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https://www.readbyqxmd.com/read/30016999/cognitive-behavioural-therapy-for-schizophrenia-outcomes-for-functioning-distress-and-quality-of-life-a-meta-analysis
#1
Keith R Laws, Nicole Darlington, Tejinder K Kondel, Peter J McKenna, Sameer Jauhar
BACKGROUND: The effect of cognitive behavioural therapy for psychosis (CBTp) on the core symptoms of schizophrenia has proven contentious, with current meta-analyses finding at most only small effects. However, it has been suggested that the effects of CBTp in areas other than psychotic symptoms are at least as important and potentially benefit from the intervention. METHOD: We meta-analysed RCTs investigating the effectiveness of CBTp for functioning, distress and quality of life in individuals diagnosed with schizophrenia and related disorders...
July 17, 2018: BMC Psychology
https://www.readbyqxmd.com/read/29777343/the-effects-of-pre-treatment-depressive-symptoms-on-quality-of-life-across-cognitive-behavioral-therapy-for-chronic-pain
#2
Justin M Hughes, Eric A Seemann, J Michael George, K Dean Willis
Recent studies suggest that chronic pain affects millions and carries significant physical, financial, and social burdens, and thus adversely affects quality of life (QOL). Cognitive behavioral therapy for chronic pain (CBTp) is a non-pharmacological treatment method which has been shown to reduce a sufferer's experience of chronic pain and improve overall QOL. These and other studies also indicate that affective symptoms likely impact the effectiveness of CBTp. The current study focused on the effects of depressive symptoms on changes in QOL ratings across a 12-session CBT for chronic pain...
May 17, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29723013/implementing-cognitive-behavioral-therapy-for-psychosis-an-international-survey-of-clinicians-attitudes-and-obstacles
#3
Tania Lecomte, Crystal Samson, Farooq Naeem, Leslie Schachte, John Farhall
OBJECTIVE: This study aimed to better understand the implementation of cognitive behavioral therapy for psychosis (CBTp) by exploring the impact of clinicians' attitudes toward CBTp within the Theory of Planned Behavior framework (i.e., by considering attitudes, behaviors, intention, and social norms) as well as perceived obstacles and response to proposed solutions. METHOD: One hundred forty-two clinicians from 2 sites in Canada and 1 site in Australia answered an online survey involving both Likert scales and open-ended questions...
June 2018: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/29460461/expressive-suppression-is-associated-with-state-paranoia-in-psychosis-an-experience-sampling-study-on-the-association-between-adaptive-and-maladaptive-emotion-regulation-strategies-and-paranoia
#4
Clara Marie Nittel, Tania Marie Lincoln, Fabian Lamster, Dirk Leube, Winfried Rief, Tilo Kircher, Stephanie Mehl
OBJECTIVES: Although emotional instability and problems in emotion regulation (ER) are known to be linked to the formation and maintenance of psychosis and paranoia, it remains unclear whether the use of specific ER strategies is associated with it. The first aim of the study was to explore the association between emotional instability and paranoia. The second and third aims were to investigate whether the use of maladaptive ER strategies leads to paranoia in patients with psychosis in daily life and whether the use of more adaptive ER strategies reduces paranoia...
February 20, 2018: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29352708/a-systematic-review-and-discussion-of-symptom-specific-cognitive-behavioural-approaches-to-delusions-and-hallucinations
#5
Tania M Lincoln, Emmanuelle Peters
Studies on cognitive behavioural therapy for psychosis (CBTp) have developed from evaluating generic approaches to focusing on specific symptoms. The evidence for targeted studies on delusions and hallucinations was reviewed. We included randomized controlled trials (RCTs) examining the effect of individualized CBT-based interventions focusing either on delusions or on hallucinations. Twelve suitable RCTs were identified. Four RCTs focused on delusions, of which three took a focused approach targeting mechanisms assumed causal to persecutory delusions...
January 16, 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/29033279/guided-self-help-cognitive-behaviour-intervention-for-voices-give-results-from-a-pilot-randomised-controlled-trial-in-a-transdiagnostic-sample
#6
Cassie M Hazell, Mark Hayward, Kate Cavanagh, Anna-Marie Jones, Clara Strauss
BACKGROUND: Few patients have access to cognitive behaviour therapy for psychosis (CBTp) even though at least 16 sessions of CBTp is recommended in treatment guidelines. Briefer CBTp could improve access as the same number of therapists could see more patients. In addition, focusing on single psychotic symptoms, such as auditory hallucinations ('voices'), rather than on psychosis more broadly, may yield greater benefits. METHOD: This pilot RCT recruited 28 participants (with a range of diagnoses) from NHS mental health services who were distressed by hearing voices...
May 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/28738854/understanding-clinician-attitudes-towards-implementation-of-guided-self-help-cognitive-behaviour-therapy-for-those-who-hear-distressing-voices-using-factor-analysis-to-test-normalisation-process-theory
#7
Cassie M Hazell, Clara Strauss, Mark Hayward, Kate Cavanagh
BACKGROUND: The Normalisation Process Theory (NPT) has been used to understand the implementation of physical health care interventions. The current study aims to apply the NPT model to a secondary mental health context, and test the model using exploratory factor analysis. This study will consider the implementation of a brief cognitive behaviour therapy for psychosis (CBTp) intervention. METHODS: Mental health clinicians were asked to complete a NPT-based questionnaire on the implementation of a brief CBTp intervention...
