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Cited by 125Schizophrenia research and treatmentPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.

Cognitive behaviour therapy for improving social recovery in psychosis: a report from the ISREP MRC Trial Platform study (Improving Social Recovery in Early Psychosis)

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Fowler, D., Hodgekins, J., Painter, M., Reilly, T., Crane, C., Macmillan, I., Mugford, M., Croudace, T., Jones, P. B.·2009·Psychological Medicine
DOI 10.1017/s0033291709005467
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Abstract

BACKGROUND: This study reports on a preliminary evaluation of a cognitive behavioural intervention to improve social recovery among young people in the early stages of psychosis showing persistent signs of poor social functioning and unemployment. The study was a single-blind randomized controlled trial (RCT) with two arms, 35 participants receiving cognitive behaviour therapy (CBT) plus treatment as usual (TAU), and 42 participants receiving TAU alone. Participants were assessed at baseline and post-treatment. METHOD: Seventy-seven participants were recruited from secondary mental health teams after presenting with a history of unemployment and poor social outcome. The cognitive behavioural intervention was delivered over a 9-month period with a mean of 12 sessions. The primary outcomes were weekly hours spent in constructive economic and structured activity. A range of secondary and tertiary outcomes were also assessed. RESULTS: Intention-to-treat analysis on the combined affective and non-affective psychosis sample showed no significant impact of treatment on primary or secondary outcomes. However, analysis of interactions by diagnostic subgroup was significant for secondary symptomatic outcomes on the Positive and Negative Syndrome Scale (PANSS) [F(1, 69)=3.99, p=0.05]. Subsequent exploratory analyses within diagnostic subgroups revealed clinically important and significant improvements in weekly hours in constructive and structured activity and PANSS scores among people with non-affective psychosis. CONCLUSIONS: The primary study comparison provided no clear evidence for the benefit of CBT in a combined sample of patients. However, planned analyses with diagnostic subgroups showed important benefits for CBT among people with non-affective psychosis who have social recovery problems. These promising results need to be independently replicated in a larger, multi-centre RCT.

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Crossref · 10.1017/s0033291709005467

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Research works printed but not linked: 4

  1. Beck, 1988, Beck Hopelessness Scale Manual
  2. Butler, 1999, Overcoming Social Anxiety: A Self-Help Guide using Cognitive-Behavioural Techniques
  3. Short, 2006, Review of the UK 2000 Time Use Survey
  4. Beck, 1996, Manual for the Beck Depression Inventory-II

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Metadata

Authors
Fowler, D., Hodgekins, J., Painter, M., Reilly, T., Crane, C., Macmillan, I., Mugford, M., Croudace, T., & Jones, P. B.
Affiliations
  • University of East Anglia (GB)
  • University of Cambridge (GB)
Corresponding author
Fowler, D.
ORCID
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2009-04-01
Volume
39
Issue
10
Pages
1627-1636
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291709005467
OpenAlex
W2121758476
Cited by
125
References
36
Citations by year
2025: 2 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 5 · 2020: 2 · 2019: 11 · 2018: 6 · 2017: 6 · 2016: 6 · 2015: 10 · 2014: 14 · 2013: 9 · 2012: 15
FWCI
8.25
Type
journal article
Language
en
Open access
Licence
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Discovery Research Portal (University of Dundee) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • UEA Digital Repository (University of East Anglia) (submittedVersion)
  • Newcastle University ePrints (Newcastle Univesity)
Funders
Medical Research Council
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
cognitive behavioral therapy, early psychosis, social recovery, social functioning, unemployment, non-affective psychosis, affective psychosis, structured activities, usual care
MeSH terms
Adult, Female, Humans, Male, Mental Health Services, Psychiatric Status Rating Scales, Psychotic Disorders, Rehabilitation, Vocational, Social Adjustment, Social Behavior, Cognitive Behavioral Therapy, Single-Blind Method, Treatment Outcome

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