Cognitive strengths in first episode psychosis: a thematic analysis of clinicians’ perspectives

BMC Psychiatry

Peter Steele¹  Lisa J. Phillips¹  Shayden Bryce²  Kelly Allott²  Mario Alvarez-Jimenez²  Nicholas Cheng² 

[1] Melbourne School of Psychological Sciences, The University of Melbourne, 35 Poplar Road, 3052, Parkville, VIC, Australia;Orygen, Parkville, Victoria, Australia;Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia;

关键词: Cognition;    Psychosis;    Youth;    Recovery;    Qualitative;    Functional outcomes;   

DOI  :  10.1186/s12888-021-03627-y

来源: Springer

【 摘 要 】

BackgroundCognitive deficits are associated with poor functional outcomes in individuals recovering from a first episode of psychosis (FEP). Existing treatments that target cognitive deficits in FEP may enhance cognitive function, but improvements to real-world functioning are less consistent. Furthermore, these treatments may not adequately address the personal recovery goals of young people attending FEP services. A novel cognitive strengths-based approach may overcome these shortcomings.MethodsThis qualitative study used semi-structured interviews to explore clinicians’ (N = 12) perspectives toward the potential development of a cognitive strengths-based assessment or treatment in FEP. The interviews were analysed using thematic analysis.ResultsFive higher-order themes emerged: (1) pro-strengths attitude despite unfamiliarity and minimal use, (2) default to a cognitive deficit lens, (3) potential benefits of a cognitive strengths approach, (4) potential risks and barriers, and (5) considerations for successful implementation. While clinicians acknowledged their current deficit approach, they supported implementing a cognitive strengths assessment or treatment and highlighted their potential benefits for the personal recovery needs of young people with FEP.ConclusionsThese findings suggest that a deficit-focused approach to cognitive function amongst clinicians may be common practice in FEP services. Nevertheless, a cognitive strengths approach was viewed favourably by clinicians and may represent a novel method of supporting personal recovery. Thus, the design and implementation of a cognitive strengths approach may be worthwhile. Future exploration of other stakeholder perspectives, such as young people with FEP, is essential.

【 授权许可】

CC BY