Universität zu Köln

Hartmann, Jessica A., McGorry, Patrick D., Schmidt, Stefanie J., Amminger, G. Paul ORCID: 0000-0001-8969-4595, Yuen, Hok Pan, Markulev, Connie, Berger, Gregor E., Chen, Eric Y. H., de Haan, Lieuwe, Hickie, Ian B., Lavoie, Suzie, McHugh, Meredith J., Mossaheb, Nilufar ORCID: 0000-0002-7339-7219, Nieman, Dorien H., Nordentoft, Merete ORCID: 0000-0003-4895-7023, Riecher-Roessler, Anita, Schafer, Miriam R., Schloegelhofer, Monika, Smesny, Stefan, Thompson, Andrew ORCID: 0000-0002-0567-6013, Verma, Swapna Kamal, Yung, Alison R. and Nelson, Barnaby ORCID: 0000-0002-6263-2332 (2017). Opening the Black Box of Cognitive-Behavioural Case Management in Clients with Ultra-High Risk for Psychosis. Psychother. Psychosom., 86 (5). S. 292 - 300. BASEL: KARGER. ISSN 1423-0348

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Abstract

Background: Cognitive-behavioural therapy (CBT) is the first-choice treatment in clients with ultra-high risk (UHR) for psychosis. However, CBT is an umbrella term for a plethora of different strategies, and little is known about the association between the intensity and content of CBT and the severity of symptomatic outcome. Methods: A sample of 268 UHR participants received 6 months of CBT with case management (CBCM) in the context of the multi-centre NEURAPRO trial with monthly assessments of attenuated psychotic symptoms (APS). Using multilevel regressions and controlling for the initial severity of APS, the associations between (1) number of CBCM sessions received and severity of APS and (2) specific CBCM components and severity of APS were investigated. Results: In month 1, a higher number of sessions and more assessment of symptoms predicted an increase in APS, while in month 3, a higher number of sessions and more monitoring predicted a decrease in the level of APS. More therapeutic focus on APS predicted an overall increase in APS. Conclusions: Our findings indicate that the association between intensity/content of CBCM and severity of APS in a sample of UHR participants depends on the length of time in treatment. CBCM may positively impact the severity of APS later in the course of treatment. Therefore, it would seem important to keep UHR young people engaged in treatment beyond this initial period. Regarding the specific content of CBCM, a therapeutic focus on APS may not necessarily be beneficial in reducing the severity of APS, a possibility in need of further investigation. (C) 2017 S. Karger AG, Basel

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hartmann, Jessica A. UNSPECIFIED UNSPECIFIED UNSPECIFIED McGorry, Patrick D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, Stefanie J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Amminger, G. Paul UNSPECIFIED orcid.org/0000-0001-8969-4595 UNSPECIFIED Yuen, Hok Pan UNSPECIFIED UNSPECIFIED UNSPECIFIED Markulev, Connie UNSPECIFIED UNSPECIFIED UNSPECIFIED Berger, Gregor E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Chen, Eric Y. H. UNSPECIFIED UNSPECIFIED UNSPECIFIED de Haan, Lieuwe UNSPECIFIED UNSPECIFIED UNSPECIFIED Hickie, Ian B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lavoie, Suzie UNSPECIFIED UNSPECIFIED UNSPECIFIED McHugh, Meredith J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mossaheb, Nilufar UNSPECIFIED orcid.org/0000-0002-7339-7219 UNSPECIFIED Nieman, Dorien H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nordentoft, Merete UNSPECIFIED orcid.org/0000-0003-4895-7023 UNSPECIFIED Riecher-Roessler, Anita UNSPECIFIED UNSPECIFIED UNSPECIFIED Schafer, Miriam R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schloegelhofer, Monika UNSPECIFIED UNSPECIFIED UNSPECIFIED Smesny, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Thompson, Andrew UNSPECIFIED orcid.org/0000-0002-0567-6013 UNSPECIFIED Verma, Swapna Kamal UNSPECIFIED UNSPECIFIED UNSPECIFIED Yung, Alison R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nelson, Barnaby UNSPECIFIED orcid.org/0000-0002-6263-2332 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-243946
DOI:	10.1159/000477551
Journal or Publication Title:	Psychother. Psychosom.
Volume:	86
Number:	5
Page Range:	S. 292 - 300
Date:	2017
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	1423-0348
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RANDOMIZED CONTROLLED-TRIAL; THERAPEUTIC ALLIANCE; YOUNG-PEOPLE; PREVENTION; INTERVENTION; METAANALYSIS; STATES Multiple languages Psychiatry; Psychology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/24394