July 24, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28716789/identification-of-the-delivery-of-cognitive-behavioural-therapy-for-psychosis-cbtp-using-a-cross-sectional-sample-from-electronic-health-records-and-open-text-information-in-a-large-uk-based-mental-health-case-register
#8
Craig Colling, Lauren Evans, Matthew Broadbent, David Chandran, Thomas J Craig, Anna Kolliakou, Robert Stewart, Philippa A Garety
OBJECTIVE: Our primary objective was to identify cognitive behavioural therapy (CBT) delivery for people with psychosis (CBTp) using an automated method in a large electronic health record database. We also examined what proportion of service users with a diagnosis of psychosis were recorded as having received CBTp within their episode of care during defined time periods provided by early intervention or promoting recovery community services for people with psychosis, compared with published audits and whether demographic characteristics differentially predicted the receipt of CBTp...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28651663/brief-coping-strategy-enhancement-for-distressing-voices-an-evaluation-in-routine-clinical-practice
#9
Mark Hayward, Rebecca Edgecumbe, Anna-Marie Jones, Clio Berry, Clara Strauss
BACKGROUND: Hearing voices can be a common and distressing experience. Psychological treatment in the form of cognitive behavioural therapy for psychosis (CBTp) is effective, but is rarely available to patients. The barriers to increasing access include a lack of time for clinicians to deliver therapy. Emerging evidence suggests that CBTp delivered in brief forms can be effective and offer one solution to increasing access. AIMS: We adapted an existing form of CBTp, coping strategy enhancement (CSE), to focus specifically on distressing voices in a brief format...
March 2018: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28517948/randomized-controlled-trial-of-an-internet-cognitive-behavioral-skills-based-program-for-auditory-hallucinations-in-persons-with-psychosis
#10
RANDOMIZED CONTROLLED TRIAL
Jennifer D Gottlieb, Vasudha Gidugu, Mihoko Maru, Miriam C Tepper, Matthew J Davis, Jennifer Greenwold, Ruth A Barron, Brian P Chiko, Kim T Mueser
OBJECTIVE: Despite strong evidence supporting the effectiveness of cognitive-behavioral therapy for psychosis (CBTp), most clinicians in the United States have received little or no training in the approach and access remains very low, indicating a potential role for technology in increasing access to this intervention. Coping With Voices (CWV) is a 10-session, interactive, Web-based CBTp skills program that was developed to meet this need, and was shown to be feasible and associated with reduced severity of auditory hallucinations in a previous pilot study...
September 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28434719/pituitary-volume-reduction-in-schizophrenia-following-cognitive-behavioural-therapy
#11
Preethi Premkumar, Danielle Bream, Adegboyega Sapara, Dominic Fannon, Anantha P Anilkumar, Elizabeth Kuipers, Veena Kumari
Cognitive behavioural therapy (CBT) for psychosis (CBTp) aims to lower the stress of psychotic symptoms. Given that the pituitary is involved in stress regulation, CBT-led stress reduction may be accompanied by a change in pituitary volume. This study aimed to determine whether CBTp reduces pituitary volume in schizophrenia. The relation between pre-therapy memory and CBTp-led pituitary volume change was also examined given that poor memory relates to a blunted cortisol awakening response, denoting impaired stress response, in schizophrenia...
February 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/28390407/a-qualitative-study-to-explore-views-of-patients-carers-and-mental-health-professionals-to-inform-cultural-adaptation-of-cbt-for-psychosis-cbtp-in-china
#12
Weihui Li, Li Zhang, Xuerong Luo, Bangshan Liu, Zhipeng Liu, Fang Lin, Zhiling Liu, Yuhuan Xie, Melissa Hudson, Shanaya Rathod, David Kingdon, Nusrat Husain, Xudong Liu, Muhammad Ayub, Farooq Naeem
BACKGROUND: The evidence for effectiveness of Cognitive Behaviour Therapy (CBT) is robust and the national organizations in the United Kingdom and the United States recommend its use. It is not utilized to its full potential in low and middle-income countries. Adaptation of CBT treatment to the target culture may facilitate its uptake. This study explored views of patients with schizophrenia, their caregivers, and mental health professionals for the purpose of cultural adaptation of CBT...
April 8, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28094811/brain-connectivity-changes-occurring-following-cognitive-behavioural-therapy-for-psychosis-predict-long-term-recovery
#13
L Mason, E Peters, S C Williams, V Kumari
Little is known about the psychobiological mechanisms of cognitive behavioural therapy for psychosis (CBTp) and which specific processes are key in predicting favourable long-term outcomes. Following theoretical models of psychosis, this proof-of-concept study investigated whether the long-term recovery path of CBTp completers can be predicted by the neural changes in threat-based social affective processing that occur during CBTp. We followed up 22 participants who had undergone a social affective processing task during functional magnetic resonance imaging along with self-report and clinician-administered symptom measures, before and after receiving CBTp...
