psychosis Tag

Views of young people in Malaysia on mental health, help‐seeking and unusual psychological experiences

Full Article Clio Berry, Daniel Michelson, Ellisha Othman, Jun C. Tan, Brioney Gee, Joanne Hodgekins, Rory E. Byrne, Alvin Lai Oon Ng Nigel V. Marsh Sian Coker, and David Fowler   ABSTRACT Aim Mental health problems are prevalent among young people in Malaysia yet access to specialist mental health care is extremely limited. More context‐specific research is needed to understand the factors affecting help‐seeking in youth, when mental health problems typically have first onset. We...

Social recovery therapy: a treatment manual

Full Article David Fowler, Joanne Hodgekins, Clio Berry, Timothy Clarke, Jasper Palmier-Claus, Catarina Sacadura, Adam Graham, Christine Lowen, Ann Steele, Katherine Pugh, Samantha Fraser, Mike Fitzsimmons and Paul French   Abstract Social Recovery Therapy is an individual psychosocial therapy developed for people with psychosis. The therapy aims to improve social recovery through increasing the amount of time individuals spend in meaningful structured activity. Social Recovery Therapy draws on our model of social disability arising...

Social Recovery Therapy in improving activity and social outcomes in early psychosis: Current evidence and longer term outcomes

Full Article David Fowler, Joanne Hodgekins, and Paul French   Abstract Background Social Recovery Therapy (SRT) is a cognitive behavioural therapy which targets young people with early psychosis who have complex problems associated with severe social disability. This paper provides a narrative overview of current evidence for SRT and reports new data on a 2 year follow-up of participants recruited into the Improving Social Recovery in Early Psychosis (ISREP) trial.   Method In the ISREP study 50 participants...

Comparing time use in individuals at different stages of psychosis and a non-clinical comparison group

Full Article   Abstract Social functioning difficulties are a common and disabling feature of psychosis and have also been identified in the prodromal phase. However, debate exists about how such difficulties should be defined and measured. Time spent in structured activity has previously been linked to increased psychological wellbeing in non-clinical samples and may provide a useful way of assessing social functioning in clinical settings.   The current study compared hours in structured activity, assessed...

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...

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...