Psychological mindedness and symptom reduction after psychotherapy in a heterogeneous psychiatric sample

2010 ◽  
Vol 51 (5) ◽  
pp. 492-496 ◽  
Author(s):  
Ivan Nyklíček ◽  
Daphne Majoor ◽  
Pierre A.A.M. Schalken
Keyword(s):  
Symptom Reduction ◽  
Psychological Mindedness

Balanced Index of Psychological Mindedness

2009 ◽  
Author(s):  
Ivan Nyklíček ◽  
Johan Denollet
Keyword(s):  
Psychological Mindedness

scholarly journals Treatment Resistance: A Time-Based Approach for Early Identification in First Episode Psychosis

2021 ◽  
Vol 11 (8) ◽  
pp. 711
Author(s):  
Kara Dempster ◽  
Annie Li ◽  
Priyadharshini Sabesan ◽  
Ross Norman ◽  
Lena Palaniyappan
Keyword(s):  
Ecological Validity ◽  
Treatment Resistance ◽  
Positive Symptom ◽  
First Episode ◽  
Symptom Reduction ◽  
Symptom Change ◽  
Global Functioning ◽  
Episode Psychosis ◽  
First Episode Schizophrenia

Although approximately 1/3 of individuals with schizophrenia are Treatment Resistant (TR), identifying these subjects prospectively remains challenging. The Treatment Response and Resistance in Psychosis working group defines <20% improvement as an indicator of TR, though its utility in First Episode Schizophrenia (FES) remains unknown. In a prospective cohort of FES (n = 129) followed up for 5 years, we evaluated two improvement thresholds for ‘probable TR’; <20% and <50% based on positive, negative, and total symptoms. We ascertained (1) the ecological validity (i.e., the ability to identify an expected subgroup of 1/3rd of patients); (2) the predictive validity (i.e., ability to predict poor global functioning) and (3) the clinical utility (association with clozapine use at the 5th year). Using the criteria of a total symptom reduction of <50% or negative symptom reduction of <20% resulted in ‘probable TR’ rates of 37% and 33%, respectively. Using <20% positive or total symptoms criteria resulted in very low rates, indicating minimal utility in FES. <50% total symptom criterion best predicted the global functioning over 5 years. Clozapine use was only predicted by positive symptom criterion. Prospective characterization of TRS is possible at 6 months after FES through a time-based approach using a 50% threshold for symptom change in treatment-adherent patients.

Explaining the causal links between illness management and symptom reduction: Development of an evidence-based patient education strategy

2017 ◽  
Vol 100 (6) ◽  
pp. 1169-1176 ◽  
Author(s):  
Karen M. Zhang ◽  
Leora C. Swartzman ◽  
Robert J. Petrella ◽  
Dawn P. Gill ◽  
John Paul Minda
Keyword(s):  
Patient Education ◽  
Symptom Reduction ◽  
Evidence Based ◽  
Illness Management ◽  
Education Strategy

scholarly journals Recovery priorities of people with psychosis in acute mental health in-patient settings: a Q-methodology study

2021 ◽  
pp. 1-14
Author(s):  
Catherine Douglas ◽  
Lisa Wood ◽  
Danny Taggart
Keyword(s):  
Mental Health ◽  
Q Methodology ◽  
Final Analysis ◽  
Well Being ◽  
Symptom Reduction ◽  
Personal Recovery ◽  
Mental Health Support ◽  
Health Support ◽  
Mental Health Hospital ◽  
Health Hospital

Abstract Background: Personal recovery from psychosis has been explored extensively in community samples but there has been little exploration with people currently receiving care from an acute mental health in-patient setting. Aims: The aim of this study was to explore the personal recovery priorities of people experiencing psychosis who are currently receiving care from an acute mental health in-patient ward. Method: A Q-methodology mixed-methods approach was adopted. Thirty-eight participants were recruited from an outer London acute mental health hospital. They were required to sort 54 statements regarding personal recovery from most important to least important to reflect their recovery priorities. Thirty-six were included in the final analysis. Results: Analysis revealed four distinct viewpoints relating to factors that promote recovery in the acute mental health in-patient setting. These were: stability, independence and ‘keeping a roof over your head’; hope, optimism and enhancing well-being; personal change, self-management and social support; and symptom reduction through mental health support. Conclusions: Acute mental health in-patient wards need to ensure that they are considering the personal recovery needs of in-patients. Symptom reduction was valued by some, but broad psychosocial factors were also of priority.

scholarly journals Treatment-Specific Associations Between Brain Activation and Symptom Reduction in OCD Following CBT: A Randomized fMRI Trial

2021 ◽  
Vol 178 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Luke J. Norman ◽  
Kristin A. Mannella ◽  
Huan Yang ◽  
Mike Angstadt ◽  
James L. Abelson ◽  
...  
Keyword(s):  
Brain Activation ◽  
Symptom Reduction
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