Development and Initial Evaluation of a Psychosocial Intervention for Individuals Recovering from a First Episode of Non-affective Psychosis Public Deposited

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  • March 20, 2019
  • Waldheter, Evan J.
    • Affiliation: College of Arts and Sciences, Department of Psychology and Neuroscience
  • Background: Despite the effectiveness of medication in reducing symptoms in first episode psychosis, persistent functional impairments are common, and are associated with increased risk for relapse and poor long-term prognosis. Adjunctive psychosocial interventions are needed to address these functional impairments and to assist with illness self-management and psychological adjustment. The Graduated Recovery Intervention Program (GRIP) is a novel cognitive-behavioral therapy program designed to facilitate functional recovery in people who have experienced an initial episode of psychotic illness. Methods: The treatment development process of GRIP, including treatment conceptualization, manual development, and pilot testing, is described. Results: Preliminary data from an open feasibility trial of GRIP are presented. Findings suggest clinical and psychosocial benefits associated with GRIP. Qualitative feedback indicates that the treatment was well- received by clients and therapists. The retention rate of 67%, however, was somewhat lower than expected. Conclusions: Initial data on the efficacy of GRIP are encouraging, although the study design and small sample size preclude more robust conclusions at this time. A randomized controlled trial of GRIP, currently in progress, is seeking to improve treatment retention based on client feedback from the open trial, and will generate more data on the efficacy and tolerability of this novel intervention.
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  • In Copyright
  • Penn, David L.
  • Open access

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