Psychotherapy for schizophrenia and bipolar disorder

Irfan, Muhammad; Muzaffar, Saadia; Kingdon, David; Rathod, Shanaya; Naeem, Farooq

doi:10.1016/b978-0-12-814932-4.00010-0

Cited by 2 publications

(2 citation statements)

References 58 publications

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“…This is due to the fact that in LMICs, access to these therapies is generally very low in most populations, primarily because there are few skilled practitioners, and awareness of their availability is lacking. With the large evidence base already in existence from highincome countries, some argue that many of these strategies can be adapted and extrapolated to LMICs to overcome challenges to successful implementation (Irfan et al, 2019). In the past decade, a significant body of research has been developed highlighting strategies to overcome these barriers, including task shifting approaches (Patel et al, 2018).…”

Section: What Psychosocial Approaches Are Effective?mentioning

confidence: 99%

Effective Treatment Interventions for Global Mental Health: An Analysis of Biomedical and Psychosocial Approaches in Use Today

Galvin¹

2020

JPMHC

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We are in an important moment for mental health treatment around the world, as many Low and Middle Income Countries (LMICs) – representing an increasing majority of the world’s population – are currently developing and scaling up services for the first time. Yet, research on Global Mental Health (GMH) best practices remains scattered and difficult to synthesize. This review aims to simplify existing GMH research on effective biomedical and psychosocial treatment approaches from both high-income countries and LMICs to enable a more comprehensive understanding of the benefits and drawbacks of existing interventions, based on the highest quality, up-to-date research. By understanding which treatments are most effective and why, we can begin to not only implement more effective practices, but guide the future of GMH research in the right directions. The purpose of this review is therefore to understand mental illness, what it is, how it was treated in the past, how it manifests differently around the globe, and how to best treat it. Ultimately, while psychosocial approaches are advised for patients with more mild to moderate disorders, medications and other biomedical approaches are recommended increasingly only for more severe cases. While significant evidence exists to justify the use of psychotropic medications for mental illness, their adverse effects indicate that psychosocial approaches should be prioritized as first line treatments, particularly for mild to moderate disorders. As one of the first to analyze this research, this review is useful not only for GMH scholars, but for practitioners and public health workers globally, as well.

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Section: What Psychosocial Approaches Are Effective?mentioning

confidence: 99%

Effective Treatment Interventions for Global Mental Health: An Analysis of Biomedical and Psychosocial Approaches in Use Today

Galvin¹

2020

JPMHC

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“…The dissemination of psychological interventions for positive symptoms in standard health care remains poor (Haddock et al, 2014), however, despite the enormous individual and societal burden of schizophrenia (Jin & Mosweu, 2017). Novel approaches for the dissemination of CBTp are needed, from improvements in training and supervision (e.g., Irfan, Muzaffar, Kingdon, Rathod, & Naeem, 2019) to alternative modalities for delivering interventions such as a self-help format (Hazell, Hayward, Cavanagh, Jones, & Strauss, 2018). In the domain of technology-enhanced health care (eHealth), mobile-based interventions (also called mHealth) and Internet-based interventions (IBI) are two common self-help modalities.…”

mentioning

confidence: 99%

Internet-based self-help for psychosis: Findings from a randomized controlled trial.

Rüegg¹,

Lüdtke²,

Moritz³

et al. 2020

Journal of Consulting and Clinical Psychology

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Objective: Cognitive–behavioral therapy (CBT) for psychosis is recommended in many national guidelines, but dissemination into routine health care remains poor. This study tests whether an 8-week, CBT-oriented, Internet-based intervention (IBI) for people with psychosis is feasible, effective, and safe compared to care as usual. Method: A sample of 101 people diagnosed with schizophrenia-spectrum disorders (age: M = 40.0, SD = 9.60; sex: 58% female) was randomly assigned to either an IBI for psychosis or a wait-list control condition. The primary outcome was a composite score of the positive factor of the Positive and Negative Syndrome Scale, the Launay Slade Hallucination Scale, and the paranoia checklist (clinicaltrials.gov, NCT02974400). Results: The composite score of psychotic symptom severity decreased more in the IBI condition than in the wait-list condition, reflected in the significant interaction of Time × Condition, F(1, 87.28) = 4.04, p = .047, dbetween = 0.24, 95% CI [−0.15, 0.63]. In the combined sample of participants who received immediate or delayed access to the intervention, the outcome improved further during the 6-month follow up period with a significant main effect of time, F(1, 69.35) = 9.59, p = .003, d = −0.37, 95% CI [−0.66, −0.07]. Participants were satisfied with the intervention (89%), and many used the intervention as defined per protocol (52%; at least four completed modules). Adverse events were infrequent (4.9%). Conclusions: Internet-based, CBT-oriented interventions provide an add-on effect to care as usual and have the potential to narrow the psychological treatment gap in psychosis.

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Psychotherapy for schizophrenia and bipolar disorder

Cited by 2 publications

References 58 publications

Effective Treatment Interventions for Global Mental Health: An Analysis of Biomedical and Psychosocial Approaches in Use Today

Effective Treatment Interventions for Global Mental Health: An Analysis of Biomedical and Psychosocial Approaches in Use Today

Internet-based self-help for psychosis: Findings from a randomized controlled trial.

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