Satisfaction of Cognitive Behavioral Therapy for At-Risk Mental State was Associated with Improvement of Emotional Symptoms

Poster C35, Wednesday, October 10, 11:30 am - 1:00 pm, Essex Ballroom

Kazuho Tomimoto1, Noriyuki Omuro2, Masahiro Katsura2, Yumiko Hamaie2, Koichi Abe1, Yutaro Sato1, Shimako Nishiyama4, Naohisa Tsujino5, Toshifumi Kishimoto6, Michio Suzuki4, Masafumi Mizuno5, Kazunori Matsumoto1,2,3; 1Department of Psychiatry, Tohoku University, Graduate School of Medicine, 2Department of Psychiatry, Tohoku University Hospital, 3Department of Preventive Psychiatry, Tohoku University, Graduate School of Medicine, 4Department of Neuropsychiatry, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 5Department of Neuropsychiatry, Toho University School of Medicine, 6Department of Psychiatry, Nara Medical University

Background: In our open-label cognitive behavioral therapy (CBT) study of Japanese individuals with at-risk mental state (ARMS) (Matsumoto et al., 2018), we found significant improvement in many psychiatric symptoms after therapy. However, the factors associated with the participants’ satisfaction regarding CBT remain unclear. Methods: Thirteen participants with ARMS (mean age: 18.7 ± 3.6 years; five males) were recruited at outpatient clinics of four Japanese university hospitals. All participants received 50-min weekly CBT sessions with a maximum of 25 sessions over six months (mean: 16.5 ± 5.1 sessions). We assessed the participants using the Client Satisfaction Questionnaire (CSQ), Positive and Negative Syndrome Scale (PANSS), Beck Depression Inventory-Second Edition (BDI-II), and State-Trait Anxiety Inventory Form (STAI). Results: Single regression analysis revealed that the participants’ satisfaction was associated with the improvement of depression and anxiety but not with the total and positive symptom scores of the PANSS. Multiple regression analysis revealed that improvement of anxiety was the only factor that was significantly associated with the participants’ satisfaction (p < 0.001). Discussion: Engagement is one of the most important components of CBT for ARMS, and satisfaction with therapy is important to maintain a good relationship between the therapist and patient. Therefore, the therapist should focus on alleviating emotional symptoms, particularly anxiety, in individuals with ARMS when delivering CBT. These findings should be considered provisional because of the small sample size and lack of a control group.

Topic Area: Psychosocial Interventions

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