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Group-Based Worry Intervention for Persecutory Delusions: an Initial Feasibility Study.

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A group cognitive behavioural therapy (CBT) intervention for worry is feasible in clinical practice. While effective, treatment effects may be less pronounced than one-to-one CBT for reducing worry and persecutory delusions.

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cognitive behavioural group therapypersecutory delusionsworry intervention

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • A one-to-one cognitive behavioural therapy (CBT) intervention effectively reduces worry and persecutory delusions.
  • This study adapted the CBT intervention for group delivery.

Purpose of the Study:

  • To assess the feasibility of delivering a group-based CBT intervention for worry in routine clinical practice.
  • To evaluate the preliminary efficacy of the group intervention.

Main Methods:

  • A feasibility trial with 13 participants randomized to an 8-session group CBT intervention or a wait-list control.
  • Participants completed outcome measures at all time points, and session attendance was recorded.

Main Results:

  • Recruitment, retention, and therapy uptake were feasible, with high participant completion rates.
  • Participants attended an average of six therapy sessions.
  • Treatment effects were observed in the expected direction.

Conclusions:

  • Group delivery of this CBT intervention for worry is feasible within routine clinical settings.
  • While promising, the observed treatment effects might be less potent than those seen in one-to-one interventions.