Acceptance and Commitment Therapy for Posttraumatic Stress Disorder in Early Psychosis: A Case Series

被引:15
作者
Jansen, Jens Einar [1 ,2 ]
Morris, Eric M. J. [3 ]
机构
[1] Psychiat Res Unit, Roskilde, Denmark
[2] Early Psychosis Intervent Ctr, Region Zealand Psychiat, Roskilde, Denmark
[3] La Trobe Univ, Sch Psychol & Publ Hlth, Melbourne, FL USA
关键词
mindfulness; acceptance; psychosis; psychotherapy; early intervention; RANDOMIZED CONTROLLED-TRIAL; SYNDROME SCALE PANSS; PSYCHOMETRIC PROPERTIES; EXPERIENTIAL AVOIDANCE; 1ST-EPISODE PSYCHOSIS; CHILDHOOD TRAUMA; EMOTIONAL DYSFUNCTION; MINDFULNESS GROUPS; SCHIZOPHRENIA; EXPOSURE;
D O I
10.1016/j.cbpra.2016.04.003
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Persons with psychosis often report high levels of posttraumatic stress disorder (PTSD) symptoms, which render them more vulnerable to relapse, symptom exacerbation, and reduced well-being. However, less is known about how to adequately accommodate the needs of persons recovering from a first episode of psychosis, presenting with PTSD. Further, the existing evidence-based interventions for PTSD seem less equipped to deal with serious mental disorder and comorbid conditions. This study aimed to assess the efficacy, acceptability, and safety of Acceptance and Commitment Therapy (ACT) for persons suffering from PTSD with comorbid trauma and psychosis. Three consecutively referred participants meeting ICD-10 criteria for PTSD and a first-episode noneffective psychotic disorder were treated in an outpatient service within a case-series analysis. A manual-guided ACT intervention of 12 sessions showed clinically relevant improvement on self-report measures of PTSD symptoms and emotional distress. These initial findings are promising and appear to justify a more controlled evaluation of this brief intervention.
引用
收藏
页码:187 / 199
页数:13
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