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Modular cognitive‐behavioral therapy for affective symptoms in young individuals at ultra‐high risk of first episode of psychosis: Randomized controlled trial
Author(s) -
Pozza Andrea,
Dèttore Davide
Publication year - 2020
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22901
Subject(s) - anxiety , psychosis , psychology , randomized controlled trial , depression (economics) , cognitive behavioral therapy , clinical psychology , cognition , psychiatry , intervention (counseling) , supportive psychotherapy , psychotherapist , medicine , economics , macroeconomics
Objectives : Individuals at ultra‐high risk of psychosis often present concurrent affective symptoms (depression/anxiety). This study investigated whether modular cognitive‐behavioral therapy (CBT) targeting both ultra‐high risk and affective symptoms (a) reduced/delayed risk of a first psychotic episode at posttreatment and 14‐month follow‐up compared with a supportive intervention, (b) was more effective than control condition in producing remission on depression/anxiety. Methods : Fifty‐eight ultrahigh risk individuals were randomly assigned to CBT or control condition. CBT consisted of 30 sessions, including CBT for psychotic experiences and depression/anxiety. Results : In the CBT group, the cumulative number of participants who developed a first psychotic episode ( n = 3, 10.34%) at follow‐up was lower than in the control group ( n = 8, 27.60%; logrank χ 2 (1) = 3.68, p = .05). In the CBT group, a higher number of participants achieved remission than in control condition on affective symptoms at posttreatment/follow‐up. Conclusion : CBT can prevent psychosis risk and produce better outcomes on depression/anxiety than supportive intervention.