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[Cognitive-behavioural therapy in early psychosis: an open study in a clinical setting].

Publication Type:

Journal Article

Source:

Can J Psychiatry, Volume 56, Issue 1, p.51-61 (2011)

Keywords:

Adolescent, Antipsychotic Agents, Cognitive Therapy, Combined Modality Therapy, Delusions, Female, Follow-Up Studies, Hospitalization, Humans, Male, Patient Satisfaction, Psychiatric Status Rating Scales, Psychotic Disorders, Quebec, Schizophrenia, Schizophrenic Psychology, Young Adult

Abstract:

<p><b>OBJECTIVE: </b>Meta-analysis results confirm that cognitive-behavioural therapy in psychosis (CBTp) is efficient for persistent symptoms. However, external validity remains unexplored. CBTp in early psychosis (in the first 5 years after diagnosis) seems especially relevant, given a possible impact on long-term course. However, the few studies that experimented with CBTp with this population had poor results. They all introduced therapy during an acute psychotic phase and most of them performed a limited number of sessions. Therefore, our introductory open study aimed to evaluate the efficiency of a 25-session Australian CBTp program, introduced during a stable phase in Quebec patients with early psychosis.</p><p><b>METHOD: </b>The Active Cognitive Psychotherapy for Early Psychosis program was offered to 20 patients aged 14 years or older, at a rate of 1 weekly session during 6 months.</p><p><b>RESULTS: </b>The acceptance rate was 75%, the mean session compliance rate was 84%, and participants were satisfied with the program. Pre- and post-CBTp analyses indicated statistically significant improvements of psychotic symptomatology, which were maintained at 6-month follow-up. Self-criticism improvement was also statistically significant, post-CBTp.</p><p><b>CONCLUSION: </b>CBTp seems to be appropriate in our clinical settings, including with adolescents. Moreover, the treatment dosage used seems to foster session compliance.</p>

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