CBT and recovery from psychosis in the ISREP Trial: Mediating effects of hope and positive beliefs on activity
Full Article Joanne Hodgekins and David Fowler Abstract Objective: Hope and positive self-concept have been highlighted as important components of recovery from psychosis. This study investigated the impact of a recovery-focused intervention on these dimensions, as well as their role as mediators of functional outcome. Methods: Seventy-seven participants in recovery from psychosis were recruited into a randomized controlled trial of social recovery–focused cognitive-behavioural therapy (SRCBT). The primary outcome was hours spent weekly in structured...
Early detection and psychosocial intervention for young people who are at risk of developing long term socially disabling severe mental illness: Should we give equal priority to functional recovery and complex emotional dysfunction as to psychotic symptoms
Full Article David G. Fowler, Joanne Hodgekins, Katya Arena, Ruth Turner, Rebecca Lower, Karen Wheeler, Emma Corlett, Tony Reilly, and Jon Wilson Abstract There has been considerable progress in the development of early detection and intervention services for cases who may be at risk of developing psychotic disorder. This paper reviews the state of the progress so far, including discussion of the validity of cases selected using the PACE prodromal symptoms criteria, and...
Cognitive behaviour therapy for improving social recovery in psychosis: A report from the ISREP MRC Trial Platform study (Improving Social Recovery in Early Psychosis)
Full Article David Fowler, Joanne Hodgekins, M. Painter, Tony Reilly, C. Crane, Iain Macmillan, Miranda Mugford, Tim Croudace and Peter B. Jones 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...
Cognitive behaviour therapy for improving social recovery in psychosis: Cost-effectiveness analysis
Full Article Garry R. Barton, Jo Hodgekins, Miranda Mugford, Peter B. Jones, Tim Croudace, and David Fowler A randomised trial was conducted in order to estimate the clinical and cost-effectiveness of social recovery orientated cognitive behavioural therapy (SRCBT) for people diagnosed with psychosis, compared to case management alone (CMA). The mean incremental health and social care cost, and the mean incremental quality adjusted life year (QALY) gain, of SRCBT was calculated over...
Social and symptomatic outcomes of first‐episode bipolar psychoses in an early intervention service
Full Article Iain Macmillan, Lawrence Howells, Kedar Kale, Corinna Hackmann, Gavin Taylor, Katherine Hill, Steve Bradford, and David Fowler Abstract Aim: We aimed to establish the relative proportions of all diagnoses in people aged 14–35 years presenting to an early intervention in psychosis service, and to compare demographic variables, symptoms and outcomes between the bipolar psychoses and other psychoses at 3–6 months and 1 year post referral. Methods: Prospective 3‐ to 6‐month diagnostic and...