Pub Date : 2021-10-02DOI: 10.1080/17522439.2021.1985162
J. O. Johannessen, I. Joa
ABSTRACT In this editorial we try to summarise how we, in 2021, understand mental disorders in general, and psychoses in particular. We have tried to write it in a language that is understandable for our readers, including patients, relatives, students and professionals, without reducing its scientific validity or basis. During the last decade we have gained new insight in these disorders, and most textbooks are outdated and convey an old-fashioned understanding of the causes, the possible courses and the treatments needed for serious mental suffering.
{"title":"Modern understanding of psychosis: from brain disease to stress disorder. And some other important aspects of psychosis…","authors":"J. O. Johannessen, I. Joa","doi":"10.1080/17522439.2021.1985162","DOIUrl":"https://doi.org/10.1080/17522439.2021.1985162","url":null,"abstract":"ABSTRACT In this editorial we try to summarise how we, in 2021, understand mental disorders in general, and psychoses in particular. We have tried to write it in a language that is understandable for our readers, including patients, relatives, students and professionals, without reducing its scientific validity or basis. During the last decade we have gained new insight in these disorders, and most textbooks are outdated and convey an old-fashioned understanding of the causes, the possible courses and the treatments needed for serious mental suffering.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"13 1","pages":"289 - 301"},"PeriodicalIF":1.2,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46553287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-02DOI: 10.1080/17522439.2021.1991991
Natalie Femia
As known, to finish this book, you may not need to get it at once in a day. Doing the activities along the day may make you feel so bored. If you try to force reading, you may prefer to do other entertaining activities. But, one of concepts we want you to have this book is that it will not make you feel bored. Feeling bored when reading will be only unless you don't like the book. my friend the fox really offers what everybody wants.
{"title":"My Friend Fox","authors":"Natalie Femia","doi":"10.1080/17522439.2021.1991991","DOIUrl":"https://doi.org/10.1080/17522439.2021.1991991","url":null,"abstract":"As known, to finish this book, you may not need to get it at once in a day. Doing the activities along the day may make you feel so bored. If you try to force reading, you may prefer to do other entertaining activities. But, one of concepts we want you to have this book is that it will not make you feel bored. Feeling bored when reading will be only unless you don't like the book. my friend the fox really offers what everybody wants.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"13 1","pages":"379 - 380"},"PeriodicalIF":1.2,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48580740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-02DOI: 10.1080/17522439.2021.1986742
E. Tseris, M. de Pater
{"title":"Open dialogue for psychosis: organizing mental health services to prioritize dialogue, relationship and meaning","authors":"E. Tseris, M. de Pater","doi":"10.1080/17522439.2021.1986742","DOIUrl":"https://doi.org/10.1080/17522439.2021.1986742","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"13 1","pages":"378 - 379"},"PeriodicalIF":1.2,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45681712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1080/17522439.2021.1956575
Gordon Kay, M. Slattery, E. Kendall
ABSTRACT Background This multi-site study evaluated facilitator perspectives of a group-based program that brings together the common elements of cognitive behaviour therapy for psychosis (CBTp) with the knowledge and values of the peer led hearing voices networks (HVN). Twenty-two group facilitators were asked to complete a 58-item online survey which measured the usefulness, most important skills, benefits, acceptability and effectiveness of the Coping with Voices program. Methods Aligning with a mixed-methods approach the survey consisted of open and closed-ended questions. The closed-ended questions were analysed using descriptive analysis and open-ended questions were analysed using thematic analysis. Results The majority of facilitators reported the overall normalisation of voices and the use of a range of normalising strategies as the most useful aspects of the program. The most important skills used by facilitators were being understanding, non-judgemental and respectful and creating a safe space to discuss topics. The least important skills used by facilitators were using personal disclosure and motivational interviewing. Facilitators’ comments illustrated a strong interest in using digital technologies in the preparation and delivery of the program. Discussion This study contributes to a growing body of evidence that suggests hearing voices groups are beneficial, feasible and worthwhile.
