Background and objectives

Research indicates the value of targeting emotional regulation (ER) skills in psychological interventions for psychosis. These skills can be delivered in a group format, thereby increasing access to therapy. This pilot study examined the acceptability and clinical effects of teaching ER skills in The Living Through Psychosis (LTP) group programme.

Methods

Patients with a psychotic illness were offered the LTP programme, comprising eight sessions over four weeks. Measures were completed by 55 participants. Acceptability was assessed by attendance rates and group cohesion. Measures of intervention targets, recovery and clinical outcomes were completed at baseline, pre-group, post-group, and one-month follow-up.

Results

High group attendance and cohesion support the acceptability of the group. Participants reported less difficulty with ER (Coeff. = −8.29, 95% CI: −13.40 to −3.18, within participant uncontrolled effect size (ES) d = 0.29), increased mindful relating to distressing symptoms (Coeff. = 11.20, 95% CI: 7.02 to 15.38, d = 0.65), and improvements in recovery dimensions (Coeff. = 10.07, 95% CI: 5.6 to 14.54, d = 0.42) from pre-to post-intervention, and maintained at one-month follow-up. Participants’ hallucinations and delusions reduced from pre-intervention to follow-up (t(18) = 4.64, p < 0.001; t(18) = 5.34, p < 0.001). There was no change in fear of relapse.

Limitations

The uncontrolled, pre-post design precluded blinded assessments, and may have inflated effect sizes. Other factors may have contributed to the improvements.

Conclusions

The LTP programme was acceptable to people with psychosis. The preliminary findings indicate the potential utility of teaching ER and mindfulness skills in a brief group programme. Findings require replication in a randomized controlled trial.

中文翻译：

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精神病康复的情绪调节方法：通过精神病生活小组计划

背景和目标

研究表明在精神病的心理干预中针对情绪调节 (ER) 技能的价值。这些技能可以以小组形式提供，从而增加获得治疗的机会。这项试点研究检查了在精神病生活 (LTP) 小组计划中教授 ER 技能的可接受性和临床效果。

方法

为精神病患者提供 LTP 计划，包括四个星期内的八次会议。55 名参与者完成了措施。可接受性是通过出勤率和团队凝聚力来评估的。在基线、组前、组后和 1 个月的随访中完成干预目标、恢复和临床结果的测量。

结果

高的团体出勤率和凝聚力支持团体的可接受性。参与者报告 ER 的难度较小（Coeff. = -8.29, 95% CI: -13.40 to -3.18，在参与者不受控制的效应量 (ES) d = 0.29 内），增加与痛苦症状相关的注意力（Coeff. = 11.20, 95% CI：7.02 至 15.38，d = 0.65），以及从干预前到干预后恢复维度的改善（Coeff. = 10.07，95% CI：5.6 至 14.54，d = 0.42），并在一个月后保持向上。参与者的幻觉和妄想从干预前减少到随访（t(18) = 4.64，p < 0.001；t(18) = 5.34，p < 0.001）。对复发的恐惧没有改变。

限制

不受控制的前后设计排除了盲法评估，并且可能夸大了效果大小。其他因素可能有助于改进。

结论

精神病患者可以接受 LTP 计划。初步研究结果表明，在一个简短的小组课程中教授 ER 和正念技能的潜在效用。结果需要在随机对照试验中重复。