A Comparison of the Effectiveness of Various Psychotherapeutic Approaches to First-Episode Psychosis in Terms of Recovery: a Systematic Review

Poster A97, Monday, October 8, 11:30 am - 1:00 pm, Essex Ballroom

Barbora Chvatalova1,2; 1National Institute of Mental Health, 2Masaryk University

An exploratory systematic mixed-methods review was conducted, comparing the effectiveness of various psychotherapeutic approaches and psychological factors to first-episode psychosis (FEP) with an emphasis on symptomatic and functional recovery. The review builds on state-of-the-art findings in FEP research and critically assesses the rationale of existing clinical procedures. A broad search strategy led to the identification of 2238 research studies: 33 studies (published from 2000-2016) meeting inclusion criteria were examined in detail. Applied interventions were: cognitive-behavioral therapy (13), group interventions on the basis of family and community psychiatry (8), psychodynamic psychotherapy (5), a combination of various interventions within the integrated models of care (6) and another type of intervention (1). The mean age of the respondents was 24.3 years, males comprised 61 %. The effectiveness was assessed within the Three-dimensional model of outcome measurement by Rosenblatt and Attkisson. The included studies most frequently described the effectiveness of applied intervention in terms of clinical status (57%), functional status (25%), measures of life satisfaction and fulfillment (15%) and the least at measures of safety and welfare (3%). Based on a clinical consideration, particular factors of the most effective interventions were identified. These factors were organized into the table of recovery preconditions, which constitute an optimal approach to FEP. The results emphasize the indispensability of psychotherapeutic approaches in FEP treatment.

Topic Area: First Episode Psychosis

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