Identifying types of problems and relative priorities in the problem lists of participants in CBT for psychosis trials.

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavioural and Cognitive Psychotherapy Pub Date : 2023-11-01 Epub Date: 2023-05-12 DOI:10.1017/S1352465822000583

Anthony P Morrison, Cláudia C Gonçalves, Heather Peel, Amanda Larkin, Samantha E Bowe

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引用次数: 0

Abstract

Background: There is wide variation in the problems prioritised by people with psychosis in cognitive behavioural therapy for psychosis (CBTp). While research trials and mental health services have often prioritised reduction in psychiatric symptoms, service users may prioritise issues not directly related to psychosis. This discrepancy suggests potential challenges in treatment outcome research.

Aims: The present study aimed to examine the types of problems that were recorded on problem lists generated in CBTp trials.

Method: Problem and goals lists for 110 participants were extracted from CBTp therapy notes. Subsequently, problems were coded into 23 distinct categories by pooling together items that appeared thematically related.

Results: More than half of participants (59.62%) listed a non-psychosis-related priority problem, and 22.12% did not list any psychosis related problems. Chi-square tests indicated there was no difference between participants from early intervention (EI) and other services in terms of priority problem (χ² = 0.06, p = .804), but that those from EI were more likely to include any psychosis-related problems in their lists (χ² = 6.66, p = .010).

Conclusions: The findings of this study suggest that psychiatric symptom reduction is not the primary goal of CBTp for most service users, particularly those who are not under the care of EI services. The implications for future research and clinical practice are discussed.

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识别CBT治疗精神病试验参与者问题清单中的问题类型和相对优先级。

背景：在针对精神病的认知行为疗法（CBTp）中，精神病患者优先考虑的问题存在很大差异。研究试验和精神健康服务通常将减少精神症状作为优先考虑的问题，而服务使用者可能会将与精神病没有直接关系的问题作为优先考虑的问题。本研究旨在考察 CBTp 试验中产生的问题清单上记录的问题类型：从 CBTp 治疗笔记中提取了 110 名参与者的问题和目标清单。随后，通过将主题相关的项目集中在一起，将问题编码为 23 个不同的类别：超过半数的参与者（59.62%）列出了与精神病无关的优先问题，22.12%的参与者没有列出任何与精神病有关的问题。卡方检验表明，早期干预（EI）和其他服务机构的参与者在优先问题方面没有差异（χ2 = 0.06，p = .804），但早期干预机构的参与者更有可能在其清单中列出任何与精神病相关的问题（χ2 = 6.66，p = .010）：本研究的结果表明，对于大多数服务使用者，尤其是那些没有接受精神健康服务的人来说，减少精神症状并不是 CBTp 的主要目标。本研究还讨论了对未来研究和临床实践的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.