{"title":"The facilitators’ perspectives of delivering a ‘Coping with Voices’ group (Part 1)","authors":"Gordon Kay, M. Slattery, E. Kendall","doi":"10.1080/17522439.2021.1956575","DOIUrl":"https://doi.org/10.1080/17522439.2021.1956575","url":null,"abstract":"ABSTRACT Background This multi-site study evaluated facilitator perspectives of a group-based program that brings together the common elements of cognitive behaviour therapy for psychosis (CBTp) with the knowledge and values of the peer led hearing voices networks (HVN). Twenty-two group facilitators were asked to complete a 58-item online survey which measured the usefulness, most important skills, benefits, acceptability and effectiveness of the Coping with Voices program. Methods Aligning with a mixed-methods approach the survey consisted of open and closed-ended questions. The closed-ended questions were analysed using descriptive analysis and open-ended questions were analysed using thematic analysis. Results The majority of facilitators reported the overall normalisation of voices and the use of a range of normalising strategies as the most useful aspects of the program. The most important skills used by facilitators were being understanding, non-judgemental and respectful and creating a safe space to discuss topics. The least important skills used by facilitators were using personal disclosure and motivational interviewing. Facilitators’ comments illustrated a strong interest in using digital technologies in the preparation and delivery of the program. Discussion This study contributes to a growing body of evidence that suggests hearing voices groups are beneficial, feasible and worthwhile.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"248 - 258"},"PeriodicalIF":1.2,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45258571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-27DOI: 10.1080/17522439.2021.1957993
Gordon Kay, E. Kendall, M. Slattery, Justin Scott, V. Gore-Jones, F. Dark
ABSTRACT Background This is the second of two papers that investigated the effectiveness of a group-based program known as ‘Coping with Voices’. The first paper reported on the group facilitators experience of delivering the program. This second paper reports the findings from the participants. Method Of the 61 participants that gave informed consent to participate in the study 19 did not attend a group, so this provided a natural quasi-control group. The study compared pre and post primary measures for the 42 participants who attended a group. 29 group attendees also provided qualitative data. Secondary measures were measured longitudinally for all 61 participants. Individuals who participated in the program were compared to those individuals who did not. Results For the 42 voice hearers who attended Coping with Voices, the quantifiable data showed a significant reduction in negative beliefs about voices, voice severity, distress about voices and the perceived power of the voices. Participant feedback was overwhelmingly positive. The secondary measures show a significant reduction in the number of hospital admissions and an improvement in basis life skills for group attendees versus non-attendees at 12 months follow up. Discussion Overall, these findings suggest ‘Coping with Voices’ is feasible, acceptable and worthwhile.
{"title":"Results from a quasi-controlled trial of a “Coping with Voices” group. Part 2","authors":"Gordon Kay, E. Kendall, M. Slattery, Justin Scott, V. Gore-Jones, F. Dark","doi":"10.1080/17522439.2021.1957993","DOIUrl":"https://doi.org/10.1080/17522439.2021.1957993","url":null,"abstract":"ABSTRACT Background This is the second of two papers that investigated the effectiveness of a group-based program known as ‘Coping with Voices’. The first paper reported on the group facilitators experience of delivering the program. This second paper reports the findings from the participants. Method Of the 61 participants that gave informed consent to participate in the study 19 did not attend a group, so this provided a natural quasi-control group. The study compared pre and post primary measures for the 42 participants who attended a group. 29 group attendees also provided qualitative data. Secondary measures were measured longitudinally for all 61 participants. Individuals who participated in the program were compared to those individuals who did not. Results For the 42 voice hearers who attended Coping with Voices, the quantifiable data showed a significant reduction in negative beliefs about voices, voice severity, distress about voices and the perceived power of the voices. Participant feedback was overwhelmingly positive. The secondary measures show a significant reduction in the number of hospital admissions and an improvement in basis life skills for group attendees versus non-attendees at 12 months follow up. Discussion Overall, these findings suggest ‘Coping with Voices’ is feasible, acceptable and worthwhile.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"259 - 269"},"PeriodicalIF":1.2,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41956024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-16DOI: 10.1080/17522439.2021.1957992
