Character strengths of individuals with first episode psychosis in Individual Resiliency Training

Browne, Julia; Estroff, Sue E.; Ludwig, Kelsey; Merritt, Carrington; Meyer-Kalos, Piper; Mueser, Kim T.; Gottlieb, Jennifer D.; Penn, David L.

doi:10.1016/j.schres.2017.09.036

Cited by 24 publications

(21 citation statements)

References 39 publications

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“…Study results showed an improvement in structured activity in those receiving the intervention relative to those receiving early intervention services alone. The renewed focus on social recovery is also consistent with recent psychological models, which have proposed self-efficacy20 21 and positive emotions22 as important targets to promote social functioning in psychosis. Strengths-based and mindfulness-based interventions have been put forward as key interventions to increase self-efficacy and positive emotions,23 respectively, with preliminary studies supporting their potential to improve social functioning in psychosis 24 25…”

Section: Introductionsupporting

confidence: 67%

HORYZONS trial: protocol for a randomised controlled trial of a moderated online social therapy to maintain treatment effects from first-episode psychosis services

et al. 2019

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IntroductionSpecialised early intervention services have demonstrated improved outcomes in first-episode psychosis (FEP); however, clinical gains may not be sustained after patients are transferred to regular care. Moreover, many patients with FEP remain socially isolated with poor functional outcomes. To address this, our multidisciplinary team has developed a moderated online social media therapy (HORYZONS) designed to enhance social functioning and maintain clinical gains from specialist FEP services. HORYZONS merges: (1) peer-to-peer social networking; (2) tailored therapeutic interventions; (3) expert and peer-moderation; and (4) new models of psychological therapy (strengths and mindfulness-based interventions) targeting social functioning. The aim of this trial is to determine whether following 2 years of specialised support and 18-month online social media-based intervention (HORYZONS) is superior to 18 months of regular care.Methods and analysisThis study is a single-blind randomised controlled trial. The treatment conditions include HORYZONS plus treatment as usual (TAU) or TAU alone. We recruited 170 young people with FEP, aged 16–27 years, in clinical remission and nearing discharge from Early Psychosis Prevention and Intervention Centre, Melbourne. The study includes four assessment time points, namely, baseline, 6-month, 12-month and 18-month follow-up. The study is due for completion in July 2018 and included a 40-month recruitment period and an 18-month treatment phase. The primary outcome is social functioning at 18 months. Secondary outcome measures include rate of hospital admissions, cost-effectiveness, vocational status, depression, social support, loneliness, self-esteem, self-efficacy, anxiety, psychological well-being, satisfaction with life, quality of life, positive and negative psychotic symptoms and substance use. Social functioning will be also assessed in real time through our Smartphone Ecological Momentary Assessment tool.Ethics and disseminationMelbourne Health Human Research Ethics Committee (2013.146) provided ethics approval for this study. Findings will be made available through scientific journals and forums and to the public via social media and the Orygen website.Trial registration numberACTRN12614000009617; Pre-results.

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Section: Introductionsupporting

confidence: 67%

HORYZONS trial: protocol for a randomised controlled trial of a moderated online social therapy to maintain treatment effects from first-episode psychosis services

et al. 2019

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“…This recovery model assumes that all individuals have the capacity to improve and develop a life that is distinct from their illness. The renewed focus on social recovery is also consistent with recent psychological theories and treatments, which have proposed self-constructs and positive emotions as important targets to promote social functioning in psychosis [11][12][13][14].…”

Section: Introductionsupporting

confidence: 64%

“…Furthermore, given the central role of social relatedness, it is possible that the functional benefits of social cognition interventions can be explained best by the impact of these domains on the individual's appraisals of social relatedness. On the other hand, developing psychosocial interventions targeting personal competence and connectedness with others might be the best way to augment social functioning in young people at the early stages of a psychotic disorder [11,13,70,71].…”

Section: European Psychiatrymentioning

confidence: 99%

The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors?

