Eric Y.H. Chen , Agatha W.S. Wong , Jade P.S. Wong , Komi Y.K. Li , Michael T.H. Wong , Stephanie M.Y. Wong , Natalie H.T. Wong , Sherry K.W. Chan , Yi-Nam Suen , Christy L.M. Hui
{"title":"针对高危精神状态女性的性别群体认知行为疗法:一项随机对照试验。","authors":"Eric Y.H. Chen , Agatha W.S. Wong , Jade P.S. Wong , Komi Y.K. Li , Michael T.H. Wong , Stephanie M.Y. Wong , Natalie H.T. Wong , Sherry K.W. Chan , Yi-Nam Suen , Christy L.M. Hui","doi":"10.1016/j.schres.2025.09.027","DOIUrl":null,"url":null,"abstract":"<div><div>Gender differences in individuals at risk mental state (ARMS) highlight the need for mental health service tailored to gender-specific needs. While Cognitive Behavioral Therapy (CBT) is recognized as an effective intervention for psychotic disorders and ARMS, research on gender-specific CBT for ARMS is limited. This study compares the effects of group CBT with psychoeducation on functional and symptomatic outcomes, and the likelihood of transition to psychosis, in women with ARMS. One hundred and Seventy-eight women with ARMS were recruited and randomly assigned to either women-specific group CBT or psychoeducation. Functioning and symptomatic outcomes were assessed at baseline and post-intervention, and transition to psychosis was evaluated 12 months after the initial assessment.</div><div>Both interventions showed significant improvements in overall functioning and reductions in delusion severity but without a significant interaction between the groups. However, participants who completed the full course of group CBT exhibited substantial improvements in overall functioning and a notable reduction in auditory hallucinations compared to the psychoeducation group. None of the participants developed psychosis during the treatment period or the 12-month follow-up. The findings suggest that group CBT can effectively enhance functional and symptomatic outcomes, provided a sufficient intervention dosage is maintained.</div></div>","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"285 ","pages":"Pages 215-222"},"PeriodicalIF":3.5000,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Gender-specific group cognitive behavioral therapy for women with at-risk mental state: A randomized controlled trial\",\"authors\":\"Eric Y.H. Chen , Agatha W.S. Wong , Jade P.S. Wong , Komi Y.K. Li , Michael T.H. Wong , Stephanie M.Y. Wong , Natalie H.T. Wong , Sherry K.W. Chan , Yi-Nam Suen , Christy L.M. 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Functioning and symptomatic outcomes were assessed at baseline and post-intervention, and transition to psychosis was evaluated 12 months after the initial assessment.</div><div>Both interventions showed significant improvements in overall functioning and reductions in delusion severity but without a significant interaction between the groups. However, participants who completed the full course of group CBT exhibited substantial improvements in overall functioning and a notable reduction in auditory hallucinations compared to the psychoeducation group. None of the participants developed psychosis during the treatment period or the 12-month follow-up. 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Gender-specific group cognitive behavioral therapy for women with at-risk mental state: A randomized controlled trial
Gender differences in individuals at risk mental state (ARMS) highlight the need for mental health service tailored to gender-specific needs. While Cognitive Behavioral Therapy (CBT) is recognized as an effective intervention for psychotic disorders and ARMS, research on gender-specific CBT for ARMS is limited. This study compares the effects of group CBT with psychoeducation on functional and symptomatic outcomes, and the likelihood of transition to psychosis, in women with ARMS. One hundred and Seventy-eight women with ARMS were recruited and randomly assigned to either women-specific group CBT or psychoeducation. Functioning and symptomatic outcomes were assessed at baseline and post-intervention, and transition to psychosis was evaluated 12 months after the initial assessment.
Both interventions showed significant improvements in overall functioning and reductions in delusion severity but without a significant interaction between the groups. However, participants who completed the full course of group CBT exhibited substantial improvements in overall functioning and a notable reduction in auditory hallucinations compared to the psychoeducation group. None of the participants developed psychosis during the treatment period or the 12-month follow-up. The findings suggest that group CBT can effectively enhance functional and symptomatic outcomes, provided a sufficient intervention dosage is maintained.
期刊介绍:
As official journal of the Schizophrenia International Research Society (SIRS) Schizophrenia Research is THE journal of choice for international researchers and clinicians to share their work with the global schizophrenia research community. More than 6000 institutes have online or print (or both) access to this journal - the largest specialist journal in the field, with the largest readership!
Schizophrenia Research''s time to first decision is as fast as 6 weeks and its publishing speed is as fast as 4 weeks until online publication (corrected proof/Article in Press) after acceptance and 14 weeks from acceptance until publication in a printed issue.
The journal publishes novel papers that really contribute to understanding the biology and treatment of schizophrenic disorders; Schizophrenia Research brings together biological, clinical and psychological research in order to stimulate the synthesis of findings from all disciplines involved in improving patient outcomes in schizophrenia.