Cansu Baygin, L. Sevinçok, Bilge Doğan, Doğa Sevinçok, Y. Şair
ABSTRACT Objective We hypothesized that, if childhood trauma is associated with schizotypal traits, schizotypal traits may mediate the relationship between childhood trauma and the earlier onset of panic disorder (PD). Methods A total of 86 patients (49 females, 37 males), with PD aged between 18 and 65 years, were evaluated using the Panic and Agoraphobia Scale (PAS), the Schizotypal Personality Questionnaire-Brief (SPQ-B), and the Hamilton Anxiety Rating Scale (HARS). Results The mean age was 38.7 ± 12.8 years (range = 19-65 years). Total scores of schizotypal traits (r = -0.41, p<0.001), and childhood trauma (r = -0.31, p = 0.004) were inversely correlated with age at onset of PD. There was a significant correlation between the severity of schizotypal traits and childhood trauma (r = 0.55, p<0.001). After the mediation analysis, the direct effect of childhood trauma on age at onset of PD was no longer significant (Exp(B) = -0.133, p = 0.273). The indirect coefficient for schizotypal traits was consistent with complete mediation (Exp(B) = -0.801, p = 0.001). Discussion We suggest that schizotypal personality traits which are significantly associated with childhood trauma, may influence the onset of PD from early life.
摘要目的我们假设，如果童年创伤与分裂型特征相关，那么分裂型特征可能在童年创伤与早期惊恐障碍(PD)之间起中介作用。方法对86例年龄在18 ~ 65岁的PD患者(女性49例，男性37例)采用惊恐与广场恐怖量表(PAS)、分裂型人格问卷简表(SPQ-B)和汉密尔顿焦虑评定量表(HARS)进行评估。结果患者平均年龄38.7±12.8岁(范围19 ~ 65岁)。分裂型特征总分(r = -0.41, p<0.001)和童年创伤总分(r = -0.31, p = 0.004)与PD发病年龄呈负相关。精神分裂型特征的严重程度与童年创伤有显著相关性(r = 0.55, p<0.001)。经中介分析，童年创伤对PD发病年龄的直接影响不再显著(Exp(B) = -0.133, p = 0.273)。分裂型性状的间接系数与完全中介一致(Exp(B) = -0.801, p = 0.001)。我们认为，与童年创伤显著相关的分裂型人格特征可能从早期生活开始影响PD的发病。
{"title":"The mediation role of schizotypal traits in the relationship between childhood trauma and earlier onset of panic disorder","authors":"Cansu Baygin, L. Sevinçok, Bilge Doğan, Doğa Sevinçok, Y. Şair","doi":"10.1080/17522439.2021.1957992","DOIUrl":"https://doi.org/10.1080/17522439.2021.1957992","url":null,"abstract":"ABSTRACT Objective We hypothesized that, if childhood trauma is associated with schizotypal traits, schizotypal traits may mediate the relationship between childhood trauma and the earlier onset of panic disorder (PD). Methods A total of 86 patients (49 females, 37 males), with PD aged between 18 and 65 years, were evaluated using the Panic and Agoraphobia Scale (PAS), the Schizotypal Personality Questionnaire-Brief (SPQ-B), and the Hamilton Anxiety Rating Scale (HARS). Results The mean age was 38.7 ± 12.8 years (range = 19-65 years). Total scores of schizotypal traits (r = -0.41, p<0.001), and childhood trauma (r = -0.31, p = 0.004) were inversely correlated with age at onset of PD. There was a significant correlation between the severity of schizotypal traits and childhood trauma (r = 0.55, p<0.001). After the mediation analysis, the direct effect of childhood trauma on age at onset of PD was no longer significant (Exp(B) = -0.133, p = 0.273). The indirect coefficient for schizotypal traits was consistent with complete mediation (Exp(B) = -0.801, p = 0.001). Discussion We suggest that schizotypal personality traits which are significantly associated with childhood trauma, may influence the onset of PD from early life.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"333 - 343"},"PeriodicalIF":1.2,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42079238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-10DOI: 10.1080/17522439.2021.1961011
R. Caballero, C. Chaves, Carmen Valiente
