Group cognitive–behavioral therapy for young patients with psychosis

Poster B113, Friday, October 21, 11:30 am - 1:00 pm, Le Baron

Sung-Wan Kim1,2, Ga-Young Lee2, Hye-Young Yu2, Jin-Hee Hong2, Jae-Kyeong Kim2, Ji-Eun Jang1,2, Ju-Yeon Lee1, Jae-Min Kim1, Jin-Sang Yoon1; 1Chonnam National University Medical School, 2Gwangju Bukgu Community Mental Health Center

Objective: This study aimed to develop a Korean model of group CBT for early psychosis and to evaluate the effectiveness of this model. Methods: We developed a Korean version of group CBT consisting of metacognitive training, cognitive restructuring, life style modification, and stress management. The Subjective Wellbeing under Neuroleptics (SWN-K) scale, Ambiguous Intentions Hostility Questionnaire (AIHQ), Drug Attitude Inventory (DAI), Beck Depression Inventory (BDI), and Perceived Stress Scale (PSS) were administered before and after 14 sessions of CBT. The participants were divided into two groups according to the median (4 months) duration of untreated psychosis (DUP). Results: Fifty-nine patients participated in group CBT between September 2012 and December 2015. Of these, 42 completed more than 70% of the sessions. After excluding patients who did not complete the scales both before and after group CBT and those who did not have a psychotic disorder, 34 participants were analyzed. The SWN-K and DAI scores significantly increased from pre- to post-therapy (p-value = 0.044 and < 0.001, respectively), while the AIHQ and PSS scores significantly decreased (p-value = 0.005 and 0.045). Significant time × DUP interactions were observed for the SWN-K, DAI, and BDI. The scores for those scales changed significantly in patients with a short DUP (≤4 months) but not in patients with a long one (>4 months). Conclusion: Group CBT had a positive effect on the quality of life, attitude toward treatment, perceived stress, and suspiciousness of patients with early psychosis. The effects were particularly significant in patients with a short DUP.

Topic Area: Psychosocial Interventions

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