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

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

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3