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Predictors of adherence to cognitive-behavioural therapy in first-episode psychosis
Mario Alvarez-Jiménez1, John F Gleeson, Sue Cotton
1ORYGEN Youth Health Research Centre, Melbourne, Victoria, Australia. malvarez@unimelb.edu.au
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 controlling for potential confounders.
Conclusions:
Treatment delay may decrease adherence with CBT in FEP patients. Reducing DUP and promoting insight early in the course of psychosis are likely to enhance adherence with CBT.
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