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A Feasibility Study of the Translation of Cognitive Behaviour Therapy for Psychosis into an Australian Adult Mental Health Clinical Setting
BEHAVIOUR CHANGE ( IF 1.5 ) Pub Date : 2020-03-03 , DOI: 10.1017/bec.2020.1
Lee Beames , Esben Strodl , Frances Dark , Jennifer Wilson , Judith Sheridan , Nicholas Kerswell

There is evidence that Cognitive Behaviour Therapy for Psychosis (CBTp) is an effective intervention for reducing psychotic symptoms. The recently updated Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines (RANZCP CPG) recommend CBTp for the therapeutic management of schizophrenia and related disorders. Translational research is required to examine how well CBTp can be applied into public mental health services. This feasibility study aimed to provide preliminary evidence on how acceptable, implementable, and adaptable individual or group CBTp may be within a public mental health service in Australia. Twenty-seven participants initially agreed to participate in the study with 16 participants being randomised to either group or individual therapy, 11 starting therapy and 7 completing therapy. The intervention involved approximately 20 h of manualised CBTp. Attendance was higher in the individual therapy. Subjective reports indicated that the therapy was acceptable to all completers. Participants who engaged in individual or group CBTp experienced a similar level of reduction in the severity of hallucinations and delusions. Individual CBTp may be a feasible, acceptable, and effective intervention to include in Australian public mental health services. A pilot trial is now required to provide further evidence for and guidance of how best to translate CBTp protocols to Australian mental health services.

中文翻译:

将精神病认知行为疗法转化为澳大利亚成人心理健康临床环境的可行性研究

有证据表明,精神病认知行为疗法 (CBTp) 是减轻精神病症状的有效干预措施。最近更新的澳大利亚和新西兰皇家精神病学院临床实践指南 (RANZCP CPG) 推荐 CBTp 用于精神分裂症和相关疾病的治疗管理。需要转化研究来检验 CBTp 在公共心理健康服务中的应用效果。该可行性研究旨在提供初步证据,证明个人或团体 CBTp 在澳大利亚公共心理健康服务中的可接受性、可实施性和适应性。27 名参与者最初同意参加该研究,其中 16 名参与者被随机分配到小组或个人治疗中,11 名开始治疗,7 名完成治疗。干预涉及大约 20 小时的手动 CBTp。个体治疗的出勤率更高。主观报告表明,所有完成者都可以接受该疗法。参与个人或团体 CBTp 的参与者在幻觉和妄想的严重程度方面经历了类似程度的降低。个人 CBTp 可能是一种可行、可接受和有效的干预措施,可纳入澳大利亚公共心理健康服务。现在需要进行试点试验,为如何最好地将 CBTp 协议转化为澳大利亚心理健康服务提供进一步的证据和指导。参与个人或团体 CBTp 的参与者在幻觉和妄想的严重程度方面经历了类似程度的降低。个人 CBTp 可能是一种可行、可接受和有效的干预措施,可纳入澳大利亚公共心理健康服务。现在需要进行试点试验,为如何最好地将 CBTp 协议转化为澳大利亚心理健康服务提供进一步的证据和指导。参与个人或团体 CBTp 的参与者在幻觉和妄想的严重程度方面经历了类似程度的降低。个人 CBTp 可能是一种可行、可接受和有效的干预措施,可纳入澳大利亚公共心理健康服务。现在需要进行试点试验,为如何最好地将 CBTp 协议转化为澳大利亚心理健康服务提供进一步的证据和指导。
更新日期:2020-03-03
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