ABSTRACT Background Research on severe psychiatric conditions has primarily focused on deficits and symptoms, while there is limited understanding about the underlying factors that contribute to the life satisfaction (LS) of patients who suffer from such conditions. The presence of positive affect has an important role in the LS in the general population. Its presence activates personal resources that facilitate the achievement of their life purposes. However, these associations have not yet been evaluated in people affected by a severe psychiatric condition. Method The main aim of this study was to explore, using structural equation modeling, the role of different hedonic and eudaimonic well-being dimensions as predictors of LS in schizophrenia spectrum disorders. A total of 149 adult participants with schizophrenia spectrum disorders were assessed about their LS, hedonic well-being (i.e., positive affect, openness to the future) and eudaimonic well-being (i.e., social support, self-compassion, and strengths). Results Results indicate that self-compassion, caring and self-control strengths and social support mediate the relationship between hedonic well-being and LS. Discussion These findings help understand the mechanisms involved in LS in this population and shed light on the design of future interventions aimed at promoting a more satisfying life for them.
{"title":"Life satisfaction in people affected by a severe psychiatric condition: a comprehensive model","authors":"R. Caballero, C. Chaves, Carmen Valiente","doi":"10.1080/17522439.2021.1961011","DOIUrl":"https://doi.org/10.1080/17522439.2021.1961011","url":null,"abstract":"ABSTRACT Background Research on severe psychiatric conditions has primarily focused on deficits and symptoms, while there is limited understanding about the underlying factors that contribute to the life satisfaction (LS) of patients who suffer from such conditions. The presence of positive affect has an important role in the LS in the general population. Its presence activates personal resources that facilitate the achievement of their life purposes. However, these associations have not yet been evaluated in people affected by a severe psychiatric condition. Method The main aim of this study was to explore, using structural equation modeling, the role of different hedonic and eudaimonic well-being dimensions as predictors of LS in schizophrenia spectrum disorders. A total of 149 adult participants with schizophrenia spectrum disorders were assessed about their LS, hedonic well-being (i.e., positive affect, openness to the future) and eudaimonic well-being (i.e., social support, self-compassion, and strengths). Results Results indicate that self-compassion, caring and self-control strengths and social support mediate the relationship between hedonic well-being and LS. Discussion These findings help understand the mechanisms involved in LS in this population and shed light on the design of future interventions aimed at promoting a more satisfying life for them.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"77 - 88"},"PeriodicalIF":1.2,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44813911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-06DOI: 10.1080/17522439.2021.1961010
Savvina Mylona, K. Triantafyllou, K. Papanikolaou, C. Tzavara, Niki Skopeliti, G. Kolaitis
ABSTRACT Background Psychotic-like experiences (PLEs) have been recognized as having clinical relevance for predicting psychopathological outcomes. Adverse childhood experiences may contribute to the development of these experiences. The objective of this study was to examine the relationship between trauma and PLEs and the role of PLEs’ persistence and accompanying distress in adolescents’ overall psychological burden. Methods 71 adolescents (12–18 years) who were under institutional protection and a community sample of 48 adolescents completed the community assessment of psychic experience (CAPE), the strengths and difficulties questionnaire (SDQ), and the traumatic events questionnaire. Results Previous experience of more traumatic events was significantly associated with greater frequency (r= 0.29, p<0.01) and distress (r= 0.19, p<0.05) in positive dimension and greater frequency in depressive (r= 0.37, p<0.001) and CAPE’s total score (r= 0.31, p<0.01). There were significant positive correlations between CAPE’s total frequency and distress and total SDQ (r= 0.73, p<0.001; r= 0.31, p<0.01 respectively). Discussion Traumatic events are related with more frequent and distressful PLEs. Accompanying distress and PLEs’ persistence were found to have an impact in adolescents’ psychological burden. Mental health professionals should carefully record any history of traumatic events in adolescents’ life, especially to those with frequent and distressing PLEs and vice-versa.
