Related Experiment Video
Updated: May 7, 2026
10:32
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
[Cognitive behavior therapy after first-episodes psychosis]
1CHU de Caen, Équipe mobile de soins intensifs, Centre Esquirol, Caen, F-14000, France; CNRS, UMR 6301 ISTCT, ISTS group. GIP CYCERON, F-14074 Caen, France; CEA, DSV/I2BM, UMR 6301 ISTCT, F-14074 Caen, France; Université de Caen Basse-Normandie, UMR 6301 ISTCT, F-14074 Caen, France.
L'Encephale
|October 3, 2013
Summary
Cognitive behavior therapy (CBT) effectively treats first-episode psychosis (FEP) by reducing symptoms and improving quality of life. Early and group-based CBT interventions show promise for wider patient access and better outcomes.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Cognitive behavior therapy (CBT) is a recommended treatment for first-episode psychosis (FEP).
- CBT can be administered during acute phases or remission periods of psychosis.
Purpose of the Study:
- To review the effects of CBT in FEP patients.
- To highlight the underutilization of psychosis-oriented CBT in France and suggest future directions.
Main Methods:
- Review of controlled and randomized trials examining CBT in FEP.
- Analysis of combined CBT and antipsychotic medication effects.
Main Results:
- CBT, combined with antipsychotics, reduces positive psychotic symptoms.
- It enhances quality of life, self-esteem, and insight, while diminishing comorbid symptoms like trauma and suicidal behavior.
- CBT is particularly effective for individuals aiming to restore premorbid functioning and those with short duration of untreated psychosis.
Conclusions:
- Psychosis-oriented CBT is underused in France despite proven benefits.
- Validating group CBT for FEP could increase treatment accessibility.
- Developing early CBT interventions for ultra-high-risk individuals and assertive community treatments is recommended.
Related Concept Videos
01:25Cognitive Therapy
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
01:26Psychosis: Goals of Pharmacotherapy
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...
01:25Beck's Cognitive Therapy
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
01:24Rational Emotive Behavior Therapy
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert Ellis's...
01:30Negative and Cognitive Symptoms of Schizophrenia
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
01:24Treatment Strategies for Psychological Disorders
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...