Coping styles predict responsiveness to cognitive behaviour therapy in psychosis

PREMKUMAR, P., PETERS, E., FANNON, D., ANILKUMAR, A.P.P., KUIPERS, E. and KUMARI, V., 2011. Coping styles predict responsiveness to cognitive behaviour therapy in psychosis. Psychiatry Research (187), pp. 354-362.

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The study aimed to determine the clinical and neuropsychological predictors of responsiveness to cognitive behavioural therapy for psychosis (CBTp). Sixty patients with schizophrenia or schizoaffective disorder and 25 healthy individuals took part in the study. Thirty patients (25 protocol completers) received CBTp in addition to standard care (SC); 30 patients (18 protocol completers) received SC only. All patients were assessed on symptoms using the Positive and Negative Syndrome Scale (PANSS) and clinical and neuropsychological function before and after CBTp. Symptoms and self-esteem improved to a greater extent in the CBTp+SC than SC control group. Greater pre-therapy coping ability and the self-reflectiveness dimension of cognitive insight at baseline predicted improvement in symptoms in the CBTp+SC group, but not the SC control group, explaining up to 21% of the variance in symptom improvement. Pre-therapy neuropsychological function, duration of illness, clinical insight and gender did not predict CBTp responsiveness. Being able to have a range of coping strategies and reflect on one's experiences while refraining from overconfidence in one's interpretations before therapy is conducive to better CBTp responsiveness.

Item Type: Journal article
Publication Title: Psychiatry Research
Creators: Premkumar, P., Peters, E., Fannon, D., Anilkumar, A.P.P., Kuipers, E. and Kumari, V.
Publisher: Elsevier
Date: 2011
Number: 187
Rights: Copyright © 2011 Elsevier Inc. All rights reserved.
Divisions: Schools > School of Social Sciences
Depositing User: EPrints Services
Date Added: 09 Oct 2015 09:39
Last Modified: 09 Jun 2017 13:07

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