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Improving psychological adjustment following a first episode of psychosis: A randomised controlled trial of cognitive therapy to reduce post psychotic trauma symptoms
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Jackson, C., Trower, P., Reid, I., Smith, J., Hall, M., Townend, M., Barton, K., Jones, J., Ross, K., Russell, R., Newton, E., Dunn, G. and Birchwood, M. J. (2009) Improving psychological adjustment following a first episode of psychosis: A randomised controlled trial of cognitive therapy to reduce post psychotic trauma symptoms. Behaviour Research and Therapy, 47 (6). pp. 454-462. doi:10.1016/j.brat.2009.02.009 ISSN 0005-7967.
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Official URL: http://dx.doi.org/10.1016/j.brat.2009.02.009
Abstract
There are few evaluated psychological interventions or theoretical approaches which are specifically aimed at reducing problems related to adjustment and adaptation following a first episode of psychosis. The present study tests the efficacy of a form of CBT (Cognitive Recovery Intervention; CRI) in reducing trauma, depression and low self esteem following a first episode of psychosis, in a single-blind randomised controlled trial. A total of 66 patients who had recently experienced a first episode of psychosis were randomly assigned to CRI or treatment as usual (TAU) and followed up at 6 and 12 months. People receiving CRI tended to have lower levels of post-intervention trauma symptoms and demonstrated greater improvement than those receiving TAU alone. This was especially the case at 6 months for those with high pre-treatment levels of trauma. There was, however, no advantage for the CRI group with regards to reduced depression or improved self esteem. In conclusion, CRI appears to be an effective intervention to help young people adapt to the traumatic aspects of a first episode of psychosis although further evaluation in a larger study is warranted.
| Item Type: | Journal Article | ||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Behaviour Research and Therapy | ||||
| Publisher: | Elsevier | ||||
| ISSN: | 0005-7967 | ||||
| Official Date: | June 2009 | ||||
| Dates: |
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| Volume: | 47 | ||||
| Number: | 6 | ||||
| Page Range: | pp. 454-462 | ||||
| DOI: | 10.1016/j.brat.2009.02.009 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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