RESUMO
Many people with psychosis do not engage in psychological treatments when offered. We examined variables that predicted uptake of group cognitive behavioural therapy (CBT) in first-episode psychosis. We assessed all consenting consecutive referrals over a 2-year period. T-tests and logistic regressions examined factors which predicted uptake. The suitability for short-term CBT scale (SSCT) and negative symptoms successfully differentiated engagement and non-engagement. A model combining negative symptoms and the SSCT significantly predicted uptake of group CBT. Attention has not been paid to poor uptake of psychological treatments in psychosis. This may have a greater impact on outcomes than treatment effectiveness.
Assuntos
Terapia Cognitivo-Comportamental , Aceitação pelo Paciente de Cuidados de Saúde , Transtornos Psicóticos/terapia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Transtornos Psicóticos/diagnóstico , Transtornos Psicóticos/psicologia , Resultado do Tratamento , Adulto JovemRESUMO
AIM: To examine the relationship between cognitive deterioration and the duration of untreated psychosis (DUP) in a first-episode psychosis sample. METHOD: We assessed a consecutive sample of first-episode psychosis participants (N = 50) with measures of cognitive deterioration and DUP. RESULTS: Using correlations and stepwise linear regressions, we found strong relationships between DUP and measures of cognitive deterioration. CONCLUSIONS: The length of DUP predicted cognitive deterioration. These results highlight a potential DUP grace period (>6 months) in which significant cognitive deterioration may be averted.
