Feasibility and Benefit of Cognitive Behavioural Therapy for Psychosis via Teleconsultation in Indonesia: A Case Study of a 40-Year-Old Schizoaffective Disorder Patient

IF 1.5 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Bianca Sutjiono, S. Ahmad, E. S. Jaya
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Abstract

Whilst Cognitive Behavioural Therapy for Psychosis (CBTp) has been found to reduce psychotic symptoms, most evidence supporting its implementation originates from studies in Western and high-income countries. Furthermore, questions remain regarding the efficacy of CBTp conducted via teleconsultation. Herein we report an ongoing case in Indonesia involving an individual with schizoaffective disorder, who received 60 sessions of CBTp over seven months. Sessions were delivered via a combination of voice and video calls. The patient, a 40-year-old male, was diagnosed with schizoaffective disorder at the age of 26. He exhibited symptoms of paranoid and religious delusions, hallucinations (auditory, visual, and somatic) and disorganised speech during our intake interview. Negative symptoms were not apparent. In the 14 years prior to our initial consultation, the patient was prescribed antipsychotics and demonstrated good adherence. He had no history of psychotherapy independent of our clinic. Treatment involved CBTp techniques, including psychoeducation, a symptom diary, relaxation, and behavioural experiments. Study outcome was assessed with Psychotic Symptom Rating Scales. Both hallucination and delusion subscale scores improved 53% from 53 at intake to 25 during an assessment administered 6 months later. Results from this study demonstrate that the CBTp is both feasible, and beneficial, when conducted via teleconsultation in Indonesia.
认知行为疗法在印度尼西亚通过远程咨询治疗精神病的可行性和益处:一例40岁分裂情感障碍患者的个案研究
虽然已经发现精神病认知行为疗法(CBTp)可以减轻精神病症状,但大多数支持其实施的证据来自西方和高收入国家的研究。此外,通过远程会诊进行CBTp的有效性仍然存在问题。在此,我们报告了一个正在印度尼西亚进行的病例,涉及一个患有分裂情感性障碍的个体,他在7个月内接受了60次CBTp治疗。会议通过语音和视频通话相结合的方式进行。患者是一名40岁的男性,在26岁时被诊断出患有分裂情感性障碍。在我们的入院面谈期间,他表现出偏执和宗教妄想、幻觉(听觉、视觉和躯体)和言语混乱的症状。阴性症状不明显。在我们首次咨询之前的14年里,患者被开了抗精神病药物,并表现出良好的依从性。他在我们诊所之外没有任何心理治疗史。治疗涉及CBTp技术,包括心理教育、症状日记、放松和行为实验。用精神病症状评定量表评估研究结果。幻觉和妄想的亚量表得分都提高了53%,从摄入时的53分提高到6个月后的25分。本研究的结果表明,CBTp在印度尼西亚通过远程会诊进行时既可行又有益。
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来源期刊
Behaviour Change
Behaviour Change PSYCHOLOGY, CLINICAL-
CiteScore
2.70
自引率
0.00%
发文量
24
期刊介绍: Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.
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