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Group psychotherapy for patients with first-episode psychosis: Effect on the clinical status and use of resources

Published online by Cambridge University Press:  19 July 2023

P. Herrero Ortega*
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
A. Oliva Lozano
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
J. Garde González
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
C. Bayón-Pérez
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital School of Medicine, Autonomous University of Madrid (UAM) Hospital La Paz Institute for Health Research (IdiPAZ)
R. Mediavilla
Affiliation:
School of Medicine, Autonomous University of Madrid (UAM) Hospital La Paz Institute for Health Research (IdiPAZ) La Paz University Hospital Biomedical Research Foundation (FIBHULP) Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
M. P. Vidal-Villegas
Affiliation:
School of Medicine, Autonomous University of Madrid (UAM) Hospital La Paz Institute for Health Research (IdiPAZ) La Paz University Hospital Biomedical Research Foundation (FIBHULP)
B. Rodríguez-Vega
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital School of Medicine, Autonomous University of Madrid (UAM) Hospital La Paz Institute for Health Research (IdiPAZ)
S. Cebolla
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital Hospital La Paz Institute for Health Research (IdiPAZ)
E. Román
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital Hospital La Paz Institute for Health Research (IdiPAZ)
E. V. Pérez Pérez
Affiliation:
School of Medicine, Autonomous University of Madrid (UAM)
M. F. Bravo-Ortiz
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital School of Medicine, Autonomous University of Madrid (UAM) Hospital La Paz Institute for Health Research (IdiPAZ) Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
O. B. O. AGES-Mind Group
Affiliation:
Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital
*
*Corresponding author.

Abstract

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Introduction

Psychotic disorders carry several economical, psychological and social consequences, both at individual and community levels. Early intervention programs after first-episode psychosis which combine pharmacological and psychosocial strategies are aimed at reducing symptoms, lowering costs in the use of health and non-health care resources and improving overall functioning. AGES-Mind study is based on manualized psychotherapeutic interventions for people with first-psychosis episodes.

Objectives

The aim of the study was to evaluate the effect of a group psychotherapeutic intervention on the clinical status and use of clinical resources in a sample of patients with first-episode psychosis at 12 and 24 months after the beginning of the intervention. This cohort will be compared to patients with first-psychosis episodes without group psychotherapeutic intervention.

Methods

Longitudinal, observational, retrospective study on a cohort of N=46 patients with first-episode psychosis within the last 5 years. Two groups of 23 patients each were formed. The participants of one of those groups received group psychotherapy in the context of the AGES-Mind study and the other group received treatment as usual without group intervention. Non-exposed patients were matched by age, gender and time elapsed since first-episode psychosis with those exposed to the intervention. Sociodemographic data, clinical status and use of clinical resources outcome variables were assessed.

Results

No significant differences were found in clinical status and use of resources between participants and non-participants in the psychotherapeutic group intervention after 12 and 24 months.

Conclusions

After controlling for potentially confounding variables as sociodemographic, age and time since first-episode, participating in a group psychotherapeutic program does not seem to improve clinical variables or use of resources. Further studies with larger samples would be necessary to explore other variables, such as symptoms, satisfaction with the intervention or social functioning.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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