{"title":"Psychotic- like experiences (PLEs) and trauma in adolescents: the role of PLEs' persistence and distress in overall psychological burden","authors":"Savvina Mylona, K. Triantafyllou, K. Papanikolaou, C. Tzavara, Niki Skopeliti, G. Kolaitis","doi":"10.1080/17522439.2021.1961010","DOIUrl":"https://doi.org/10.1080/17522439.2021.1961010","url":null,"abstract":"ABSTRACT Background Psychotic-like experiences (PLEs) have been recognized as having clinical relevance for predicting psychopathological outcomes. Adverse childhood experiences may contribute to the development of these experiences. The objective of this study was to examine the relationship between trauma and PLEs and the role of PLEs’ persistence and accompanying distress in adolescents’ overall psychological burden. Methods 71 adolescents (12–18 years) who were under institutional protection and a community sample of 48 adolescents completed the community assessment of psychic experience (CAPE), the strengths and difficulties questionnaire (SDQ), and the traumatic events questionnaire. Results Previous experience of more traumatic events was significantly associated with greater frequency (r= 0.29, p<0.01) and distress (r= 0.19, p<0.05) in positive dimension and greater frequency in depressive (r= 0.37, p<0.001) and CAPE’s total score (r= 0.31, p<0.01). There were significant positive correlations between CAPE’s total frequency and distress and total SDQ (r= 0.73, p<0.001; r= 0.31, p<0.01 respectively). Discussion Traumatic events are related with more frequent and distressful PLEs. Accompanying distress and PLEs’ persistence were found to have an impact in adolescents’ psychological burden. Mental health professionals should carefully record any history of traumatic events in adolescents’ life, especially to those with frequent and distressing PLEs and vice-versa.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"270 - 280"},"PeriodicalIF":1.2,"publicationDate":"2021-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17522439.2021.1961010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41586544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-05DOI: 10.1080/17522439.2021.1957991
Jesse Gates, Eliot Goldstone, Jacinta Clemente, M. Cugnetto, E. Morris, J. Farhall
ABSTRACT Background : Psychosocial, evidence-based interventions (EBI) may support personal recovery from psychosis; however, little is known about their implementation. Methods : This paper describes the adaptation, implementation, and evaluation of a psychosocial EBI, group Acceptance and Commitment Therapy (ACT), designed to support personal recovery of people living with psychosis who are accessing Australian public mental health services. We outline the process of adapting and implementing a group program, and present results of a qualitative analysis of facilitator experiences of the first 6 groups conducted involving 69 participants. Eight facilitators participated in an expert-led reflective interview developed to gather feedback in five domains. Results : A thematic analysis of transcribed audio-recorded interviews elicited nine themes that indicated: local adaptations facilitated participant learning; targeted efforts to engage all stakeholders were successful; clinical supervision and research support by local experts enabled program implementation and evaluation; implementation offered facilitators personal rewards; and a need for further engagement of organisational support. Discussion : This paper identifies enablers of successful adaptation and implementation of ACT groups for recovery from psychosis, an EBI in public mental health services. Study limitations include the risk of a self-serving reporting bias and the absence of lived experience expertise in group facilitation and evaluation.
