Predictors of Adherence to Cognitive-Behavioural Therapy in First-Episode Psychosis
Mario Alvarez-Jimenez, John F Gleeson, Sue Cotton, Darryl Wade, Donna Gee, Tracey Pearce, Kingsley Crisp, Daniela Spiliotacopoulos, Belinda Newman, Patrick D McGorry
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | SAGE PUBLICATIONS INC | Published : 2009
OBJECTIVE: To investigate predictors of adherence with a cognitive-behavioural intervention in first-episode psychosis (FEP) patients. METHOD: Predictors of adherence to cognitive-behavioural therapy (CBT) were longitudinally investigated in the experimental arm of a randomized controlled trial designed to evaluate the effectiveness of a CBT intervention for relapse prevention early in the course of psychosis when compared with treatment as usual within 2 high quality, youth oriented, specialist FEP programs (the EPISODE II trial). RESULTS: Longer duration of untreated psychosis (DUP) and poorer level of insight predicted poor adherence to CBT. This association remained significant after con..View full abstract
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Awarded by National Health and Medical Research Council of Australia
The EPISODE II trial was funded by an independent research grant from Eli Lilly through the Lilly Melbourne Academic Psychiatric Consortium. Our study was additionally funded by a grant from the Marques de Valdecilla Public Foundation-Marques de Valdecilla Research Institute (FMV-IFIMAV), Santander, Spain. The EPISODE II trial was supported by the Colonial Foundation and a Program Grant from the National Health and Medical Research Council of Australia, grant ID 350241. Funding sources had no further role in study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.