Cognitive therapy for internalised stigma in people experiencing psychosis: A pilot randomised controlled trial

PSYCHIATRY RESEARCH

卷:240

Article

Morrison, Anthony P.^1,2  Burke, Eilish^1,2  Murphy, Elizabeth²  Pyle, Melissa^1,2  Bowe, Samantha²  Varese, Filippo¹  Dunn, Graham³  Chapman, Nicola²  Hutton, Paul⁴  Welford, Mary²  Wood, Lisa J.^1,5 

[1] Univ Manchester, Sch Psychol Sci, Manchester M13 9PL, Lancs, England

[2] Greater Manchester West NHS Mental Hlth Fdn Trust, Manchester, Lancs, England

[3] Univ Manchester, Sch Med, Biostat Res Grp, Manchester, Lancs, England

[4] Univ Edinburgh, Edinburgh, Midlothian, Scotland

[5] North East London NHS Fdn Trust, London, England

关键词: Cognitive therapy;    Stigma;    Psychosis;    Schizophrenia;   

DOI  :  10.1016/j.psychres.2016.04.024

来源: Elsevier

【 摘 要 】

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 and self-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. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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