Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2024 Jul-Aug;31(4):e3033.
doi: 10.1002/cpp.3033.

Patient's Experiences of a Cognitive Behaviour Therapy Informed Crisis Intervention for Psychosis Delivered in Inpatient Settings: A Qualitative Exploration

Lisa Wood  1   2 , Hannah Butterworth  1   2 , Patrick Nyikavaranda  2   3 , Aderayo Ariyo  1   2 , Nira Malde-Shah  2 , Ella Guerin  4 , Mary Birken  2 , Karen Persaud  2 , Ceri Dare  2 , Nicola Morant  2 , Sonia Johnson  2
Affiliations
Randomized Controlled Trial

Patient's Experiences of a Cognitive Behaviour Therapy Informed Crisis Intervention for Psychosis Delivered in Inpatient Settings: A Qualitative Exploration

Lisa Wood et al. Clin Psychol Psychother. 2024 Jul-Aug.

Abstract

Cognitive behaviour therapy for psychosis (CBTp) should be offered to patients receiving psychiatric inpatient care, yet very little is known about patients' perspectives on this. The aim of this study was to examine patients' experiences of a CBTp-informed intervention delivered in inpatient settings. We recruited 10 participants from the intervention arm of a randomised controlled trial examining the feasibility and acceptability of a CBTp-informed intervention for psychiatric inpatient settings. We undertook semistructured interviews examining their experiences of the intervention and analysed them using thematic analysis. The study was conducted in partnership with a coproduction group of key stakeholders (people with lived experience, family and carers, and clinicians). The intervention was found helpful by almost all participants, and all participants would recommend it to others in similar situations to themselves. The results demonstrated that participants valued the therapist's professionalism and emphasised the importance of the therapeutic relationship. Participants highlighted the importance of the therapy focusing on navigating admission and developing skills to manage the crisis experience so they could return to their normal lives. Participants described challenges to having psychological therapy in the acute crisis context including therapy interruptions and ongoing distressing experiences of psychosis. The study demonstrated the importance of prioritising the therapeutic relationship, that therapy was a valued process to navigate admission and discharge, but that some environmental and patient-level challenges were present. Further research is needed to explore inpatients' experiences of psychological interventions in this setting. TRIAL REGISTRATION: ISRCTN trial registry: ISRCTN59055607.

Keywords: cognitive behaviour therapy for psychosis; psychiatric inpatient settings; qualitative interviews; service users; thematic analysis.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Berry, C., and M. Hayward. 2011. “What Can Qualitative Research Tell Us About Service User Perspectives of CBT for Psychosis? A Synthesis of Current Evidence.” Behavioural and Cognitive Psychotherapy 39: 487–494.
    1. Braun, V., and V. Clarke. 2006. “Using Thematic Analysis in Psychology.” Qualitative Research in Psychology 3, no. 2: 77–101. https://doi.org/10.1191/1478088706qp063oa.
    1. De Girolamo, G., A. Barbato, and R. Bracco. 2007. “Characteristics and Activities of Acute Psychiatric In‐Patient Facilities: National Survey in Italy.” The British Journal of Psychiatry 191, no. 2: 170–177. https://doi.org/10.1192/bjp.bp.105.020636.
    1. Jacobsen, P. 2019. “Interruptions to Therapy Sessions on Acute Psychiatric Wards; How Frequent Are They, and Who Does the Interrupting?” Psychosis 11, no. 2: 174–177. https://doi.org/10.1080/17522439.2019.1597382.
    1. Jacobsen, P., K. Hodkinson, E. Peters, and P. Chadwick. 2018. “A Systematic Scoping Review of Psychological Therapies for Psychosis Within Acute Psychiatric In‐Patient Settings.” The British Journal of Psychiatry 213: 490–497. https://doi.org/10.1192/bjp.2018.106.

Publication types

LinkOut - more resources