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Randomised controlled trial of compliance therapy

18-month follow-up

Published online by Cambridge University Press:  03 January 2018

Roisin Kemp ,
George Kirov ,
Brian Everitt ,
Peter Hayward  and
Anthony David
Roisin Kemp*
Affiliation:
University Department of Psychiatry, Royal Free Hospital, London
George Kirov
Affiliation:
Department of Psychological Medicine, University of Wales College of Medicine, Cardiff
Brian Everitt
Affiliation:
Department of Biostatistics and Computing, Institute of Psychiatry, London
Peter Hayward
Affiliation:
Maudsley Hospital and Department of Psychology, Institute of Psychiatry, London
Anthony David
Affiliation:
Department of Psychological Medicine, King's College Hospital and Institute of Psychiatry, London
*
Dr Roisin Kemp, University of Psychiatry, Royal Free Hospital, Pond Street, London NW3 2QG. Tel: 0171 794 0500. Fax: 0171 830 2808. E-mail: [email protected]
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Abstract

Background

A randomised controlled trial was conducted in an acute treatment setting to examine the effectiveness of compliance therapy, a brief pragmatic intervention targeting treatment adherence in psychotic disorders, based on motivational interviewing and recent cognitive approaches to psychosis.

Method

Seventy-four patients with psychotic disorders according to DSM–III–R criteria recruited from consecutive admissions to an acute in-patient unit, received 4–6 sessions of either compliance therapy or non-specific counselling, and were followed-up over 18 months. The principal outcome measures were observer-rated compliance, attitudes to treatment, insight and social functioning.

Results

Significant advantages were found for the compliance therapy group post-treatment on measures of insight, attitudes to treatment and observer-rated compliance which were retained over the follow-up period. Global social functioning improved relatively more over time in the compliance therapy group compared with the control group. Survival in the community prior to readmission was significantly longer in the compliance therapy group.

Conclusions

The results support the effectiveness of compliance therapy in improving functioning and community tenure after an acute psychotic episode.

Type
Papers
Information
The British Journal of Psychiatry , Volume 172 , Issue 5 , May 1998 , pp. 413 - 419
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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Footnotes

†

Related paper pp. 420–424, this issue.

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