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

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Title: Identifying types of problems and relative priorities in the problem lists of participants in CBT for psychosis trials.
Authors: Morrison, Anthony P. (AUTHOR), Gonçalves, Cláudia C. (AUTHOR), Peel, Heather (AUTHOR), Larkin, Amanda (AUTHOR), Bowe, Samantha E. (AUTHOR)
Source: Behavioural & Cognitive Psychotherapy. Nov2023, Vol. 51 Issue 6, p633-644. 12p.
Subjects: Mental health services, Psychoses, Behavior therapy, Psychiatric research, False memory syndrome, Cognitive therapy
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. [ABSTRACT FROM AUTHOR]
Copyright of Behavioural & Cognitive Psychotherapy is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Identifying types of problems and relative priorities in the problem lists of participants in CBT for psychosis trials.
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  Data: <searchLink fieldCode="JN" term="%22Behavioural+%26+Cognitive+Psychotherapy%22">Behavioural & Cognitive Psychotherapy</searchLink>. Nov2023, Vol. 51 Issue 6, p633-644. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+research%22">Psychiatric research</searchLink><br /><searchLink fieldCode="DE" term="%22False+memory+syndrome%22">False memory syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Behavioural & Cognitive Psychotherapy is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Nov2023
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