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Perceived Autonomy Support in the NIMH RAISE Early Treatment Program.

Julia Browne1, David L Penn1, Daniel J Bauer1

  • 1Ms. Browne, Dr. Penn, and Dr. Bauer are with the Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill. Dr. Penn is also with the School of Psychology, Australian Catholic University, Melbourne. Dr. Meyer-Kalos is with the School of Social Work, Minnesota Center for Chemical and Mental Health, St. Paul. Dr. Mueser is with the Center for Psychiatric Rehabilitation, Boston University, Boston. Dr. Robinson, Dr. Schooler, Ms. Marcy, and Dr. Kane are with the Department of Psychiatry Research, Zucker Hillside Hospital, Glen Oaks, New York. Dr. Robinson is also with Departments of Psychiatry and Molecular Medicine, Hofstra University-North Shore Long Island Jewish School of Medicine, Hempstead, New York. Dr. Schooler is also with the Department of Psychiatry and Behavioral Sciences, SUNY Downstate Medical Center, Brooklyn, New York. Dr. Addington is with the Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada. Dr. Glynn is with the Semel Institute for Neuroscience and Brain Behavior, University of California, Los Angeles, Los Angeles. Ms. Gingerich is an independent consultant and trainer in Narberth, Pennsylvania.

Psychiatric Services (Washington, D.C.)
|June 2, 2017
PubMed
Summary

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The NAVIGATE program improved perceived autonomy support in individuals with schizophrenia, leading to better quality of life and symptom reduction compared to community care.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Health Services Research

Background:

  • Autonomy support is crucial for individuals experiencing psychosis.
  • The Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE ETP) investigated effective interventions.
  • Understanding factors influencing recovery, such as perceived autonomy support, is essential.

Purpose of the Study:

  • To evaluate if NAVIGATE, an intervention within RAISE ETP, enhances perceived autonomy support over two years compared to standard community care.
  • To examine the relationship between perceived autonomy support and quality of life and symptoms in individuals with first-episode psychosis.

Main Methods:

  • A cohort of 404 individuals with first-episode psychosis was studied.
  • Participants were allocated to either the NAVIGATE program (N=223) or community care (N=181).
Keywords:
PsychosesPsychotherapyRecoverySchizophrenia

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  • Three-level conditional linear growth modeling was employed to analyze changes in perceived autonomy support over time.
  • Main Results:

    • Perceived autonomy support significantly increased over time in the NAVIGATE group, but not in the community care group.
    • Higher perceived autonomy support correlated with improved quality of life at multiple time points across both treatment arms.
    • Increased perceived autonomy support was associated with reductions in total and excited symptoms, irrespective of the treatment group or time.

    Conclusions:

    • The NAVIGATE intervention demonstrated a positive impact on perceived autonomy support, unlike community care.
    • Perceived autonomy support emerged as a significant correlate of improved quality of life and symptom reduction in early psychosis treatment.
    • Further research is recommended to explore the influence of autonomy support on other recovery outcomes like engagement and functioning.