Service user satisfaction with cognitive behavioural therapy for psychosis: Associations with therapy outcomes and perceptions of the therapist

Lawlor, Caroline; Sharma, Bina; Khondoker, Mizanur; Peters, Emmanuelle; Kuipers, Elizabeth; Johns, Louise

doi:10.1111/bjc.12122

Cited by 25 publications

(25 citation statements)

References 62 publications

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“…[ 36 ] Ninety-six percent of beneficiaries reported satisfaction with CBT. [ 37 ] Higher levels of overall satisfaction and perceived benefit from CBT can be associated with positive therapy expectations, positive ratings of therapist's personal characteristics, competence and trustworthiness, lower pre-therapy depression, and improvements in quality of life. [ 37 ] Participants reported higher life satisfaction at the end of a previous study.…”

Section: Discussionmentioning

confidence: 99%

“…[ 37 ] Higher levels of overall satisfaction and perceived benefit from CBT can be associated with positive therapy expectations, positive ratings of therapist's personal characteristics, competence and trustworthiness, lower pre-therapy depression, and improvements in quality of life. [ 37 ] Participants reported higher life satisfaction at the end of a previous study. [ 38 ] Hofmann et al [ 39 ] found that CBT for anxiety disorders is moderately effective for improving quality of life, especially in physical and psychological domains.…”

Section: Discussionmentioning

confidence: 99%

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A stress management intervention for adults living with HIV in Nigerian community settings

Nwobi¹,

Eseadi²,

Obetta³

et al. 2018

Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A stress management intervention for adults living with HIV in Nigerian community settings

Nwobi¹,

Eseadi²,

Obetta³

et al. 2018

Medicine

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show abstract

“…An amended service-specific 22-item version of the STQ (60) was administered at the end of therapy to obtain further data regarding the acceptability of the intervention. The STQ is an adaptation of Beck et al’s (59) Patient’s Report of Therapy Session and was first used to assess satisfaction with CBTp by Kuipers et al (61).…”

Section: Methodsmentioning

confidence: 99%

Integrated Trauma-Focused Cognitive-Behavioural Therapy for Post-traumatic Stress and Psychotic Symptoms: A Case-Series Study Using Imaginal Reprocessing Strategies

2017

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Despite high rates of trauma in individuals with psychotic symptoms, post-traumatic stress symptoms are frequently overlooked in clinical practice. There is also reluctance to treat post-traumatic symptoms in case the therapeutic procedure of reprocessing the trauma exacerbates psychotic symptoms. Recent evidence demonstrates that it is safe to use reprocessing strategies in this population. However, most published studies have been based on treating post-traumatic symptoms in isolation from psychotic symptoms. The aims of the current case series were to assess the acceptability, feasibility, and preliminary effectiveness of integrating cognitive-behavioural approaches for post-traumatic stress and psychotic symptoms into a single protocol. Nine participants reporting distressing psychotic and post-traumatic symptoms were recruited from a specialist psychological therapies service for psychosis. Clients were assessed at five time points (baseline, pre, mid, end of therapy, and at 6+ months of follow-up) by an independent assessor on measures of current symptoms of psychosis, post-traumatic stress, emotional problems, and well-being. Therapy was formulation based and individualised, depending on presenting symptoms and trauma type. It consisted of five broad, flexible phases, and included imaginal reprocessing strategies (reliving and/or rescripting). The intervention was well received, with positive post-therapy feedback and satisfaction ratings. Unusually for this population, no-one dropped out of therapy. Post therapy, all but one (88% of participants) achieved a reliable improvement compared to pre-therapy on at least one outcome measure: post-traumatic symptoms (63%), voices (25%), delusions (50%), depression (50%), anxiety (36%), and well-being (40%). Follow-up assessments were completed by 78% (n = 7) of whom 86% (n = 6) maintained at least one reliable improvement. Rates of improvements following therapy (average of 44% across measures post therapy; 32% at follow-up) were over twice those found during the waiting list period (19%). No participant indicated a reliable worsening of any symptoms during or after therapy. The study shows that an integrative therapy incorporating reprocessing strategies was an acceptable and feasible intervention for this small sample, with promising effectiveness. A randomised controlled trial is warranted to test the efficacy of the intervention for this population.

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“…In this regard, a recent narrative review of 22 qualitative studies revealed that persons with insomnia expressed a sense of frustration related to healthcare providers' misunderstanding of their problem and prescription of treatments (usually medication and SEH) that did not correspond to their perspective and experience of insomnia (Araújo, Jarrin, Leanza, Vallières, & Morin, 2016). Accordingly, the prescribed treatments might not have met our participants' expectations, which could have resulted in treatment dissatisfaction and only a minimal improvement in outcomes (Lawlor et al, 2017). Persons with chronic insomnia are also likely to seek alternative treatments from other sources, including relatives, friends and the Internet.…”

Section: Discussionmentioning

confidence: 93%

Comparing Participants’ Satisfaction with Behavioral Therapies for Chronic Insomnia

Sidani

Epstein

Fox

et al. 2018

Science of Nursing and Health Practices - Science infirmière et

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Mise en comparaison de la satisfaction des participants quant aux thérapies Mise en comparaison de la satisfaction des participants quant aux thérapies comportementales contre l'insomnie chronique comportementales contre l'insomnie chronique Abstract Introduction: Extensive evidence supports the effectiveness of behavioral therapies for chronic insomnia, but there is limited information on patients' satisfaction with these, which is a key factor in therapy uptake, adherence and effectiveness. Objective: This study compared participants' satisfaction with the process and outcome attributes of single--and multi-component behavioral therapies for chronic insomnia. Methods: Data were obtained from 496 persons with chronic insomnia who chose or were randomized to one of three single-component behavioral therapies-sleep education and hygiene (SEH), stimulus control therapy (SCT), or sleep restriction therapy (SRT)-or a multi--component therapy (MCT) combining all three. At baseline, participants had experienced moderately severe insomnia on average for 11 years. Participants completed the measure of satisfaction within one week of treatment conclusion. The measure's subscales assessed participants' perception of the following attributes: suitability, utility and usefulness of mode and dose of therapy delivery; therapists' competence and interpersonal style; and treatment outcomes. The subscales demonstrated good psychometric properties. Analysis of variance was used in the comparisons. Results: Significant differences (all p--values < .001) were found in the ratings of some process attributes and of all outcome attributes of the therapies. Education was rated as more suitable but less useful than behavioral instructions. Overall, results support patients' satisfaction with SCT, SRT, and MCT and, to a lesser extent, with SEH as a single--component therapy. Discussion and conclusions: SCT, SRT and MCT were viewed favorably as therapies for successfully managing insomnia.

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Service user satisfaction with cognitive behavioural therapy for psychosis: Associations with therapy outcomes and perceptions of the therapist

Cited by 25 publications

References 62 publications

A stress management intervention for adults living with HIV in Nigerian community settings

A stress management intervention for adults living with HIV in Nigerian community settings

Integrated Trauma-Focused Cognitive-Behavioural Therapy for Post-traumatic Stress and Psychotic Symptoms: A Case-Series Study Using Imaginal Reprocessing Strategies

Comparing Participants’ Satisfaction with Behavioral Therapies for Chronic Insomnia

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