Cognitive behaviour therapy for improving social recovery in psychosis: a report from the ISREP MRC Trial Platform study (Improving Social Recovery in Early Psychosis)

Fowler, David; Hodgekins, Joanne; Painter, Michelle; Reilly, T; Crane, Carolyn M; MacMillan, Ian C.; Mugford, Miranda; Croudace, Tim; Jones, Peter B.

doi:10.1017/s0033291709005467

Cited by 102 publications

(108 citation statements)

References 31 publications

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“…Each symptom is rated on a 7-point scale from 1 (absent) to 7 (extreme). Fowler et al, 2009;Short, 2003) Time spent in 'structured activity' at baseline, 6 and 12 months, as measured by the Time Use Survey (TUS), was used as an index of social recovery. The TUS is a semi-structured interview designed to assess time spent participating in structured activity on average over the previous month.…”

Section: Participantsmentioning

confidence: 99%

The course of negative symptom in first episode psychosis and the relationship with social recovery

Gee

Hodgekins

Fowler

et al. 2016

Schizophrenia Research

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(2016) The course of negative symptom in first episode psychosis and the relationship with social recovery. Schizophrenia Research,. 065-171. Permanent WRAP URL:http://wrap.warwick.ac.uk/79034 Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work by researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available.Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. A note on versions:The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP URL' above for details on accessing the published version and note that access may require a subscription. Method: 1006 participants were followed up for 12 months following acceptance into EarlyIntervention in Psychosis services. Negative symptom trajectories were modelled using latent class growth analysis (LCGA) and predictors of trajectories examined using multinomial regression. Social recovery trajectories -also modelled using LCGA -of members of each negative symptom trajectory were ascertained and the relationship between negative symptom and social recovery trajectories examined. proportion of FEP patients with elevated negative symptoms at baseline will achieve remission of these symptoms within 12 months. However, elevated negative symptoms at baseline, whether or not they remit, are associated with poor social recovery, suggesting targeted interventions for service users with elevated baseline negative symptoms may help improve functional outcomes. Results

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Section: Participantsmentioning

confidence: 99%

The course of negative symptom in first episode psychosis and the relationship with social recovery

Gee

Hodgekins

Fowler

et al. 2016

Schizophrenia Research

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“…76 Increasingly, there has been attention to medications because-although assisting in symptomatic recovery-they do not contribute to a return to functioning. This has led to an increased focus on the need to enhance social recovery, 77 especially educational and vocational aspects, [78][79][80] through the combination of effective psychosocial interventions with well-managed medication. There is also an increasing focus on targeted cognitive remediation and on limiting the degree of cognitive decline that is often found as illness progresses.…”

Section: Interventions For Fepmentioning

confidence: 99%

Clinical Staging: A Heuristic and Practical Strategy for New Research and Better Health and Social Outcomes for Psychotic and Related Mood Disorders

et al. 2010

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Highlights • A clinical staging model mapping the development, progression, and extension of mental illness over time, may prove to be heuristically and practically useful in clinical practice and basic research. • Clinical staging will aid clinicians to select treatments that are particularly relevant to the earlier stages of illness, when such interventions are likely to be more effective and less harmful than those delivered later in the course of illness. • Clinical staging will allow more precise mapping of the relations between known biological markers and psychosocial risk factors and stage of illness, enabling better integration and representation of knowledge.

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“…Reliability with external tape ratings and therapist's own ratings is currently being established. Methods for rating adherence to a therapy for people who have residual social disability after first episode psychosis are also in development (Fowler et al 2009). Here again the emphasis is different.…”

Section: The Ctpasmentioning

confidence: 99%

“…CBT for young people with At-Risk Mental States (French & Morrison, 2004) has differences to CBT for people with treatmentresistant or relapsing psychosis (Fowler, Garety & Kuipers, 1995). Also interventions for people with early psychosis who have recovered from acute psychotic symptoms but still have social recovery problems (Fowler et al 2009) will need to be different from interventions that target the problems of people with early psychosis recovering from their acute psychotic episode (Tarrier et al 2004). This variation presents a challenge for researchers seeking to standardize therapy and assess whether therapy has been delivered competently and as prescribed in the manuals.…”

Section: Introductionmentioning

confidence: 99%

Adherence and competence assessment in studies of CBT for psychosis: current status and future directions

Fowler

Rollinson

French

2011

Epidemiol Psychiatr Sci

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All good quality trials of psychological interventions need to check formally that therapists have used the techniques prescribed in the published therapy manuals, and that the therapy has been carried out competently. This paper reviews methods of assessing adherence and competence used in recent large-scale trials of Cognitive Behaviour Therapy (CBT) for psychosis in the UK carried out by our research groups. A combination of the Cognitive Therapy Rating Scale and specific versions of the Cognitive Therapy for Psychosis Adherence Scales provides an optimal assessment of adherence and competence. Careful assessment of the competence and adherence can help identify the procedures actually carried out with individuals within trials. The basic use of such assessments is to provide an external check on treatment fidelity on a sample of sessions. Such assessment can also provide the first step towards moving research towards making sense of CBT for psychosis as a complex intervention and identifying which techniques work for which problems of people with psychosis, at which stages of disorder?

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Cognitive behaviour therapy for improving social recovery in psychosis: a report from the ISREP MRC Trial Platform study (Improving Social Recovery in Early Psychosis)

Cited by 102 publications

References 31 publications

The course of negative symptom in first episode psychosis and the relationship with social recovery

The course of negative symptom in first episode psychosis and the relationship with social recovery

Clinical Staging: A Heuristic and Practical Strategy for New Research and Better Health and Social Outcomes for Psychotic and Related Mood Disorders

Adherence and competence assessment in studies of CBT for psychosis: current status and future directions

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