Psychiatry Investig.  2017 Sep;14(5):609-617. 10.4306/pi.2017.14.5.609.

Effects of Group Cognitive-Behavioral Therapy in Young Patients in the Early Stage of Psychosis

• Kim SW
• Jang JE
• Lee JY
• Lee GY
• Yu HY
• Park C
• Kang HJ
• Kim JM
• Yoon JS

• KMID: 2395484
• DOI: http://doi.org/10.4306/pi.2017.14.5.609

Abstract

OBJECTIVE
To develop a model of group cognitive-behavioral therapy (CBT) for Korean patients with early psychosis.
METHODS
The group CBT utilized in the present study consisted of metacognitive training, cognitive restructuring, and lifestyle managements. The Subjective Well-being Under Neuroleptics (SWN-K), Ambiguous Intentions Hostility Questionnaire (AIHQ), Drug Attitude Inventory (DAI), Beck Depression Inventory (BDI), Perceived Stress Scale (PSS), and Clinical Global Impression (CGI) were administered prior to and after CBT sessions. The participants were categorized into two groups according to the median duration of untreated psychosis (DUP; 4 months).
RESULTS
A total of 34 patients were included in this analysis. From pre- to post-therapy, there were significant increases in the SWN-K and DAI scores and significant decreases in the hostility subscale of the AIHQ, PSS, and CGI scores. Significant time × DUP interaction effects were observed for the SWN-K, DAI, and BDI scores, such that there were significant changes in patients with a short DUP but not in those with a long DUP.
CONCLUSION
The group CBT program had a positive effect on subjective wellbeing, attitude toward treatment, perceived stress, and suspiciousness of young Korean patients with early psychosis. These effects were particularly significant in patients with a short DUP.

Keyword

Schizophrenia; Early psychosis; Cognitive-behavioral therapy; Group therapy; Duration of untreated psychosis

MeSH Terms

Antipsychotic Agents
Depression
Hostility
Humans
Intention
Life Style
Psychotherapy, Group
Psychotic Disorders*
Schizophrenia
Antipsychotic Agents