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Perceived curative factors and their relationship to outcome: a study of schizophrenic patients in a comprehensive treatment program based on cognitive therapy

Published online by Cambridge University Press:  16 April 2020

B Svensson
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, Lund University, S-221 85, Lund, Sweden
L Hansson
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, Lund University, S-221 85, Lund, Sweden
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Summary

Twenty-eight schizophrenic and other long-term mentally ill patients who were given cognitive therapy sessions twice a week in the context of a comprehensive inpatient treatment program were assessed every 5 weeks regarding perceived curative factors. The assessments were made by a self-rating questionnaire (Curative Factors Questionnaire [CFQ]) and a qualitative assessment from the patients of what they perceived as helpful in treatment. The results showed that milieu therapeutic elements and therapy sessions were perceived as the most helpful throughout the treatment period. No correlations were found between patient characteristics and perceived curative factors. The factors “instillation of hope”, “problem solution” and “learning I’m not alone” as rated in the initial phase of treatment showed a positive relationship with a favourable outcome of treatment at discharge.

Type
Original articles
Copyright
Copyright © Elsevier, Paris 1998

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References

Alden, LTreatment environment and patient improvement J Nerv Ment Dis 1978 ; 166 : 327-34CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and statistical manual for mental disorders (3rd ed, rev). Washington, DC: APA; 1987Google Scholar
Åberg, MMontgomery, SAPerris, CSchalling, DSedvall, GA Comprehensive Psychopathological Rating Scale Acta Psychiatr Stand 1978; suppl 271Google Scholar
Battle, CCImber, SDHoehn-Saric, RHStone, ARMash, ERFrank, JDTarget Complaints as criteria of improvement Am J Psychiatry 1966 ; 20 : 184-92Google ScholarPubMed
Bednar, RLKaul, TExperiential group research: Can the canon fire? In: Bergin, AEGarfield, SL eds. Handbook of psychotherapy and behavior change, 4 ed. New York: John Wiley & Sons; 1994.p631-63Google Scholar
Cantazaro, MUsing qualitative analytical techniques. In: Woods, NFCantazaro, M eds. Nursing research. theory and practice Washington, DC: Mosby; 1988. p 437-56Google Scholar
Derogatis, LRFasth, BGConfirmation of the dimensional structure of the SCL-90: A study in construct validation J Clin Psychol 1977 ; 33 : 981-93.0.CO;2-0>CrossRefGoogle Scholar
Frank AF, Gundersen, JGThe role of the therapeutic alliance in the treatment of schizophrenia. Relationship to course and outcome Arch Gen Psychiatry 1990 ; 47 : 228-36CrossRefGoogle ScholarPubMed
Fox, DJFundamentals of research in nursing, 4ed. Norwalk: Appleton-Century-Crofts; 1982Google Scholar
Garety, PAKuipers, LFowler, FChamberlain, FDunn, GCognitive behavioural therapy for drug-resistant psychosis Br J Med Psychol 1994 ; 67 : 259-71CrossRefGoogle ScholarPubMed
Horvath, ASymonds, BRelation between working alliance and outcome in psychotherapy: A meta-analysis J Couns Psychol 1991 ; 38 : 139-49CrossRefGoogle Scholar
Kajandi, MA psychiatric and interactional perspective on quality of life. In: Nordenfeldt, L ed. Concepts and measurement of quality of life in health care Dordrecht: Kluwer Academic Publishers; 1994. p 257-76CrossRefGoogle Scholar
Kellam, SGGoldberg, SCScholer, NR et al. Ward atmosphere and outcome of treatment of acute schizophrenia J Psychiatr Res 1977 ; 5 : 145-63CrossRefGoogle Scholar
Lambert, MJBergin, AEThe Effectiveness of Psychotherapy. In: Bergin, AEGarfield, SL eds. Handbook of psychotherapy and behavior change 4 ed. New York: John Wiley & Sons; 1994. p 143-89Google Scholar
Liewelyn, SPElliott, RShapiro, DAHardy, GFirth-Cozens, JClient -perceptions of significant events in prescriptive and exploratory periods of individual therapy Br J Clin Psychol 1988 ; 27 :105-14CrossRefGoogle Scholar
Luborsky, LPrinciples of psychoanalytic psychotherapy: A manual for supportive-expressive (SE) treatment New York: Basic Books; 1984Google Scholar
Luborsky, LCrits-Christoph, PMintz, JAuerbach, AWho will benefit from psychotherapy? Predicting therapeutic outcomes New York: Basic Books; 1988Google Scholar
Luborsky, LBarber, JPBeutler, LIntroduction to special settion: a briefing on curative factors in dynamic psychotherapy J Consul Clin Psychol 1993 ; 61 : 539-41CrossRefGoogle ScholarPubMed
Luborsky, LDiguer, LLuborsky, EMcLellan, TWoody, GAlexander, LPsychological Health-Sickness (PHS) as a Predictor of Outcomes in Dynamic and Other Psychotherapies J Consul Clin Psychol 1993 ; 61 : 542-8CrossRefGoogle ScholarPubMed
Miller, NLuborsky, LBarber, JPDocherty, J eds. Dynamic psychotherapy research: A handbook for clinical practice New York: Basic Books; 1993Google Scholar
Murphy, PMCramer, DLillie, FJThe relationship between curative factors perceived by patients in their psychotherapy and treatment outcome: an exploratory study Br J Med Psychol 1984 ; 57 : 187-92CrossRefGoogle Scholar
Norusis, MJStatistical package for the social sciences, SPSSPC+ 7.0 Chicago: Spss Inc; 1995Google Scholar
Perris, CCognitive therapy with schizophrenic patients New York: Guilford; 1989Google Scholar
Perris, CToresson, PSkagerlind, LWarburton, EGustavsson, HJohansson, TIntegrating components in a comprehensive cognitive treatment program for patients with a schizophrenic disorder. In: Stefanis, CN et al, eds. Psychiatry: a world perspective, vol 3 Amsterdam: Elsevier; 1990. p 724-9Google Scholar
Perris, CA Cognitive-Behavioural Treatment Program for Patients with a Schizophrenic Disorder New Dir Ment Health Serv 1992 ; 53 : 2132CrossRefGoogle Scholar
Perris, CSkagerlind, LCognitive therapy with schizophrenic patients Acta Psychiatr Scand 1994 ; 89 :6570CrossRefGoogle Scholar
Strauss, JSCarpenter, WTThe prediction of outcome in schizophrenia. I. Characteristics of outcome Arch Gen Psych 1972 ; 27 : 739-46CrossRefGoogle Scholar
Strauss, JSCarpenter, WTThe prediction of outcome in schizophrenia. II. Relationships between predictor and outcome variables: A report from the WHO international pilot study of schizophrenia Arch Gen Psych 1974 ; 31 : 3742CrossRefGoogle ScholarPubMed
Tarrier, NBeckett, RHarwood, SBaker, AYusupoff, LUgarteburu, IA trial of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: I. Outcome Br J Psychiatry 1993 ; 162 : 524-32CrossRefGoogle ScholarPubMed
Tarrier, NSharpe, LBeckett, RHarwood, SYusopoff, LA trial of two cognitive behavioural methods of treating drugresistant residual psychotic symptoms in schizophrenic patients. II. Treatment-specific changes in coping and problem-solving skills Soc Psychiatry Psychiatr Epidemiol 1993 ; 28 : 510CrossRefGoogle Scholar
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