Ignite Creation Date:
2024-05-06 @ 8:03 AM
Last Modification Date:
2024-10-26 @ 11:55 AM
Study NCT ID:
NCT02653729
Status:
COMPLETED
Last Update Posted:
2016-01-13
First Post:
2016-01-07
Brief Title:
Cbt for Psychosis and Affect on Psychosis Symptoms
Sponsor:
Aisha Andleeb
Organization:
Bahauddin Zakariya University
Study Overview
Official Title:
Cognitive Behaviour Therapy for Psychosis in First Episode Patient and the Outcome of Cognitive Behaviour Therapy on Psychotic Symptoms
Status:
COMPLETED
Status Verified Date:
2016-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
cbtpaps
Brief Summary:
This study aims to examine the effectiveness of cognitive behavior therapy for psychosis in first episode patients and see the outcome of CBT on psychotic symptoms Because cognitive behavior therapy mostly use in depressive patient to treat the negative thinking pattern Cognitive behavioral approaches in the treatment of psychosis have become more prevalent in recent years for a number of reasons Evidence has been available for the past two or three decades regarding the success of these techniques with other forms of psychopathology such as depression anxiety disorders and medical problems Anxiety depression and low self-esteem have been cited as the most common consequences of psychotic disorders The observation has also emerged that many patients develop their own coping strategies for reducing the frequency severity and disruptiveness of their symptoms There has also been increasing evidence regarding the influence of social environmental factors on the course of psychosis and the development of stress-vulnerability models to explain these relationships Research suggests that 20 to 50 percent of persons with psychosis who receive neuroleptics continue to experience difficulties related to their psychotic symptoms
Detailed Description:
This research aims to examine the effect of cognitive and behavior therapy for psychosis in first episode patients and see the outcome of CBT on psychotic symptoms
Cognitive and Behavior Therapy for Psychosis
Cognitive behavioral therapy CBT is talking therapy that can help to manage problems by changing the way you think and behave
There are notable clinical successes in treating common emotional disorders using cognitive-behavioral approaches based on precise theoretical models In anxiety disorders the underlying fear beliefs are tested in behavioral experiments to substantially reduce symptoms in depression mood is lifted by reevaluating negative views of the self and limiting excessive rumination
With psychosis similar psychological processes are active in the experience of delusions and hallucinations For example persecutory delusions are conceptualized as threat beliefs that are the patients attempts to make sense of his or her personal experiences while hallucinations are problematic when they are interpreted by the patient as representing powerful and destructive forces Hence in cognitive therapy for psychosis fearful thoughts are carefully reevaluated withdrawal from social contact and activity is gradually reversed and feelings of hope control and self-worth are fostered Patients with psychosis are given time to talk about their experiences and importantly strategies are developed from this collaborative discussion
In this one-on-one therapy distressing experiences take center stage The first generation of cognitive-behavioral therapy CBT for psychosis when added to standard care has demonstrated efficacy in treating patients with delusions and hallucinations
Psychosis Psychosis is a serious mental disorder characterized by thinking and emotions that are so impaired that they indicate that the person experiencing them has lost contact with reality
People with psychosis are described as psychotic People experiencing psychosis may exhibit some personality changes and thought disorder Depending on its severity this may be accompanied by unusual or bizarre behavior as well as difficulty with social interaction and impairment in carrying out daily life activities
The term psychosis is very broad and can mean anything from relatively normal aberrant experiences through to the complex and catatonic expressions of schizophrenia and bipolar type 1 disorder In properly diagnosed psychiatric disorders where other causes have been excluded by extensive medical and biological laboratory tests psychosis is a descriptive term for the hallucinations delusions sometimes violence and impaired insight that may occur Psychosis is generally the term given to noticeable deficits in normal behavior negative signs and more commonly to diverse types of hallucinations or delusional beliefs especially as regards the relation between self and others as in grandiosity and paranoia
Objectives
1 To explore the effect of cognitive behavior therapy for psychosis in first episode patients
2 To develop a guide to conduct cognitive behavior therapy in early psychosis patients
3 To evaluate the major clinical outcomes in the treatment of psychotic symptoms
4 To examine the feasibility of cognitive behavior therapy in psychotic patients Rationale of the study This study aims to examine the effectiveness of cognitive behavior therapy for psychosis in first episode patients and see the outcome of CBT on psychotic symptoms Because cognitive behavior therapy mostly use in depressive patient to treat the negative thinking pattern
Cognitive behavioral approaches in the treatment of psychosis have become more prevalent in recent years for a number of reasons Evidence has been available for the past two or three decades regarding the success of these techniques with other forms of psychopathology such as depression anxiety disorders and medical problems Anxiety depression and low self-esteem have been cited as the most common consequences of psychotic disorders The observation has also emerged that many patients develop their own coping strategies for reducing the frequency severity and disruptiveness of their symptoms There has also been increasing evidence regarding the influence of social environmental factors on the course of psychosis and the development of stress-vulnerability models to explain these relationships Research suggests that 20 to 50 percent of persons with psychosis who receive neuroleptics continue to experience difficulties related to their psychotic symptoms
The therapeutic process consists of helping the patient become aware of his or her internal stream of thoughts when distressed and to identify and modify the dysfunctional thoughts Behavioral techniques are used to bring about functional changes in behavior regulate emotion and help the cognitive restructuring process Modifying the patients underlying dysfunctional beliefs leads to lasting improvements In this structured therapy the therapist and patient work collaboratively to use an approach that features reality testing and experimentation
