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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Self-help interventions for psychosis: a meta-analysis.

Alexander J Scott1, Thomas L Webb1, Georgina Rowse1

  • 1The University of Sheffield, UK.

Clinical Psychology Review
|June 6, 2015
PubMed
Summary
This summary is machine-generated.

Self-help interventions show promise for managing psychosis symptoms, with small-to-medium effects on positive and negative symptoms. Further research is recommended to optimize these accessible mental health treatments.

Keywords:
Meta-analysisPsychosisSelf-help

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Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health Interventions

Background:

  • Self-help interventions are effective for various mental health issues.
  • Evidence for self-help efficacy in psychosis is limited, with no prior systematic reviews.
  • Psychosis presents unique challenges for self-management.

Purpose of the Study:

  • To systematically review the evidence on the efficacy of self-help interventions for psychosis.
  • To quantify the effect sizes of self-help on different psychosis symptom domains.
  • To identify factors moderating the effectiveness of these interventions.

Main Methods:

  • Systematic review and meta-analysis of 24 studies with 1816 participants.
  • Inclusion of repeated measures designs and independent group designs (RCTs, quasi-experimental).
  • Sub-analyses and moderation analyses to explore effect size determinants.

Main Results:

  • Self-help interventions demonstrated a small-to-medium effect on overall psychosis symptoms (d+=0.33).
  • Significant effects were observed for positive symptoms (d+=0.42) and negative symptoms (d+=0.37).
  • A small effect was found for psychosis-associated outcomes like quality of life (d+=0.13).

Conclusions:

  • Self-help interventions for psychosis hold considerable potential for improving outcomes.
  • Intervention complexity and contact time emerged as significant moderators of treatment effects.
  • Further research is warranted to refine and enhance self-help approaches for psychosis.