Predictors of Adherence to Cognitive-Behavioural Therapy in First-Episode Psychosis

被引：41

作者：

Alvarez-Jimenez, Mario ^{[7
]}

Gleeson, John F. ^{[5
,6
]}

Cotton, Sue ^{[1
,2
]}

Wade, Darryl ^{[1
,4
]}

Gee, Donna ^{[3
]}

Pearce, Tracey ^{[3
]}

Crisp, Kingsley ^{[3
]}

Spiliotacopoulos, Daniela ^{[1
,2
]}

Newman, Belinda ^{[1
,2
]}

McGorry, Patrick D. ^{[1
,2
]}

机构：

[1] Univ Melbourne, Dept Psychiat, Melbourne, Vic 3054, Australia

[2] Univ Melbourne, ORYGEN Youth Hlth Res Ctr, Melbourne, Vic 3054, Australia

[3] ORYGEN Youth Hlth, Melbourne, Vic, Australia

[4] Univ Melbourne, Australian Ctr Posttraumat Mental Hlth, Melbourne, Vic 3054, Australia

[5] Univ Melbourne, Dept Psychol, Melbourne, Vic 3054, Australia

[6] NW Mental Hlth Program, Melbourne, Vic, Australia

[7] Marques Valdecilla Publ Fdn, Res Inst, Santander, Spain

来源：

CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2009年 / 54卷 / 10期

基金：

英国医学研究理事会;

关键词：

duration of untreated psychosis; cognitive-behavioural therapy; adherence; insight; first-episode psychosis; staging model; RANDOMIZED CONTROLLED-TRIAL; UNTREATED PSYCHOSIS; PREMORBID ADJUSTMENT; RELAPSE PREVENTION; EARLY INTERVENTION; EXPRESSED EMOTION; DURATION; SYMPTOMS; SCHIZOPHRENIA; INSIGHT;

D O I：

10.1177/070674370905401008

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: To investigate predictors of adherence with a cognitive-behavioural intervention in first-episode psychosis (FEP) patients. Method: Predictors of adherence to cognitive-behavioural therapy (CBT) were longitudinally investigated in the experimental arm of a randomized controlled trial designed to evaluate the effectiveness of a CBT intervention for relapse prevention early in the course of psychosis when compared with treatment as usual within 2 high quality, youth oriented, specialist FEP programs (the EPISODE II trial). Results: Longer duration of untreated psychosis (DUP) and poorer level of insight predicted poor adherence to CBT. This association remained significant after controlling for potential confounders. Conclusions: Treatment delay may decrease adherence with CBT in FEP patients. Reducing DUP and promoting insight early in the course of psychosis are likely to enhance adherence with CBT.

引用

页码：710 / 718

页数：9

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