-professionals-to-inform-cultural-adaptation-of-cbt-for-psychosis-cbtp-in-china
#19
Weihui Li, Li Zhang, Xuerong Luo, Bangshan Liu, Zhipeng Liu, Fang Lin, Zhiling Liu, Yuhuan Xie, Melissa Hudson, Shanaya Rathod, David Kingdon, Nusrat Husain, Xudong Liu, Muhammad Ayub, Farooq Naeem
BACKGROUND: The evidence for effectiveness of Cognitive Behaviour Therapy (CBT) is robust and the national organizations in the United Kingdom and the United States recommend its use. It is not utilized to its full potential in low and middle-income countries. Adaptation of CBT treatment to the target culture may facilitate its uptake. This study explored views of patients with schizophrenia, their caregivers, and mental health professionals for the purpose of cultural adaptation of CBT...
April 8, 2017: BMC Psychiatry
https://read.qxmd.com/read/28094811/brain-connectivity-changes-occurring-following-cognitive-behavioural-therapy-for-psychosis-predict-long-term-recovery
#20
L Mason, E Peters, S C Williams, V Kumari
Little is known about the psychobiological mechanisms of cognitive behavioural therapy for psychosis (CBTp) and which specific processes are key in predicting favourable long-term outcomes. Following theoretical models of psychosis, this proof-of-concept study investigated whether the long-term recovery path of CBTp completers can be predicted by the neural changes in threat-based social affective processing that occur during CBTp. We followed up 22 participants who had undergone a social affective processing task during functional magnetic resonance imaging along with self-report and clinician-administered symptom measures, before and after receiving CBTp...
January 17, 2017: Translational Psychiatry
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