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- Title
La thérapie cognitivo-comportementale des psychoses en début d'évolution : étude ouverte en milieu clinique.
- Authors
Marois, Marie-Josée; Gingras, Nathalie; Provencher, Martin D.; Mérette, Chantal; Émond, Claudia; Bourbeau, Julie; Jomphe, Valérie; Roy, Marc-André
- Abstract
Objective: Meta-analysis results confirm that cognitive-behavioral therapy in psychosis (CBTp) is efficient for persistent symptoms. However, external validity remains unexplored. CBTp in early psychosis (in the first 5 years after diagnosis) seems especially relevant, given a possible impact on long-term course. However, the few studies that experimented with CBTp with this population had poor results. They all introduced therapy during an acute psychotic phase and most of them performed a limited number of sessions. Therefore, our introductory open study aimed to evaluate the efficiency of a 25-session Australian CBTp program, introduced during a stable phase in Quebec patients with early psychosis. Method: The Active Cognitive Psychotherapy for Early Psychosis program was offered to 20 patients aged 14 years or older, at a rate of 1 weekly session during 6 months. Results: The acceptance rate was 75%, the mean session compliance rate was 84%, and participants were satisfied with the program. Pre- and post-CBTp analyses indicated statistically significant improvements of psychotic symptomatology, which were maintained at 6-month follow-up. Self-criticism improvement was also statistically significant, post-CBTp. Conclusion: CBTp seems to be appropriate in our clinical settings, including with adolescents. Moreover, the treatment dosage used seems to foster session compliance.
- Subjects
QUEBEC (Province); PSYCHOSES in adolescence; COGNITIVE therapy for teenagers; META-analysis; SYMPTOMS; PATIENT compliance; THERAPEUTICS
- Publication
Canadian Journal of Psychiatry, 2011, Vol 56, Issue 1, p51
- ISSN
0706-7437
- Publication type
Article
- DOI
10.1177/070674371105600109