title: Predicting uptake of group CBT in a first-episode psychosis cohort.
abstract: Many people with psychosis do not engage in psychological treatments when offered. We examined variables that predicted uptake of group cognitive behavioural therapy (CBT) in first-episode psychosis. We assessed all consenting consecutive referrals over a 2-year period. T-tests and logistic regressions examined factors which predicted uptake. The suitability for short-term CBT scale (SSCT) and negative symptoms successfully differentiated engagement and non-engagement. A model combining negative symptoms and the SSCT significantly predicted uptake of group CBT. Attention has not been paid to poor uptake of psychological treatments in psychosis. This may have a greater impact on outcomes than treatment effectiveness.
authors.affiliation: a Psychology Department , St John of God Hospital , Stillorgan , Co. Dublin , Ireland.
authors.forename: Keith
authors.initials: K
authors.lastname: Gaynor
authors.forename: Barbara
authors.initials: B
authors.lastname: Dooley
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lawlor
authors.forename: L Richard
authors.initials: LR
authors.lastname: Lawoyin
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult