A Randomized Controlled Trial of the Effects of Early Intervention Services On Insight in First Episode Psychosis

DeTore, Nicole R.; Bain, K; Wright, Abigail; Meyer-Kalos, Piper; Gingerich, Susan; Mueser, Kim T.

doi:10.1093/schbul/sbac099

Cited by 3 publications

(2 citation statements)

References 64 publications

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“…It is important to note that other studies have also failed to demonstrate a significant relationship between insight and depression at Previous findings (Crumlish et al, 2005;DeTore et al, 2022), together with the findings of the current study, raise questions regarding the importance of insight in depression during this phase of illness. It is possible that over time and with early intervention, the negative effects of insight on depression begin to wane and insight no longer affects depression.…”

Section: Discussioncontrasting

confidence: 46%

“…Crumlish et al, 2005 ). Interestingly, in a recent RCT on the effects of early intervention for first episode psychosis on insight, DeTore et al ( 2022 ) found the presence of the insight–depression paradox in the whole sample at baseline. However, at 6 months follow‐up, there was no association between insight and depression among individuals who participated in the early intervention, indicating that early intervention might reduce the insight–depression paradox.…”

Section: Discussionmentioning

confidence: 99%

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The role of insight, social rank, mindfulness and self‐compassion in depression following first episode psychosis

Hardman

Gleeson

González‐Blanch

et al. 2023

Clin Psychology and Psychoth

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Gaining awareness of psychosis (i.e., insight) is linked to depression, particularly in the post‐acute phase of psychosis. Informed by social rank theory, we examined whether the insight–depression relationship is explained by reduced social rank related to psychosis and whether self‐compassion (including uncompassionate self‐responding [UCS] and compassionate self‐responding [CSR]) and mindfulness buffered the relationship between social rank and depression in individuals with first episode psychosis during the post‐acute phase. Participants were 145 young people (Mage = 20.81; female = 66) with first episode psychosis approaching discharge from an early psychosis intervention centre. Questionnaires and interviews assessed insight, depressive symptoms, perceived social rank, self‐compassion, mindfulness and illness severity. Results showed that insight was not significantly associated to depression and thus no mediation analysis was conducted. However, lower perceived social rank was related to higher depression, and this relationship was moderated by self‐compassion and, more specifically, UCS. Mindfulness was related to depression but had no moderating effect on social rank and depression. Results supported previous findings that depressive symptoms are common during the post‐acute phase. The role of insight in depression for this sample is unclear and may be less important during the post‐acute phase than previously considered. Supporting social rank theory, the results suggest that low perceived social rank contributes to depression, and reducing UCS may ameliorate this effect. UCS, social rank and possibly mindfulness may be valuable intervention targets for depression intervention and prevention efforts in the recovery of psychosis.

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Section: Discussioncontrasting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

The role of insight, social rank, mindfulness and self‐compassion in depression following first episode psychosis

Hardman

Gleeson

González‐Blanch

et al. 2023

Clin Psychology and Psychoth

View full text Add to dashboard Cite

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Applying Participatory Research in the Development of Clinical Practice Recommendations for Incorporating Mindfulness into Mental Health Treatment with Youth at Risk for Psychosis

O’Shea,

Reich,

Evans

2024

Mindfulness

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Mindfulness is a promising adjunct strategy that clinicians can use with individuals at risk for psychosis to help manage their distressing symptoms and difficulties with daily functioning. This article explores how mental health clinicians can support young people to safely engage with mindfulness practices as part of their overall recovery through the development of specific guidance for the implementation of mindfulness programs within routine clinical care. A collaborative approach was taken to the development of the recommendations through the adoption of participatory research principles across three phases. The first two phases were published elsewhere. In Phase 3, initial recommendations were formulated, in consideration of the findings of Phases 1 (evidence mapping) and 2 (qualitative analysis of the perspectives of practitioners with experience working with young people at risk for psychosis, and youth at risk for psychosis, regarding the use of mindfulness as an adjunct to usual treatment) and existing mindfulness intervention protocols for psychosis. Initial recommendations were fed back to the practitioner group used in Phase 2 in a validation cycle to ensure recommendations matched their views and for final endorsement. Eight key recommendation areas with corresponding clinical practice points were endorsed, highlighting the practical utility of the recommendations. Recommendations included the benefit of youth-relevant mindfulness content and adapting mindfulness to young people’s needs, the importance of trauma-informed principles, the utility of compassion-based practices, and key ways to address barriers to mindfulness uptake for youth at risk for psychosis. It is anticipated that through the implementation of these recommendations, safe and effective implementation of mindfulness interventions within early intervention practice will improve outcomes for young people experiencing attenuated psychotic symptoms and associated morbidity.

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A systematic review of persons of color participation in first episode psychosis coordinated specialty care randomized controlled trials in North America

Benuto¹,

Done²,

Zepeda³

et al. 2023

Psychiatry Research

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A Randomized Controlled Trial of the Effects of Early Intervention Services On Insight in First Episode Psychosis

Cited by 3 publications

References 64 publications

The role of insight, social rank, mindfulness and self‐compassion in depression following first episode psychosis

The role of insight, social rank, mindfulness and self‐compassion in depression following first episode psychosis

Applying Participatory Research in the Development of Clinical Practice Recommendations for Incorporating Mindfulness into Mental Health Treatment with Youth at Risk for Psychosis

A systematic review of persons of color participation in first episode psychosis coordinated specialty care randomized controlled trials in North America

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