Self-concept and Engagement in LiFe (SELF): A waitlist-controlled pilot study of a novel psychological intervention to target illness engulfment in enduring schizophrenia and related psychoses

SCHIZOPHRENIA RESEARCH

卷:228

Article

Konsztowicz, Susanna¹  Gelencser, Casandra Roy²  Otis, Catherine³  Schmitz, Norbert^3,4  Lepage, Martin^3,4 

[1] McGill Univ, Dept Psychol, 2001 McGill Coll Ave, Montreal, PQ H3A 1G1, Canada

[2] Univ Quebec Montreal, Dept Psychol, 405 Rue St Catherine Est, Montreal, PQ H2L 2C4, Canada

[3] Douglas Mental Hlth Univ Inst, 6875 LaSalle Blvd, Montreal, PQ H4H 1R3, Canada

[4] McGill Univ, Dept Psychiat, 1033 Pine Ave West, Montreal, PQ H3A 1A1, Canada

关键词: Psychosis;    Self-concept;    Self-identity;    Cognitive-behaviour therapy;    Narrative therapy;    Recovery;   

DOI  :  10.1016/j.schres.2020.11.028

来源: Elsevier

【 摘 要 】

Background: Illness engulfment, a process whereby one's self-concept becomes defined entirely by illness, is implicated in the association between insight and depressive symptomatology in schizophrenia. We examined the feasibility and acceptability of a brief intervention called Self-concept and Engagement in LiFe (SELF) that aims to reduce engulfment and enhance personal recovery. Methods: Forty individuals diagnosed with schizophrenia spectrum disorders were assigned to SELF intervention or waitlist-control (treatment-as-usual). Outcome measures included the Modified Engulfment Scale and measures of depressive symptomatology, self-esteem, recovery style, quality of life, and self-stigma. Results: Retention at post-therapy was 90% (18/20 completed SELF; 18/20 remained on waitlist). Eleven waitlist participants then completed SELF (73% overall retention). Participants reported high satisfaction with the intervention, and participation was associated with reduced engulfment (ES = 0.48), more adaptive recovery style (ES = 0.37), improved self-esteem (ES = 0.35), and reduced self-stigma (ES = 0.25). The treatment group had lower engulfment (adjusted mean = 91.9) compared to waitlist (adjusted mean = 100.0) post-therapy, F (1,32)= 5.78, p = .02, partial eta(2)=0.15. Conclusions: The SELF intervention is highly acceptable to participants and can reduce engulfment and improve secondary outcomes. Future research should examine the efficacy of SELF in a larger randomized controlled trial. (C) 2020 Elsevier B.V. All rights reserved.

【 授权许可】

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