TY - JOUR
T1 - Acceptance and Commitment Therapy for individuals at risk for psychosis or with a first psychotic episode
T2 - A qualitative study on patients' perspectives
AU - Bouws, Jara
AU - Henrard, Ann
AU - de Koning, Mariken
AU - Schirmbeck, Frederike
AU - van Ghesel Grothe, Sophia
AU - van Aubel, Evelyne
AU - Reininghaus, Ulrich
AU - de Haan, Lieuwe
AU - Myin-Germeys, Inez
N1 - Funding Information: We want to thank all the participants for investing their time and energy in these interviews and for the sincere and incredibly useful input, they gave us for this article. Much gratitude goes to the INTERACT, IMPACT and Odysseus investigator groups for always being so enthusiastic about the qualitative part of INTERACT and helpful in providing the necessary guidance and information. The INTERACT and qualitative study on INTERACT were supported by an ERC Consolidator Grant (ERC‐2012‐ StG, project 309767 – INTERACT), an ERC Proof‐of‐Concept Grant (842501) and an Odysseus Grant (IMMERSE H2020 945263) to Inez Myin‐Germeys as well as a NWO VENI Grant (no. 451‐13‐022) and DFG Heisenberg professorship (no. 389624707) to Ulrich Reininghaus. Publisher Copyright: © 2023 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.
PY - 2023
Y1 - 2023
N2 - Aim: The aim of this qualitative study is to explore patients' perspectives on Acceptance and Commitment Therapy for early stages of psychosis. Therefore, we interviewed participants of the INTERACT study, that quantitatively investigated Acceptance and Commitment Therapy in Daily Life (ACT-DL) in combination with treatment as usual, for early stages of psychosis, comparing it to treatment as usual. Methods: Within 6 months after finishing ACT-DL, we conducted semi-structured, individual interviews with 19 participants. All interviews were audio-recorded and transcribed. Thematic analysis was used for coding and analysis. Results: Two overarching themes were formed: ‘the meaning of ACT’ and ‘what to improve’. Considering the first, participants generally understood and connected with the meaning of ACT, noticing more awareness and acceptance of their thoughts and feelings, and living more in line with their personal values. The second theme included comments on the protocol not being personal or psychosis specific enough and some elements of ACT being too difficult to understand when having active psychotic symptoms. Conclusions: This study suggests that ACT is an acceptable and promising new form of treatment for early stages of psychosis, and it provides relevant information to further develop ACT for this group.
AB - Aim: The aim of this qualitative study is to explore patients' perspectives on Acceptance and Commitment Therapy for early stages of psychosis. Therefore, we interviewed participants of the INTERACT study, that quantitatively investigated Acceptance and Commitment Therapy in Daily Life (ACT-DL) in combination with treatment as usual, for early stages of psychosis, comparing it to treatment as usual. Methods: Within 6 months after finishing ACT-DL, we conducted semi-structured, individual interviews with 19 participants. All interviews were audio-recorded and transcribed. Thematic analysis was used for coding and analysis. Results: Two overarching themes were formed: ‘the meaning of ACT’ and ‘what to improve’. Considering the first, participants generally understood and connected with the meaning of ACT, noticing more awareness and acceptance of their thoughts and feelings, and living more in line with their personal values. The second theme included comments on the protocol not being personal or psychosis specific enough and some elements of ACT being too difficult to understand when having active psychotic symptoms. Conclusions: This study suggests that ACT is an acceptable and promising new form of treatment for early stages of psychosis, and it provides relevant information to further develop ACT for this group.
KW - Acceptance and Commitment Therapy
KW - preventive psychiatry
KW - psychotic disorder
KW - qualitative method
KW - youth
UR - http://www.scopus.com/inward/record.url?scp=85159893775&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/eip.13442
DO - https://doi.org/10.1111/eip.13442
M3 - Article
C2 - 37212359
SN - 1751-7885
JO - Early intervention in psychiatry
JF - Early intervention in psychiatry
ER -