Joanne Hodgekins1, David Fowler. 1. School of Medicine, Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, United Kingdom. j.hodgekins@uea.ac.uk
Abstract
OBJECTIVE: Hope and positive self-concept have been highlighted as important components of recovery from psychosis. This study investigated the impact of a recovery-focused intervention on these dimensions, as well as their role as mediators of functional outcome. METHODS:Seventy-seven participants in recovery from psychosis were recruited into a randomized controlled trial of social recovery-focused cognitive-behavioral therapy (SRCBT). The primary outcome was hours spent weekly in structured activity. Hopelessness and beliefs about self and others were also assessed. RESULTS:SRCBT had a significant effect on improving positive beliefs about self and others. A trend was noted suggesting a main effect of SRCBT on reducing hopelessness among individuals with nonaffective psychosis. Increases in positive beliefs about self were found to mediate improvements in activity in the SRCBT group. CONCLUSIONS: Fostering hope and positive self-concept should be central components of recovery-oriented services and interventions. Modifying these dimensions may have a positive impact on functional outcome.
RCT Entities:
OBJECTIVE: Hope and positive self-concept have been highlighted as important components of recovery from psychosis. This study investigated the impact of a recovery-focused intervention on these dimensions, as well as their role as mediators of functional outcome. METHODS: Seventy-seven participants in recovery from psychosis were recruited into a randomized controlled trial of social recovery-focused cognitive-behavioral therapy (SRCBT). The primary outcome was hours spent weekly in structured activity. Hopelessness and beliefs about self and others were also assessed. RESULTS:SRCBT had a significant effect on improving positive beliefs about self and others. A trend was noted suggesting a main effect of SRCBT on reducing hopelessness among individuals with nonaffective psychosis. Increases in positive beliefs about self were found to mediate improvements in activity in the SRCBT group. CONCLUSIONS: Fostering hope and positive self-concept should be central components of recovery-oriented services and interventions. Modifying these dimensions may have a positive impact on functional outcome.
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Authors: Mike Slade; Stefan Rennick-Egglestone; Joy Llewellyn-Beardsley; Caroline Yeo; James Roe; Sylvia Bailey; Roger Andrew Smith; Susie Booth; Julian Harrison; Adaresh Bhogal; Patricia Penas Morán; Ada Hui; Dania Quadri; Clare Robinson; Melanie Smuk; Marianne Farkas; Larry Davidson; Lian van der Krieke; Emily Slade; Carmel Bond; Joe Nicholson; Andrew Grundy; Ashleigh Charles; Laurie Hare-Duke; Kristian Pollock; Fiona Ng Journal: JMIR Form Res Date: 2021-05-27