Coping styles predict responsiveness to cognitive behaviour therapy in psychosis
| Autor: | Emmanuelle Peters, Veena Kumari, Dominic Fannon, Preethi Premkumar, Anantha P. Anilkumar, Elizabeth Kuipers |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Psychosis Coping (psychology) medicine.medical_specialty medicine.medical_treatment Schizoaffective disorder Neuropsychological Tests Verbal learning Article Executive Function 03 medical and health sciences 0302 clinical medicine Memory Predictive Value of Tests Adaptation Psychological medicine Humans Attention Psychiatry Biological Psychiatry Psychiatric Status Rating Scales Cognitive Behavioral Therapy Coping skills Positive and Negative Syndrome Scale Cognitive behaviour therapy Neuropsychology Cognition Middle Aged Verbal Learning medicine.disease 3. Good health 030227 psychiatry Psychiatry and Mental health Treatment Outcome Psychotic Disorders Schizophrenia Cognitive therapy Female Psychology 030217 neurology & neurosurgery Follow-Up Studies Clinical psychology |
| Zdroj: | Psychiatry Research |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2010.12.029 |
| Popis: | The study aimed to determine the clinical and neuropsychological predictors of responsiveness to cognitive behavioural therapy for psychosis (CBTp). Sixty patients with schizophrenia or schizoaffective disorder and 25 healthy individuals took part in the study. Thirty patients (25 protocol completers) received CBTp in addition to standard care (SC); 30 patients (18 protocol completers) received SC only. All patients were assessed on symptoms using the Positive and Negative Syndrome Scale (PANSS) and clinical and neuropsychological function before and after CBTp. Symptoms and self-esteem improved to a greater extent in the CBTp+SC than SC control group. Greater pre-therapy coping ability and the self-reflectiveness dimension of cognitive insight at baseline predicted improvement in symptoms in the CBTp+SC group, but not the SC control group, explaining up to 21% of the variance in symptom improvement. Pre-therapy neuropsychological function, duration of illness, clinical insight and gender did not predict CBTp responsiveness. Being able to have a range of coping strategies and reflect on one's experiences while refraining from overconfidence in one's interpretations before therapy is conducive to better CBTp responsiveness. |
| Databáze: | OpenAIRE |
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