Coping Styles and CBT Responsiveness in Psychosis
Author Information
Author(s): Premkumar Preethi, Peters Emmanuelle R., Fannon Dominic, Anilkumar Anantha P., Kuipers Elizabeth, Kumari Veena
Primary Institution: Institute of Psychiatry, King's College London
Hypothesis
A shorter duration of illness, better cognitive insight, more active coping, greater verbal memory, and cognitive flexibility at baseline would be associated with better CBTp responsiveness.
Conclusion
Coping styles and cognitive insight before therapy play a role in determining CBTp efficacy in patients with schizophrenia, specifically for negative and general symptoms.
Supporting Evidence
- Greater coping ability at baseline correlated with improvement in total symptoms in the CBTp + SC group.
- Greater BCI self-reflectiveness scores at baseline correlated with improvement in total symptom ratings in the CBTp + SC group.
- Pre-therapy cognitive insight and coping predicted symptom improvement more strongly in the CBTp + SC than the SC control group.
Takeaway
If people with schizophrenia can think about their problems in a flexible way and have good coping skills, they are more likely to get better with therapy.
Methodology
The study involved 60 patients with schizophrenia or schizoaffective disorder and 25 healthy individuals, assessing symptoms and cognitive insight before and after therapy.
Potential Biases
The non-randomized treatment allocation may introduce bias in the findings.
Limitations
The sample size was moderate, and the study may not generalize to all patients with schizophrenia, particularly those who are inpatients.
Participant Demographics
60 outpatients with schizophrenia or schizoaffective disorder and 25 healthy individuals, matched for age and sex.
Statistical Information
P-Value
p=0.042
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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