Group-based worry intervention for persecutory delusions: an initial feasibility study.
Abstract
BACKGROUND: A one-to-one cognitive behavioural therapy intervention targeting worry significantly reduces both worry and persecutory delusions (Freeman et al., 2015). AIM: To adapt this intervention for group delivery and conduct a feasibility trial within routine clinical practice. METHOD: Thirteen participants were randomized to a weekly 8-session worry intervention group (n = 7) or wait-list control (n = 6). RESULTS: All but one participant completed measures at all time points. Participants attended an average of six therapy sessions. CONCLUSIONS: Recruitment, retention and therapy uptake were feasible. Observed treatment effects were in the expected direction, but may be diluted compared with one-to-one interventions.
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Staff shortage, economic pressure and administrative duties leave little room for individual therapy, making group-based formats a cost-effective alternative to reach many patients.
“Staff shortage, economic pressure and administrative duties leave little room to offer individual therapy to each patient making group-based formats a cost-effective alternative to reach a large number of patients (118).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [118]
Due to high patient turnovers, group therapies should be delivered in standalone formats with patients able to benefit from attending only one session or one module.
“Due to high patient turnovers, group therapies should be delivered in standalone formats with patients being able to already benefit when attending only one session or one module (118).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [118]
Cites
Behar, E., Alcaine, O., Zuellig, A. R., & Borkovec, T. D. (2003) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(03)00004-1 · Cited by 373 · see citing works
Persecutory delusions: a cognitive perspective on understanding and treatment.
Freeman, D. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)00066-3 · Cited by 356 · see citing works
Freeman, D., Dunn, G., Startup, H., Pugh, K., Cordwell, J., Mander, H., Černis, E., Wingham, G., Shirvell, K., & Kingdon, D. (2015) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00039-5 · Cited by 295 · see citing works
Self-citationGroup cognitive-behavioural therapy for schizophrenia
Barrowclough, C., Haddock, G., Lobban, F. A., Jones, S. H., Siddle, R., Roberts, C., & Gregg, L. (2006) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.106.021386 · Cited by 130 · see citing works
Newton, E., Larkin, M., Melhuish, R., & Wykes, T. (2007) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1348/147608306x110148 · Cited by 70 · see citing works
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Gussmann, E., Lucae, S., Falkai, P., Padberg, F., Egli, S., & Kopf-Beck, J. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1160075 · Cited by 2 · see citing works
“Staff shortage, economic pressure and administrative duties leave little room to offer individual therapy to each patient making group-based formats a cost-effective alternative to reach a large number of patients (118).”
Background
- Authors
- Isham, L., Grafahrend, H., Nickless, A., Pugh, K., Pleasants, S., Smedley, N., Freeman, D., & Mulligan, A.
- Affiliations
- Oxleas NHS Foundation Trust (GB)
- University of Oxford (GB)
- Sussex Partnership NHS Foundation Trust (GB)
- Warneford Hospital (GB)
- Corresponding author
- Isham, Louise
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2018-06-20
- Volume
- 46
- Issue
- 5
- Pages
- 619-625
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2808937544
- Cited by
- 6
- References
- 5
- Citations by year
- 2026: 1 · 2023: 1 · 2021: 1 · 2019: 3
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Bristol Research (University of Bristol) (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP-2014-05-003)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- persecutory delusions, worry, group cognitive behavioral therapy, intervention adaptation, feasibility, treatment retention, psychosis
- MeSH terms
- Adolescent, Adult, Aged, Anxiety, Delusions, Feasibility Studies, Humans, Middle Aged, Psychotherapy, Group, Waiting Lists, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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