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Cognitive therapy for internalised stigma in people experiencing psychosis: A pilot randomised controlled trial
- Source :
- Morrison, A, Burke, E, Murphy, E, Pyle, M, Bowe, S, Varese, F, Dunn, G, Chapman, N, Hutton, P, Welford, M & Wood, L 2016, ' Cognitive Therapy for Internalised Stigma in People Experiencing Psychosis: A pilot randomised controlled trial ' Psychiatry Research, vol. 240, pp. 96-102 . https://doi.org/10.1016/j.psychres.2016.04.024, Morrison, A, Burke, E, Murphy, E, Pyle, M, Bowe, S, Varese, F, Dunn, G, Chapman, N, Hutton, P, Welford, M & Wood, L 2016, ' Cognitive Therapy for Internalised Stigma in People Experiencing Psychosis: A pilot randomised controlled trial ', Psychiatry Research, vol. 240, pp. 96-102 . https://doi.org/10.1016/j.psychres.2016.04.024, Morrison, A P, Burke, E, Murphy, E, Pyle, M, Bowe, S, Varese, F, Dunn, G, Chapman, N, Hutton, P, Welford, M & Wood, L J 2016, ' Cognitive therapy for internalised stigma in people experiencing psychosis : A pilot randomised controlled trial ', Psychiatry Research, vol. 240, pp. 96-102 . https://doi.org/10.1016/j.psychres.2016.04.024
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- We aimed to evaluate the feasibility of Cognitive Therapy (CT) as an intervention for internalised stigma in people with psychosis. We conducted a single-blind randomised controlled pilot trial comparing CT plus treatment as usual (TAU) with TAU only. Participants were assessed at end of treatment (4 months) and follow-up (7 months). Twenty-nine participants with schizophrenia spectrum disorders were randomised. CT incorporated up to 12 sessions over 4 months (mean sessions = 9.3). Primary outcome was the Internalised Stigma of Mental Illness Scale – Revised (ISMI-R) total score, which provides a continuous measure of internalised stigma associated with mental health problems. Secondary outcomes included self-rated recovery, internalised shame, emotional problems, hopelessness and self-esteem. Recruitment rates and retention for this trial were good. Changes in outcomes were analysed following the intention-to-treat principle, using ANCOVAs adjusted for baseline symptoms. There was no effect on our primary outcome, with a sizable reduction observed in both groups, but several secondary outcomes were significantly improved in the group assigned to CT, in comparison with TAU, including internalised shame, hopelessness andself-rated recovery. Stigma-focused CT appears feasible and acceptable in people with psychosis who have high levels of internalised stigma. A larger, definitive trial is required.
- Subjects :
- Male
Social stigma
medicine.medical_treatment
Social Stigma
law.invention
0302 clinical medicine
Randomized controlled trial
law
Single-Blind Method
psychosis
Defense Mechanisms
media_common
Middle Aged
Psychiatry and Mental health
Treatment Outcome
Health
Female
Mental health
Psychology
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Adult
Psychosis
medicine.medical_specialty
media_common.quotation_subject
Self-concept
Shame
Cognitive therapy
03 medical and health sciences
medicine
Humans
Psychiatry
Biological Psychiatry
616.8 Nervous & mental disorders
Cognitive Behavioral Therapy
Patient Acceptance of Health Care
medicine.disease
Mental illness
Self Concept
030227 psychiatry
schizophrenia
Stigma
Psychotic Disorders
stigma
cognitive therapy
Schizophrenia
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 01651781
- Volume :
- 240
- Database :
- OpenAIRE
- Journal :
- Psychiatry Research
- Accession number :
- edsair.doi.dedup.....1ef18ca6b0e8f7494911214fce29d731