Cognitive Behavior Therapy for Early Psychosis: A Comprehensive Review of Individual vs. Group Treatment Studies

Saksa, John R.; Cohen, Seymour S.; Srihari, Vinod H.; Woods, Scott W.

doi:10.1521/ijgp.2009.59.3.357

Cited by 45 publications

(24 citation statements)

References 82 publications

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“…Collaborative team management allowed interventions to be offered in a manner targeting patient and family need but rested finally in patient choice. The FES implementation has been described in published protocols (15),(16) and manuals are available upon request.…”

Section: Methodsmentioning

confidence: 99%

First-Episode Services for Psychotic Disorders in the U.S. Public Sector: A Pragmatic Randomized Controlled Trial

Srihari

Tek

Küçükgöncü

et al. 2015

Self Cite

103

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Objective This study seeks to determine the effectiveness of a comprehensive first-episode service (the clinic for Specialized Treatment Early in Psychosis, STEP) based in an urban U.S. community mental health center, compared to treatment as usual. Methods This pragmatic randomized controlled trial enrolled 120 ‘first-episode psychosis’ patients within 5 years of illness onset and 12 weeks of antipsychotic exposure. Referrals were mostly from area inpatient psychiatric units and enrollees were randomly allocated to STEP or referral to routine care (TU). Main outcomes included hospital utilization (primary), ability to work, attend age-appropriate schooling or actively seek these opportunities (‘vocational engagement’), and general functioning. Analysis was by modified intent to treat (excluding only 3 who withdrew consent) for hospitalization and completers for other outcomes. Results After one year, STEP effected reductions on all measures of inpatient utilization vs. usual treatment: not psychiatrically hospitalized (77% vs. 56%, RR 1.38, 95% confidence interval (CI) 1.08–1.58); mean hospitalizations (0.33±0.70 vs. 0.68±0.92, p=0.02) and mean bed days (5.34±13.53 vs. 11.51±15.04, p=0.05). For every 5 patients allocated in STEP vs. usual treatment, one additional patient avoided psychiatric hospitalization over the first year (NNT = 5, CI 2.7–26.5). STEP also delivered better vocational engagement (91.7% vs. 66.7%, RR 1.40, 95% CI 1.18–1.48) and salutary trends in measures of global functioning. Conclusions This trial demonstrates the feasibility and effectiveness of a U.S. public sector model of early intervention for psychotic illnesses. Such services can also support translational research and are a relevant model for other serious mental illnesses. Trial registration www.ClinicalTrials.gov: NCT00309452.

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Section: Methodsmentioning

confidence: 99%

First-Episode Services for Psychotic Disorders in the U.S. Public Sector: A Pragmatic Randomized Controlled Trial

Srihari

Tek

Küçükgöncü

et al. 2015

Self Cite

103

View full text Add to dashboard Cite

show abstract

“…In addition, depressive symptoms increase the risk of adult asthma independently of health-related lifestyle factors [2]. Group cognitive behavioral therapy (GCBT) is a treatment that reduces therapist hours and treatment costs [3]. Furthermore, GCBT has a consistent positive effect on asthma-related quality of life and depressive symptoms [4].…”

Section: Figmentioning

confidence: 99%

Group Cognitive Behavior Therapy Reversed Abnormal Spontaneous Brain Activity in Adult Asthmatic Patients

Zhang

Yin²,

Yuan³

et al. 2017

Psychother Psychosom

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“…The relative benefit of group vs. individual therapy on retention and outcome in BED has received little attention compared to other disorders (Aderka, 2009; Saksa, Cohen, Srihari, & Woods, 2009; Weiss, Jaffee, de Menil, & Cogley, 2004). A single study comparing group and individual cognitive behavioral therapy (CBT) for BED found participants who received individual CBT were more likely to show binge eating remission after 20 weeks (Ricca et al 2010).…”

Section: Treatment Parameters As Predictors Of Treatment Outcomementioning

confidence: 99%

Race/ethnicity, education, and treatment parameters as moderators and predictors of outcome in binge eating disorder.

Thompson‐Brenner¹,

Franko²,

Thompson³

et al. 2013

Journal of Consulting and Clinical Psychology

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Objective Binge eating disorder (BED) is prevalent among individuals from minority racial/ethnic groups and among individuals with lower levels of education, yet the efficacy of psychosocial treatments for these groups has not been examined in adequately powered analyses. This study investigated the relative variance in treatment retention and post-treatment symptom levels accounted for by demographic, clinical, and treatment variables as moderators and predictors of outcome. Method Data were aggregated from eleven randomized, controlled trials of psychosocial treatments for BED conducted at treatment sites across the United States. Participants were N = 1,073 individuals meeting criteria for BED including n = 946 Caucasian, n = 79 African American, and n = 48 Hispanic/Latino participants. Approximately 86% had some higher education; 85% were female. Multi-level regression analyses examined moderators and predictors of treatment retention, Eating Disorder Examination (EDE) global score, frequency of objective bulimic episodes (OBEs), and OBE remission. Results Moderator analyses of race/ethnicity and education were non-significant. Predictor analyses revealed African Americans were more likely to drop out of treatment than Caucasians, and lower level of education predicted greater post-treatment OBEs. African Americans showed a small but significantly greater reduction in EDE global score relative to Caucasians. Self-help treatment administered in a group showed negative outcomes relative to other treatment types, and longer treatment was associated with better outcome. Conclusions Observed lower treatment retention among African Americans and lesser treatment effects for individuals with lower levels of educational attainment are serious issues requiring attention. Reduced benefit was observed for shorter treatment length and self-help administered in groups.

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Cognitive Behavior Therapy for Early Psychosis: A Comprehensive Review of Individual vs. Group Treatment Studies

Cited by 45 publications

References 82 publications

First-Episode Services for Psychotic Disorders in the U.S. Public Sector: A Pragmatic Randomized Controlled Trial

First-Episode Services for Psychotic Disorders in the U.S. Public Sector: A Pragmatic Randomized Controlled Trial

Group Cognitive Behavior Therapy Reversed Abnormal Spontaneous Brain Activity in Adult Asthmatic Patients

Race/ethnicity, education, and treatment parameters as moderators and predictors of outcome in binge eating disorder.

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