Predictors of Adherence to Cognitive-Behavioural Therapy in First-Episode Psychosis-Reference-Cited by-同舟云学术

Predictors of Adherence to Cognitive-Behavioural Therapy in First-Episode Psychosis

Published:2009-10 Issue:10 Volume:54 Page:710-718
ISSN:0706-7437
Container-title:The Canadian Journal of Psychiatry
language:en
Short-container-title:Can J Psychiatry

Author:

Álvarez-Jiménez Mario¹,Gleeson John F²,Cotton Sue³,Wade Darryl⁴,Gee Donna⁵,Pearce Tracey⁵,Crisp Kingsley⁶,Spiliotacopoulos Daniela⁷,Newman Belinda⁷,McGorry Patrick D⁸

Affiliation:

1. Clinical Psychologist and Research Fellow, ORYGEN Youth Health Research Centre, Melbourne, Victoria, Australia; Marques de Valdecilla Public Foundation-Research Institute, Santander, Spain

2. Associate Professor, Department of Psychology, University of Melbourne and Northwestern Mental Health Program, Melbourne, Australia

3. Statistician and Senior Research Fellow, ORYGEN Youth Health Research Centre and Department of Psychiatry, University of Melbourne, Melbourne, Australia

4. Clinical Psychologist and Research Fellow, Australian Centre for Posttraumatic Mental Health and Department of Psychiatry, University of Melbourne, Australia

5. Clinical Psychologist, ORYGEN Youth Health, Melbourne, Australia

6. Family Therapist, ORYGEN Youth Health, Melbourne, Australia

7. Research Assistant, ORYGEN Youth Health Research Centre and Department of Psychiatry, University of Melbourne, Melbourne, Australia

8. Professor Director, ORYGEN Youth Health Research Centre and Department of Psychiatry, University of Melbourne, Melbourne, Australia

Abstract

Objective: To investigate predictors of adherence with a cognitive-behavioural intervention in first-episode psychosis (FEP) patients. Method: Predictors of adherence to cognitive-behavioural therapy (CBT) were longitudinally investigated in the experimental arm of a randomized controlled trial designed to evaluate the effectiveness of a CBT intervention for relapse prevention early in the course of psychosis when compared with treatment as usual within 2 high quality, youth oriented, specialist FEP programs (the EPISODE II trial). Results: Longer duration of untreated psychosis (DUP) and poorer level of insight predicted poor adherence to CBT. This association remained significant after controlling for potential confounders. Conclusions: Treatment delay may decrease adherence with CBT in FEP patients. Reducing DUP and promoting insight early in the course of psychosis are likely to enhance adherence with CBT.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Link

http://journals.sagepub.com/doi/pdf/10.1177/070674370905401008

Reference59 articles.

1. Randomised controlled trial of cognitive-behavioural therapy in early schizophrenia: Acute-phase outcomes

2. Early intervention in psychosis

3. Psychosocial Treatment for First-Episode Psychosis: A Research Update

4. Influence of age on outcome of psychological treatments in first-episode psychosis

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