The University of Southampton
University of Southampton Institutional Repository

Cognitive Behavior Therapy for psychosis based Guided Self-help (CBTp-GSH) delivered by frontline mental health professionals: results of a feasibility study

Cognitive Behavior Therapy for psychosis based Guided Self-help (CBTp-GSH) delivered by frontline mental health professionals: results of a feasibility study
Cognitive Behavior Therapy for psychosis based Guided Self-help (CBTp-GSH) delivered by frontline mental health professionals: results of a feasibility study
Availability of Cognitive Behavior Therapy for psychosis (CBTp) is limited in spite of strong evidence base. The purpose of this study was to determine the feasibility of a CBTp based Guided Self-help (CBTp-GSH) in comparison to Treatment As Usual (TAU). The secondary outcomes were a reduction of symptoms of schizophrenia using Positive and Negative Symptom Scale (PANSS) & Disability (WHO DAS 2.0). A total of 33 adults with a DSM-IV diagnosis of schizophrenia was recruited from community mental health services in Kingston, ON, Canada, and randomly assigned to the 12?–16 week intervention with TAU (Treatment), or TAU alone (Control). End of therapy (16 weeks) comparisons between the two groups were made on an Intention To Treat (ITT) basis. Post-intervention scores on measures of psychopathology were compared using Analysis of Covariance (ANCOVA) to adjust for baseline measurements. Recruitment proved feasible, retention rates were high and participants reported a high level of acceptability. There was significant “treatment group by outcome interaction” for Positive and Negative Symptoms, General Psychopathology, measures of disability, such that individuals who received the Treatment improved more than those in Control group. The results of this feasibility study indicate that CBTp based Guided Self-help is feasible and acceptable to the participants, and it can lead to improvement in psychopathology and the level of disability. Individuals in this study had a moderate degree of psychopathology and relatively low level of disability and, therefore, caution is warranted in applying these results to individuals with severe symptoms and with high levels of disability. An adequately powered randomized controlled trial of the intervention is warranted.
0920-9964
69-74
Naeem, F.
e6dcc182-b14c-48a7-b3d0-82a26588c77e
Johal, R.
19214386-b539-4383-bdaa-f699d88b9fcc
McKenna, C.
e8343546-9d74-4a29-8a6f-8d0bb8b9f0bf
Rathod, S.
104085c4-1d4b-4129-bf35-a05b0e4e02ef
Ayub, M.
43d8a928-b554-4cf1-aecd-11492b3c8c45
Lecomte, T.
3738409a-dd07-4b92-b38f-f3b5b199c6dd
Husain, N.
d1f4b40c-d002-483b-a263-01d4bc8b8760
Kingdon, D.
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Farooq, S.
67c8a22f-8b0e-4b73-b69b-f892c3d0b355
Naeem, F.
e6dcc182-b14c-48a7-b3d0-82a26588c77e
Johal, R.
19214386-b539-4383-bdaa-f699d88b9fcc
McKenna, C.
e8343546-9d74-4a29-8a6f-8d0bb8b9f0bf
Rathod, S.
104085c4-1d4b-4129-bf35-a05b0e4e02ef
Ayub, M.
43d8a928-b554-4cf1-aecd-11492b3c8c45
Lecomte, T.
3738409a-dd07-4b92-b38f-f3b5b199c6dd
Husain, N.
d1f4b40c-d002-483b-a263-01d4bc8b8760
Kingdon, D.
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Farooq, S.
67c8a22f-8b0e-4b73-b69b-f892c3d0b355

Naeem, F., Johal, R., McKenna, C., Rathod, S., Ayub, M., Lecomte, T., Husain, N., Kingdon, D. and Farooq, S. (2016) Cognitive Behavior Therapy for psychosis based Guided Self-help (CBTp-GSH) delivered by frontline mental health professionals: results of a feasibility study. Schizophrenia Research, 173 (1-2), 69-74. (doi:10.1016/j.schres.2016.03.003). (PMID:26971071)

Record type: Article

Abstract

Availability of Cognitive Behavior Therapy for psychosis (CBTp) is limited in spite of strong evidence base. The purpose of this study was to determine the feasibility of a CBTp based Guided Self-help (CBTp-GSH) in comparison to Treatment As Usual (TAU). The secondary outcomes were a reduction of symptoms of schizophrenia using Positive and Negative Symptom Scale (PANSS) & Disability (WHO DAS 2.0). A total of 33 adults with a DSM-IV diagnosis of schizophrenia was recruited from community mental health services in Kingston, ON, Canada, and randomly assigned to the 12?–16 week intervention with TAU (Treatment), or TAU alone (Control). End of therapy (16 weeks) comparisons between the two groups were made on an Intention To Treat (ITT) basis. Post-intervention scores on measures of psychopathology were compared using Analysis of Covariance (ANCOVA) to adjust for baseline measurements. Recruitment proved feasible, retention rates were high and participants reported a high level of acceptability. There was significant “treatment group by outcome interaction” for Positive and Negative Symptoms, General Psychopathology, measures of disability, such that individuals who received the Treatment improved more than those in Control group. The results of this feasibility study indicate that CBTp based Guided Self-help is feasible and acceptable to the participants, and it can lead to improvement in psychopathology and the level of disability. Individuals in this study had a moderate degree of psychopathology and relatively low level of disability and, therefore, caution is warranted in applying these results to individuals with severe symptoms and with high levels of disability. An adequately powered randomized controlled trial of the intervention is warranted.

Text
SCHRES_6749_edit_report CBTp GSH.pdf - Other
Restricted to Repository staff only
Request a copy
Text
CognitiveBehaviorTherapyforpsychosisbasedGuidedSelf-help.doc - Accepted Manuscript
Download (256kB)

More information

Accepted/In Press date: 4 March 2016
e-pub ahead of print date: 9 March 2016
Published date: May 2016
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 389486
URI: https://eprints.soton.ac.uk/id/eprint/389486
ISSN: 0920-9964
PURE UUID: 54e52280-2519-44af-8bb8-03e1f05b43b9

Catalogue record

Date deposited: 14 Apr 2016 11:30
Last modified: 26 Nov 2019 06:48

Export record

Altmetrics

Contributors

Author: F. Naeem
Author: R. Johal
Author: C. McKenna
Author: S. Rathod
Author: M. Ayub
Author: T. Lecomte
Author: N. Husain
Author: D. Kingdon
Author: S. Farooq

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×