Anthony P. Morrison
Cognitive therapy for internalised stigma in people experiencing psychosis: A pilot randomised controlled trial
Morrison, Anthony P.; Burke, Eilish; Murphy, Elizabeth; Pyle, Melissa; Bowe, Samantha; Varese, Filippo; Dunn, Graham; Chapman, Nicola; Hutton, Paul; Welford, Mary; Wood, Lisa J.
Authors
Eilish Burke
Elizabeth Murphy
Melissa Pyle
Samantha Bowe
Filippo Varese
Graham Dunn
Nicola Chapman
Prof Paul Hutton P.Hutton@napier.ac.uk
Professor
Mary Welford
Lisa J. Wood
Abstract
We aimed to evaluate the feasibility of Cognitive Therapy (CT) as an intervention for internalised stigma in people with psychosis. We conducted a single-blind randomised controlled pilot trial comparing CT plus treatment as usual (TAU) with TAU only. Participants were assessed at end of treatment (4 months) and follow-up (7 months). Twenty-nine participants with schizophrenia spectrum disorders were randomised. CT incorporated up to 12 sessions over 4 months (mean sessions=9.3). Primary outcome was the Internalised Stigma of Mental Illness Scale – Revised (ISMI-R) total score, which provides a continuous measure of internalised stigma associated with mental health problems. Secondary outcomes included self-rated recovery, internalised shame, emotional problems, hopelessness and self-esteem. Recruitment rates and retention for this trial were good. Changes in outcomes were analysed following the intention-to-treat principle, using ANCOVAs adjusted for baseline symptoms. There was no effect on our primary outcome, with a sizable reduction observed in both groups, but several secondary outcomes were significantly improved in the group assigned to CT, in comparison with TAU, including internalised shame, hopelessness and self-rated recovery. Stigma-focused CT appears feasible and acceptable in people with psychosis who have high levels of internalised stigma. A larger, definitive trial is required.
Citation
Morrison, A. P., Burke, E., Murphy, E., Pyle, M., Bowe, S., Varese, F., …Wood, L. J. (2016). Cognitive therapy for internalised stigma in people experiencing psychosis: A pilot randomised controlled trial. Psychiatry Research, 240(30), 96-102. https://doi.org/10.1016/j.psychres.2016.04.024
Journal Article Type | Article |
---|---|
Acceptance Date | Apr 10, 2016 |
Online Publication Date | Apr 11, 2016 |
Publication Date | 2016-06 |
Deposit Date | Dec 15, 2016 |
Publicly Available Date | Apr 12, 2017 |
Journal | Psychiatry Research |
Print ISSN | 0165-1781 |
Publisher | Elsevier |
Peer Reviewed | Peer Reviewed |
Volume | 240 |
Issue | 30 |
Pages | 96-102 |
DOI | https://doi.org/10.1016/j.psychres.2016.04.024 |
Keywords | Cognitive therapy; Psychosis; Schizophrenia; Stigma |
Public URL | http://researchrepository.napier.ac.uk/Output/454723 |
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http://creativecommons.org/licenses/by-nc-nd/4.0/
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