A brief CBT intervention for depersonalisation-derealisation disorder in psychosis: Results from a feasibility randomised controlled trial

IF 1.7 4区医学 Q3 PSYCHIATRY Journal of Behavior Therapy and Experimental Psychiatry Pub Date : 2023-09-12 DOI:10.1016/j.jbtep.2023.101911

Simone Farrelly , Emmanuelle Peters , Matilda Azis , Anthony S. David , Elaine C.M. Hunter

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引用次数: 1

Abstract

Background and objectives

Depersonalisation/derealisation symptoms are prevalent in psychosis patients, are associated with increased impairment, and may maintain psychosis symptoms. We aimed to establish the feasibility and acceptability of a brief, six session therapy protocol adapted from a Cognitive-Behavioural model of Depersonalisation-Derealisation Disorder (DDD) in participants with psychotic symptoms.

Methods

A single-blind, randomised controlled trial was conducted with a treatment-as-usual control condition. Feasibility and acceptability estimates included rates of referral, acceptance, eligibility, consent, satisfaction and improved skills/knowledge to manage depersonalisation.

Results

Twenty-one individuals were recruited to the trial. Results suggest that the intervention was feasible and acceptable to participants and there is some signal of effect on clinical outcomes.

Limitations

There were some challenges in recruitment. Recruitment feasibility estimates from the research register used may not be informative for future trials recruiting directly from teams.

Conclusions

Overall, the results suggest that further investigations would be of interest and recommendations for this are made.

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一项简短的CBT干预精神病患者人格解体障碍:可行性随机对照试验的结果

背景和目的人格解体/现实感丧失症状在精神病患者中普遍存在，与损害增加相关，并可能维持精神病症状。我们的目的是建立一个简短的、六期治疗方案的可行性和可接受性，该方案改编自一个认知-行为模型，用于患有精神病症状的去人格化-现实感障碍(DDD)的参与者。方法采用单盲、随机对照试验，对照组为常规治疗。可行性和可接受性评估包括转诊率、接受率、资格、同意率、满意度和管理人格解体的改进技能/知识。结果共招募21人参加试验。结果表明，干预是可行和可接受的，对临床结果有一定的影响。招聘方面存在一些挑战。从研究登记册中获得的招募可行性估计可能无法为直接从团队中招募的未来试验提供信息。结论本研究结果值得进一步研究，并提出了相关建议。

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来源期刊

Journal of Behavior Therapy and Experimental Psychiatry Multiple-

CiteScore

3.60

自引率

5.60%

发文量

期刊介绍： The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.