Method
Research Design The present study will be a feasibility rater blind randomized controlled trial study to test the efficacy of brief CBT for patients with suffering from first episode psychosis
Sample Total 50 patients meeting the inclusion criteria of the study will be recruited from psychiatry unit of a public hospital of Raheem yar khan Pakistan conducted by using 50 patient met the eligibility criteria
InstrumentsAssessment Measures
The following assessment measures will be used in the research
1 The Psychotic Symptom Rating Scales
2 Positive and Negative Symptom Scale
3 Schedule for Assessment of Insight
Procedure
1 Authors of scales will be informed about usage of the scale in current research
2 Get permission to DrFarooq Naeem usage of the CBT manual of psychosis
3 SPSSv20 for data analysis
Cognitive and Behavior Therapy for Psychosis
Cognitive behavioral therapy CBT is talking therapy that can help to manage problems by changing the way you think and behave
There are notable clinical successes in treating common emotional disorders using cognitive-behavioral approaches based on precise theoretical models In anxiety disorders the underlying fear beliefs are tested in behavioral experiments to substantially reduce symptoms in depression mood is lifted by reevaluating negative views of the self and limiting excessive rumination
With psychosis similar psychological processes are active in the experience of delusions and hallucinations For example persecutory delusions are conceptualized as threat beliefs that are the patients attempts to make sense of his or her personal experiences while hallucinations are problematic when they are interpreted by the patient as representing powerful and destructive forces Hence in cognitive therapy for psychosis fearful thoughts are carefully reevaluated withdrawal from social contact and activity is gradually reversed and feelings of hope control and self-worth are fostered Patients with psychosis are given time to talk about their experiences and importantly strategies are developed from this collaborative discussion
In this one-on-one therapy distressing experiences take center stage The first generation of cognitive-behavioral therapy CBT for psychosis when added to standard care has demonstrated efficacy in treating patients with delusions and hallucinations
Psychosis Psychosis is a serious mental disorder characterized by thinking and emotions that are so impaired that they indicate that the person experiencing them has lost contact with reality
People with psychosis are described as psychotic People experiencing psychosis may exhibit some personality changes and thought disorder Depending on its severity this may be accompanied by unusual or bizarre behavior as well as difficulty with social interaction and impairment in carrying out daily life activities
The term psychosis is very broad and can mean anything from relatively normal aberrant experiences through to the complex and catatonic expressions of schizophrenia and bipolar type 1 disorder In properly diagnosed psychiatric disorders where other causes have been excluded by extensive medical and biological laboratory tests psychosis is a descriptive term for the hallucinations delusions sometimes violence and impaired insight that may occur Psychosis is generally the term given to noticeable deficits in normal behavior negative signs and more commonly to diverse types of hallucinations or delusional beliefs especially as regards the relation between self and others as in grandiosity and paranoia
Objectives
1 To explore the effect of cognitive behavior therapy for psychosis in first episode patients
2 To develop a guide to conduct cognitive behavior therapy in early psychosis patients
3 To evaluate the major clinical outcomes in the treatment of psychotic symptoms
4 To examine the feasibility of cognitive behavior therapy in psychotic patients Rationale of the study This study aims to examine the effectiveness of cognitive behavior therapy for psychosis in first episode patients and see the outcome of CBT on psychotic symptoms Because cognitive behavior therapy mostly use in depressive patient to treat the negative thinking pattern
Cognitive behavioral approaches in the treatment of psychosis have become more prevalent in recent years for a number of reasons Evidence has been available for the past two or three decades regarding the success of these techniques with other forms of psychopathology such as depression anxiety disorders and medical problems Anxiety depression and low self-esteem have been cited as the most common consequences of psychotic disorders The observation has also emerged that many patients develop their own coping strategies for reducing the frequency severity and disruptiveness of their symptoms There has also been increasing evidence regarding the influence of social environmental factors on the course of psychosis and the development of stress-vulnerability models to explain these relationships Research suggests that 20 to 50 percent of persons with psychosis who receive neuroleptics continue to experience difficulties related to their psychotic symptoms
The therapeutic process consists of helping the patient become aware of his or her internal stream of thoughts when distressed and to identify and modify the dysfunctional thoughts Behavioral techniques are used to bring about functional changes in behavior regulate emotion and help the cognitive restructuring process Modifying the patients underlying dysfunctional beliefs leads to lasting improvements In this structured therapy the therapist and patient work collaboratively to use an approach that features reality testing and experimentation
Method
Research Design The present study will be a feasibility rater blind randomized controlled trial study to test the efficacy of brief CBT for patients with suffering from first episode psychosis
Sample Total 50 patients meeting the inclusion criteria of the study will be recruited from psychiatry unit of a public hospital of Raheem yar khan Pakistan conducted by using 50 patient met the eligibility criteria
InstrumentsAssessment Measures
The following assessment measures will be used in the research
1 The Psychotic Symptom Rating Scales
2 Positive and Negative Symptom Scale
3 Schedule for Assessment of Insight
Procedure
1 Authors of scales will be informed about usage of the scale in current research
2 Get permission to DrFarooq Naeem usage of the CBT manual of psychosis
3 SPSSv20 for data analysis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None