At Risk Mental State (at risk of psychosis) Mental and Behavioural Disorders At Risk Mental State (at risk of psychosis)
Conditions
Interventions
The MCT intervention consisted of 12 sessions over a period of 12 weeks following baseline assessment, and followed the treatment manual developed by Wells (Wells, 2011). For the purpose of this study
Morrison et al., 2014). The metacognitive model asserts that psychological distress results from extended processing in response to negative cognitions (comprising thoughts, images, voices etc). Examp
Sponsors
Greater Manchester Mental Health NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Have an identified case manager 2. In contact with mental health services 3. Meet entry criteria for an Early Detection and Intervention Team (for those at high risk of developing psychosis) operationally defined using the CAARMS 4. Judged by their clinician/case manager to be clinically stable for at least the previous 4 weeks
Exclusion criteria
Exclusion criteria: 1. Moderate to severe learning disability 2. Evidence of clear organic neurological impairment (e.g., head injury or dementia) 3. Non-English speaking in so far as this would prevent the use of standardised assessment instruments 4. Inpatient/acute care required immediately prior to or during baseline assessment 5. Taking prescribed antipsychotic medication 6. Absence of case management 7. Primary diagnosis of substance dependency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Recruitment, measured by number of referrals and number consenting at the baseline 2. Retention, measured by percentage follow-up and questionnaire response rates after 3 and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| All measures were administered at the end of treatments (3 months post baseline) and at a 6 month follow-up: 1. At risk symptoms (psychotic-like experiences), assessed using the Comprehensive Assessment of At Risk Mental States (CAARMS) 2. Anxiety and depression, assessed using the Hospital Anxiety and Depression Scale (HADS) 3. Metacogntions, assessed using the Metacognitions Questionnaire 30 (MCQ30) 4. Hypothetical interpretations of voices, assessed using the Interpretation of Voices Inventory (IVI) 5. Beliefs about paranoia, assessed using the Beliefs About Paranoia Scale (BAPS) 6. Worry, assessed using the Anxious Thoughts Inventory 7. Cognitive attention, assessed using the The Cognitive Attention Syndrome Scale (CAS1) | — |
Countries
United Kingdom
Contacts
Public ContactSophie Parker
Outcome results
None listed