CoChat
Sign Up
Cited by 294Mindfulness and Compassion InterventionsSchizophrenia research and treatmentPsychotherapy Techniques and Applications

The DOI matches its Crossref record; 60 of the 62 references it cites were found in a registry or an index.

Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial

Braehler, Christine, Gumley, Andrew, Harper, Janice, Wallace, Sonia, Norrie, John, Gilbert, Paul·2013·British Journal of Clinical Psychology
DOI 10.1111/bjc.12009
Open this paper in CoChat — free account

Abstract

Objectives Compassion focused therapy ( CFT ) was developed to stimulate capacities for soothing and affiliation to self and others as a way to regulate the threat system. This feasibility study aimed to assess the safety, the acceptability, the potential benefits, and associated change processes of using group CFT with people recovering from psychosis. Design A prospective, randomized, open‐label, blinded end point evaluation design was used. Method Forty adult patients with a schizophrenia‐spectrum disorder were randomized to CFT plus treatment as usual ( TAU ; n = 22) or to TAU alone ( n = 18). Group CFT comprised 16 sessions (2 hr each, 1 x week). Participants were assessed prior to randomization and at the end of treatment. Assessments included semi‐structured interviews to elicit narratives of recovery from psychosis and self‐report measures. At the end of treatment, participants were rated on the Clinical Global Impression Scale. Narratives were coded using the Narrative Recovery Style Scale to provide measures of change in compassion and avoidance. Change processes were correlated with changes in depression, personal beliefs about illness, fear of recurrence, and positive and negative affect. Results Group CFT was associated with no adverse events, low attrition (18%), and high acceptability. Relative to TAU , CFT was associated with greater observed clinical improvement ( p < 0.001) and significant increases in compassion ( p = 0.015) of large magnitude. Relative to TAU , increases in compassion in the CFT group were significantly associated with reductions in depression ( p = 0.001) and in perceived social marginalization ( p = 0.002). Discussion Findings support the feasibility of group CFT in psychosis and suggest that changes in compassion can be achieved, which appear to reduce depression in particular. This is the first randomized controlled evaluation of CFT . Conclusion Compassion focused therapy appears as a safe, acceptable, promising, and evolving intervention for promoting emotional recovery from psychosis. Practitioner Points Compassion focused therapy appears safe to use with people recovering from psychosis. Compassion focused therapy was associated with significantly greater clinical improvement than Treatment as Usual. Relative to TAU, CFT was associated with a significant increase in compassion of large magnitude. Relative to TAU, in the CFT group increases in compassion were significantly associated with reductions in depression and in perceived social marginalization.

Overview

Integrity signals

Registry

Crossref · 10.1111/bjc.12009

Cites

60 of 60 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Flagged first, then by citations

Show all 62 references

2 of the 62 references couldn’t be matched to a known paper.

Research works printed but not linked: 9

  1. Beck A. T., 1996, Manual for the Beck Depression Inventory‐II
  2. Gilbert P., 2000, Genes on the couch: Explorations in evolutionary psychotherapy, 118
  3. Gumley A., 2010, Narrative Recovery Style Scale
  4. Gumley A., 2006, Staying well after psychosis: A cognitive interpersonal approach to recovery and relapse prevention
  5. Liotti G., 2010, Dissociation and the dissociative disorders: DSM‐V and beyond, 53
  6. Liotti G., 2009, Dissociation and psychosis: Converging perspectives on a complex relationship, 117
  7. Nairn R., 1999, Diamond mind
  8. 10.1192/bjp.02.252 · DOI
  9. Tyrrell C., 1997, The role of attachment in therapeutic process and outcome for adults with serious psychiatric disorders

Cited by

Sorted by citations

Items 101–200 of 294

Related

See all

Metadata

Authors
Braehler, C., Gumley, A., Harper, J., Wallace, S., Norrie, J., & Gilbert, P.
Affiliations
  • NHS Ayrshire and Arran (GB)
  • University of Aberdeen (GB)
  • University of Derby (GB)
Corresponding author
Braehler, Christine
ORCID
Venue
British Journal of Clinical Psychology
Publisher
Wiley
Published
2012-10-24
Volume
52
Issue
2
Pages
199-214
ISSN
  • 0144-6657 (ISSN-L)
  • 2044-8260
DOI
10.1111/bjc.12009
OpenAlex
W2005938384
Cited by
294
References
62
Citations by year
2026: 9 · 2025: 12 · 2024: 17 · 2023: 26 · 2022: 19 · 2021: 27 · 2020: 33 · 2019: 29 · 2018: 20 · 2017: 29 · 2016: 21 · 2015: 26 · 2014: 22 · 2013: 1 · 2012: 3
FWCI
18.83
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • British Journal of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Funders
NHS Health Scotland
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
compassion-focused therapy, psychosis, schizophrenia spectrum disorders, group therapy, compassion, recovery narratives, depression, social marginalization, treatment acceptability, treatment safety, fear of recurrence, illness beliefs
MeSH terms
Adult, Depression, Depressive Disorder, Empathy, Feasibility Studies, Female, Humans, Male, Middle Aged, Prospective Studies, Psychotherapy, Psychotherapy, Group, Psychotic Disorders, Schizophrenia, Single-Blind Method, Treatment Outcome, Self Report

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review