January 17, 2017: Translational Psychiatry
https://www.readbyqxmd.com/read/28003771/heart-rate-variability-during-treatment-of-breakthrough-pain-in-patients-with-advanced-cancer-a-pilot-study
#14
Eva Katharina Masel, Patrick Huber, Tobias Engler, Herbert Hans Watzke
BACKGROUND: Decisions on the intensity of analgesic therapy and judgments regarding its efficacy are difficult at the end of life, when many patients are not fully conscious and pain is a very common symptom. In healthy individuals and in postoperative settings, nociception and subsequent pain relief have been shown to induce changes in the autonomic nervous system (ANS), which can be detected by measuring heart rate variability (HRV). OBJECTIVES: The changes in the ANS were studied by measuring HRV during opioid therapy for cancer breakthrough pain (CBTP) in palliative-care patients with cancer and compared these changes with patient-reported pain levels on a numeric rating scale (NRS)...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27910997/service-user-satisfaction-with-cognitive-behavioural-therapy-for-psychosis-associations-with-therapy-outcomes-and-perceptions-of-the-therapist
#15
Caroline Lawlor, Bina Sharma, Mizanur Khondoker, Emmanuelle Peters, Elizabeth Kuipers, Louise Johns
OBJECTIVES: Few studies have investigated service user satisfaction with cognitive behavioural therapy for psychosis (CBTp). This study explored its associations with clinical presentation and outcomes, retrospective expectations of progress, perceptions of the therapist, and demographic variables. DESIGN AND METHODS: One hundred and sixty-five service users completed self-report questionnaires pre- and post-CBTp in relation to the constructs of interest. Regression analyses explored associations with (1) overall satisfaction with therapy and (2) perceived progress, skills, and knowledge gained...
March 2017: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27889383/a-systematic-review-examining-factors-predicting-favourable-outcome-in-cognitive-behavioural-interventions-for-psychosis
#16
REVIEW
J O'Keeffe, R Conway, B McGuire
Psychosis is a debilitating mental health condition affecting approximately 4 persons per 1000. Cognitive behavioural therapy for psychosis (CBTp) has been shown to be an effective treatment for psychosis and is recommended by several national guidelines. CBTp does not work equally well with everyone, however, with some 50% of clients receiving little benefit. This review sets out to systematically assess the literature and methodological quality of a number of studies, which examine factors predicting successful outcome in CBTp...
May 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/27776293/converging-effects-of-diverse-treatment-modalities-on-frontal-cortex-in-schizophrenia-a-review-of-longitudinal-functional-magnetic-resonance-imaging-studies
#17
REVIEW
Ayse Sakalli Kani, Ann K Shinn, Kathryn E Lewandowski, Dost Öngür
OBJECTIVES: A variety of treatment options exist for schizophrenia, but the effects of these treatments on brain function are not clearly understood. To facilitate the development of more effective treatment strategies, it is important to identify how brain function in schizophrenia patients is affected by the diverse therapeutic approaches that are currently available. The aim of the present article is to systematically review the evidence for functional brain changes associated with different treatment modalities for schizophrenia...
January 2017: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/27642702/what-is-the-minimal-dose-of-cognitive-behavior-therapy-for-psychosis-an-approximation-using-repeated-assessments-over-45-sessions
#18
T M Lincoln, E Jung, M Wiesjahn, B Schlier
BACKGROUND: The general efficacy of cognitive behavior therapy for psychosis (CBTp) is well established. Although guidelines recommend that CBTp should be offered over a minimum of 16 sessions, the minimal number of sessions required to achieve significant changes in psychopathology has not been systematically investigated. Empirically informed knowledge of the minimal and optimal dose of CBTp is relevant in terms of dissemination and cost-effectiveness. METHODS: We approached the question of what constitutes an appropriate dose by investigating the dose (duration of CBTp)×response (symptomatic improvement) relationship for positive symptoms, negative symptoms and depression...
October 2016: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/27456976/guided-self-help-cognitive-behavioral-intervention-for-voices-give-study-protocol-for-a-pilot-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Cassie M Hazell, Mark Hayward, Kate Cavanagh, Anna-Marie Jones, Clara Strauss
BACKGROUND: Cognitive behavior therapy for psychosis (CBTp) is an effective intervention for people who hear distressing voices (auditory hallucinations). However, there continues to be a problem of poor access to CBTp. Constraints on health care funding require this problem to be addressed without a substantial increase in funding. One solution is to develop guided self-help forms of CBTp to improve access, and a symptom-specific focus on, for example, distressing voices (auditory verbal hallucinations) has the potential to enhance effectiveness...
July 26, 2016: Trials
https://www.readbyqxmd.com/read/27133792/cognitive-behaviour-therapy-for-psychosis-in-high-secure-services-an-exploratory-hermeneutic-review-of-the-international-literature
#20
REVIEW
Jonathon Slater, Michael Townend
BACKGROUND: Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention. AIMS: This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research...
November 2016: Behavioural and Cognitive Psychotherapy
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