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Group-Based Worry Intervention for Persecutory Delusions: an Initial Feasibility Study

Published online by Cambridge University Press:  20 June 2018

Louise Isham*
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Warneford Lane, Oxford OX3 7JX and Oxleas NHS Foundation Trust, 63 Yeoman House, Penge, London SE20 7TS
Heidemarie Grafahrend
Affiliation:
Oxleas NHS Foundation Trust, Bridgeways Day Hospital, Turpington Lane, Bromley BR2 8JA
Alecia Nickless
Affiliation:
Primary Care Clinical Trials Unit, Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG
Katherine Pugh
Affiliation:
Sussex Partnership NHS Foundation Trust, Research & Development Department, Sussex Education Centre, Nevill Avenue, Hove, East Sussex BN3 7HY
Steve Pleasants
Affiliation:
Oxleas NHS Foundation Trust ResearchNet, 63 Croydon Road, London SE20 7TS
Nicola Smedley
Affiliation:
Oxleas NHS Foundation Trust, Bromley Intensive Case Management Psychosis Team East, 1–6 Carlton Parade, Orpington, Kent BR6 0JB
Daniel Freeman
Affiliation:
Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford OX3 7JX
Alison Mulligan
Affiliation:
Oxleas NHS Foundation Trust, Bromley Intensive Case Management Psychosis Team West, 63 Yeoman House, Penge, London SE20 7TS
*
*Correspondence to Louise Isham. E-mail: [email protected]

Abstract

Background: A one-to-one cognitive behavioural therapy intervention targeting worry significantly reduces both worry and persecutory delusions (Freeman et al., 2015). Aim: To adapt this intervention for group delivery and conduct a feasibility trial within routine clinical practice. Method: Thirteen participants were randomized to a weekly 8-session worry intervention group (n = 7) or wait-list control (n = 6). Results: All but one participant completed measures at all time points. Participants attended an average of six therapy sessions. Conclusions: Recruitment, retention and therapy uptake were feasible. Observed treatment effects were in the expected direction, but may be diluted compared with one-to-one interventions.

Type
Brief Clinical Report
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

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