Individual cognitive–behavioural interventions in early psychosis

Abstract

Background Cognitive-behavioural treatments have previously been explored in the treatment of chronic psychotic problems, but recently, the effectiveness of these treatments has been investigated with regard to recent onset and acute psychosis.Method The literature relating to cognitive-behavioural treatments in psychosis is explored and the application of the approach to recent onset psychosis is described in detail.Results There appears to be a growing body of evidence that the advances made in the treatment of people with chronic treatment resistant psychosis can be similarly applied to people with recent onset and acute psychosis.Conclusions Cognitive-behavioural treatments are feasible with recent onset psychotic patients although further evaluation of their effectiveness is necessary.

Latent Class Analysis of Delusion-Proneness

“…Nevertheless, a screening instrument able to identify delusion-proneness in the general population could be useful, particularly to recognize the early stage of psychosis. Psychological interventions targeted at this "prepsychotic" period were reported to reduce subsequent long-term impairment (Drury et al, 1996;Haddock et al, 1998). Because of its widespread occurrence among people drawn from the general population, the paranoia/ paranoid profile of the PDI could correspond to this "transition" stage; long-term follow-up studies will be required to address this issue properly.…”

Explaining Transitions Over the Hypothesized Psychosis Continuum

“…Cognitive therapy focuses at the modification of cognitive processes [53,54]. Several studies have now evaluated the cognitive approach and have found that modification of beliefs can be successful in reducing the amount of time spent hallucinating as well as in the disruption caused by them [55,56]. This may in some individuals prevent the formation of delusions and/or reduce the need for care [16].…”

Cognitive-behavioral therapy for schizophrenia: an overview on efficacy, recent trends and neurobiological findings

“…15 It was originally applied for patients with psychosis in order to address positive symptoms, by recruiting the client's ability to think about and question delusional or self-evaluative beliefs. [16][17][18][19] Using a collaborative approach to understand distressing psychotic experiences, therapist target and question beliefs that hinder individuals' life goals, allowing the patients to reappraise their experiences and establish alternative ways to deal with them. 20,21 How does CBT for schizophrenia work?…”