Patient's Experiences of a Cognitive Behaviour Therapy Informed Crisis Intervention for Psychosis Delivered in Inpatient Settings: A Qualitative Exploration

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2024-08-01 DOI:10.1002/cpp.3033

Lisa Wood, Hannah Butterworth, Patrick Nyikavaranda, Aderayo Ariyo, Nira Malde-Shah, Ella Guerin, Mary Birken, Karen Persaud, Ceri Dare, Nicola Morant, Sonia Johnson

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引用次数: 0

Abstract

Cognitive behaviour therapy for psychosis (CBTp) should be offered to patients receiving psychiatric inpatient care, yet very little is known about patients' perspectives on this. The aim of this study was to examine patients' experiences of a CBTp-informed intervention delivered in inpatient settings. We recruited 10 participants from the intervention arm of a randomised controlled trial examining the feasibility and acceptability of a CBTp-informed intervention for psychiatric inpatient settings. We undertook semistructured interviews examining their experiences of the intervention and analysed them using thematic analysis. The study was conducted in partnership with a coproduction group of key stakeholders (people with lived experience, family and carers, and clinicians). The intervention was found helpful by almost all participants, and all participants would recommend it to others in similar situations to themselves. The results demonstrated that participants valued the therapist's professionalism and emphasised the importance of the therapeutic relationship. Participants highlighted the importance of the therapy focusing on navigating admission and developing skills to manage the crisis experience so they could return to their normal lives. Participants described challenges to having psychological therapy in the acute crisis context including therapy interruptions and ongoing distressing experiences of psychosis. The study demonstrated the importance of prioritising the therapeutic relationship, that therapy was a valued process to navigate admission and discharge, but that some environmental and patient-level challenges were present. Further research is needed to explore inpatients' experiences of psychological interventions in this setting.

Trial Registration

ISRCTN trial registry: ISRCTN59055607

查看原文本刊更多论文

住院病人对认知行为疗法危机干预的体验：定性探索。

精神病认知行为疗法（CBTp）应该提供给接受精神科住院治疗的患者，但患者对此的看法却鲜为人知。本研究旨在考察患者对住院环境中提供的以 CBTp 为基础的干预措施的体验。我们从一项随机对照试验的干预组中招募了 10 名参与者，该试验旨在研究在精神病住院环境中采用 CBTp 为基础的干预措施的可行性和可接受性。我们对他们进行了半结构式访谈，考察了他们的干预经验，并采用主题分析法对其进行了分析。这项研究是与一个由主要利益相关者（有生活经验的人、家人和照顾者以及临床医生）组成的共同制作小组合作进行的。几乎所有参与者都认为这项干预措施很有帮助，而且所有参与者都会向与自己情况类似的其他人推荐这项干预措施。结果表明，参与者重视治疗师的专业水平，并强调了治疗关系的重要性。参与者强调了治疗的重要性，治疗的重点是引导入院和发展处理危机经历的技能，以便他们能够回归正常生活。参与者描述了在急性危机背景下进行心理治疗所面临的挑战，包括治疗中断和持续的精神病痛苦经历。研究表明，优先考虑治疗关系非常重要，治疗是入院和出院过程中的重要环节，但也存在一些环境和患者层面的挑战。我们需要进一步开展研究，探索住院患者在这种情况下的心理干预体验。试验注册：ISRCTN 试验注册：ISRCTN59055607。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.