et al. 2020

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Objective Numerous research studies have demonstrated an association between higher symptom severity and cognitive impairment with poorer social functioning in first-episode psychosis (FEP). By contrast, the influence of subjective experiences, such as social relatedness and self-beliefs, has received less attention. Consequently, a cohesive understanding of how these variables interact to influence social functioning is lacking. Method We used structural equation modeling to examine the direct and indirect relationships among neurocognition (processing speed) and social cognition, symptoms, and social relatedness (perceived social support and loneliness) and self-beliefs (self-efficacy and self-esteem) in 170 individuals with FEP. Results The final model yielded an acceptable model fit (χ2 = 45.48, comparative fit index = 0.96; goodness of fit index = 0.94; Tucker–Lewis index = 0.94; root mean square error of approximation = 0.06) and explained 45% of social functioning. Negative symptoms, social relatedness, and self-beliefs exerted a direct effect on social functioning. Social relatedness partially mediated the impact of social cognition and negative symptoms on social functioning. Self-beliefs also mediated the relationship between social relatedness and social functioning. Conclusions The observed associations highlight the potential value of targeting social relatedness and self-beliefs to improve functional outcomes in FEP. Explanatory models of social functioning in FEP not accounting for social relatedness and self-beliefs might be overestimating the effect of the illness-related factors.

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“…Emphasizing strengths may provide the kind of support and encouragement needed for young persons with psychosis to better cope with symptoms and make progress toward personally relevant goals (Browne et al, 2018). The breakdown of strengths selected by individuals in the current study corresponds well with endorsements from previous samples of FEP participants (Browne et al, 2018) and normative groups (Seligman, Steen, Park, & Peterson, 2005). The power of enhancing strengths was also evident in feedback received from Horyzons users.…”

Section: Discussionmentioning

confidence: 99%

Horyzons USA: A moderated online social intervention for first episode psychosis

Ludwig

Browne

Nagendra

et al. 2020

Early Intervention Psych

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Aim We evaluated the feasibility and acceptability of Horyzons, an online social media platform designed to facilitate relationship development among, and introduce therapeutic content to, first‐episode psychosis (FEP) clients. We also evaluated whether participation in the platform was related to reduced loneliness, improved social integration and increased psychological well‐being. Methods Twenty‐six participants diagnosed with a schizophrenia spectrum disorder were provided access to the moderated Horyzons platform for 12 weeks. During the intervention period, participants were encouraged to access therapeutic content and social components embedded within the site. Participants were recruited from three first‐episode coordinated specialty care clinics in North Carolina and assessed at four time points: baseline, mid‐treatment, post‐treatment and 1‐month follow‐up. Results Findings indicated that Horyzons was both feasible and very well tolerated, with a 92.3% retention rate and 79.2% of participants actively engaged in the platform. The most commonly identified personal strengths selected by Horyzons users were creativity (61.5%), curiosity (42.3%) and courage (38.5%). Feedback from participants indicated Horyzons could be improved by the development of a smartphone application, expanding the size of the Horyzons community and facilitating private messages between users. Preliminary results with engaged participants showed the greatest improvements in psychosis‐related symptoms, followed by self‐reported experience of negative emotions, depressive symptoms and loneliness. Conclusions This open trial found that Horyzons is both feasible and acceptable to FEP persons early in the course of illness living in the United States.

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Character strengths of individuals with first episode psychosis in Individual Resiliency Training

Cited by 24 publications

References 39 publications

HORYZONS trial: protocol for a randomised controlled trial of a moderated online social therapy to maintain treatment effects from first-episode psychosis services

HORYZONS trial: protocol for a randomised controlled trial of a moderated online social therapy to maintain treatment effects from first-episode psychosis services

The role of social relatedness and self-beliefs in social functioning in first-episode psychosis: Are we overestimating the contribution of illness-related factors?

Horyzons USA: A moderated online social intervention for first episode psychosis

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