Journal article
Targeting recovery in persistent persecutory delusions: A proof of principle study of a new translational psychological treatment (the Feeling Safe Programme).
- Abstract:
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Background
Many patients do not respond adequately to current pharmacological or psychological treatments for psychosis. Persistent persecutory delusions are common in clinical services, and cause considerable patient distress and impairment. Our aim has been to build a new translational personalized treatment, with the potential for wide use, that leads to high rates of recovery in persistent persecutory delusions. We have been developing, and evaluating individually, brief modular interventions, each targeting a key causal factor identified from our cognitive model. These modules are now combined in “The Feeling Safe Programme”.
Aims
To test the feasibility of a new translational modular treatment for persistent persecutory delusions and provide initial efficacy data.
Method
12 patients with persistent persecutory delusions in the context of non-affective psychosis were offered the 6-month Feeling Safe Programme. After assessment, patients chose from a personalized menu of treatment options. Four weekly baseline assessments were carried out, followed by monthly assessments. Recovery in the delusion was defined as conviction falling below 50% (greater doubt than certainty).
Results
11 patients completed the intervention. One patient withdrew before the first monthly assessment due to physical health problems. An average of 20 sessions (SD = 4.4) were received. Posttreatment, 7 out of 11 (64%) patients had recovery in their persistent delusions. Satisfaction ratings were high.
Conclusions
The Feeling Safe Programme is feasible to use and was associated with large clinical benefits. To our knowledge this is the first treatment report focused on delusion recovery. The treatment will be tested in a randomized controlled trial.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Version of record, pdf, 103.6KB, Terms of use)
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- Publisher copy:
- 10.1017/s1352465816000060
Authors
- Publisher:
- Cambridge University Press
- Journal:
- Behavioural and Cognitive Psychotherapy More from this journal
- Volume:
- 44
- Issue:
- 5
- Pages:
- 539-552
- Publication date:
- 2016-04-01
- DOI:
- EISSN:
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1469-1833
- ISSN:
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1352-4658
- Pmid:
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27044885
- Language:
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English
- Keywords:
- Pubs id:
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pubs:614009
- UUID:
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uuid:a74e8edc-df14-433c-a80a-c4c703d761a9
- Local pid:
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pubs:614009
- Source identifiers:
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614009
- Deposit date:
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2017-10-17
Terms of use
- Copyright holder:
- British Association for Behavioural and Cognitive Psychotherapies
- Copyright date:
- 2016
- Notes:
- © British Association for Behavioural and Cognitive Psychotherapies 2016. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Licence:
- CC Attribution (CC BY)
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