{"title":"Adapting and implementing Acceptance and Commitment Therapy groups to support personal recovery of adults living with psychosis: a qualitative study of facilitators’ experiences","authors":"Jesse Gates, Eliot Goldstone, Jacinta Clemente, M. Cugnetto, E. Morris, J. Farhall","doi":"10.1080/17522439.2021.1957991","DOIUrl":"https://doi.org/10.1080/17522439.2021.1957991","url":null,"abstract":"ABSTRACT Background : Psychosocial, evidence-based interventions (EBI) may support personal recovery from psychosis; however, little is known about their implementation. Methods : This paper describes the adaptation, implementation, and evaluation of a psychosocial EBI, group Acceptance and Commitment Therapy (ACT), designed to support personal recovery of people living with psychosis who are accessing Australian public mental health services. We outline the process of adapting and implementing a group program, and present results of a qualitative analysis of facilitator experiences of the first 6 groups conducted involving 69 participants. Eight facilitators participated in an expert-led reflective interview developed to gather feedback in five domains. Results : A thematic analysis of transcribed audio-recorded interviews elicited nine themes that indicated: local adaptations facilitated participant learning; targeted efforts to engage all stakeholders were successful; clinical supervision and research support by local experts enabled program implementation and evaluation; implementation offered facilitators personal rewards; and a need for further engagement of organisational support. Discussion : This paper identifies enablers of successful adaptation and implementation of ACT groups for recovery from psychosis, an EBI in public mental health services. Study limitations include the risk of a self-serving reporting bias and the absence of lived experience expertise in group facilitation and evaluation.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"322 - 332"},"PeriodicalIF":1.2,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17522439.2021.1957991","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46229490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-19DOI: 10.1080/17522439.2021.1952296
Z. Fekete, E. Vass, Ramóna Balajthy, Ünige Tana, A. Nagy, Barnabás Oláh, Ildikó Kuritárné Szabó
ABSTRACT Background Evidence of the effect of metacognitive and social cognitive impairment on the symptoms and functioning of patients diagnosed with schizophrenia led to the development of the Metacognitive Training. We hypothesise that improvement in these cognitive functions leads to less severe symptoms and to better adaptation to real-life social situations, which would be reflected in aspects of the patients’ demographic status. Method We report the additional findings of a randomised, controlled, single-blind study with a six-month follow-up period. We provided 36 patients with training to improve their metacognition and social cognition. The control group received treatment as usual. Symptom severity, measured by the PANSS scale, and demographic data were assessed at baseline and six months after the training. Results Compared to the control group, the intervention group showed less severe symptoms, and achieved more progress in demographic status. These steps may be statistically non-significant; yet, may represent crucial changes in some patients’ lives. Discussion Metacognitive Training is not only an appropriate method to decrease symptom severity, but the training of metacognitive and social cognitive functions can also contribute to a better adaptation to real-life.
{"title":"Basic demographic outcomes: additional findings of a single-blind, randomised, controlled trial on metacognitive training for psychosis","authors":"Z. Fekete, E. Vass, Ramóna Balajthy, Ünige Tana, A. Nagy, Barnabás Oláh, Ildikó Kuritárné Szabó","doi":"10.1080/17522439.2021.1952296","DOIUrl":"https://doi.org/10.1080/17522439.2021.1952296","url":null,"abstract":"ABSTRACT Background Evidence of the effect of metacognitive and social cognitive impairment on the symptoms and functioning of patients diagnosed with schizophrenia led to the development of the Metacognitive Training. We hypothesise that improvement in these cognitive functions leads to less severe symptoms and to better adaptation to real-life social situations, which would be reflected in aspects of the patients’ demographic status. Method We report the additional findings of a randomised, controlled, single-blind study with a six-month follow-up period. We provided 36 patients with training to improve their metacognition and social cognition. The control group received treatment as usual. Symptom severity, measured by the PANSS scale, and demographic data were assessed at baseline and six months after the training. Results Compared to the control group, the intervention group showed less severe symptoms, and achieved more progress in demographic status. These steps may be statistically non-significant; yet, may represent crucial changes in some patients’ lives. Discussion Metacognitive Training is not only an appropriate method to decrease symptom severity, but the training of metacognitive and social cognitive functions can also contribute to a better adaptation to real-life.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"237 - 247"},"PeriodicalIF":1.2,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17522439.2021.1952296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42111619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：