Rapid improvement in beliefs, mood, and performance following an experimental success experience in an analogue test of recovery-oriented cognitive therapy
| Autor: | Lauren Luther, Paul M. Grant, Aaron T. Beck, Dimitri Perivoliotis, Keith Bredemeier |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Psychotherapist Community participation medicine.medical_treatment Population Psychological intervention Executive Function 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care medicine Humans Cognitive Dysfunction education Applied Psychology education.field_of_study Cognitive Behavioral Therapy Middle Aged Achievement medicine.disease Self Concept 030227 psychiatry Test (assessment) Affect Psychiatry and Mental health Mood Schizophrenia Cognitive therapy Female Psychology Neurocognitive 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Psychological Medicine. 48:261-268 |
| ISSN: | 1469-8978 0033-2917 |
| Popis: | BackgroundNegative symptoms significantly contribute to disability and lack of community participation for low functioning individuals with schizophrenia. Cognitive therapy has been shown to improve negative symptoms and functional outcome in this population. Elucidation of the mechanisms of the therapy would lead to a better understanding of negative symptoms and the development of more effective interventions to promote recovery. The objective of this study was to determine (1) whether guided success at a card-sorting task will produce improvement in defeatist beliefs, positive beliefs about the self, mood, and card-sorting performance, and (2) whether these changes in beliefs and mood predict improvements in unguided card-sorting.MethodsIndividuals with schizophrenia having prominent negative symptoms and impaired neurocognitive performance (N = 35) were randomized to guided success (n = 19) or a control (n = 16) condition.ResultsControlling for baseline performance, the experimental group performed significantly better, endorsed defeatist beliefs to a lesser degree, reported greater positive self-concept, and reported better mood than the control condition immediately after the experimental session. A composite index of change in defeatist beliefs, self-concept, and mood was significantly correlated with improvements in card-sorting.ConclusionsThis analogue study supports the rationale of cognitive therapy and provides a general therapeutic model in which experiential interventions that produce success have a significant immediate effect on a behavioral task, mediated by changes in beliefs and mood. The rapid improvement is a promising indicator of the responsiveness of this population, often regarded as recalcitrant, to cognitively-targeted behavioral interventions. |
| Databáze: | OpenAIRE |
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