Cognitive remediation and social recovery in early psychosis (CReSt-R): protocol for a pilot randomised controlled study

Frawley, E, Cowman, M, Cella, M, Cohen, D, Ryan, E, Hallahan, B, Bowie, C, McDonald, C, Fowler, D, Wykes, T and Donohoe, G (2022) Cognitive remediation and social recovery in early psychosis (CReSt-R): protocol for a pilot randomised controlled study. Pilot and Feasibility Studies, 8. 109 1-10. ISSN 2055-5784

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Abstract

Background
Psychosis, even in its early stages, is associated with significant disability, causing it to be ranked ahead of paraplegia and blindness in those aged 18–35 in terms of years lived with disability. Current pharmacological and psychological interventions intervention have focused primarily on the reduction of positive symptoms (hallucinations and delusions), with little benefit to domains of psychosis such as cognitive difficulties and social and occupational functioning.

Methods/design
The CReSt-R intervention trial is a single center, pilot randomised controlled study based at the National University of Ireland (NUI), Galway. The trial will recruit participants from four clinical sites with assessment and intervention completed by the primary NUI Galway team. The trial will explore the feasibility, acceptability, and effectiveness of a novel psychosocial intervention for early psychosis based on a combined cognitive remediation training and cognitive behavioural therapy approach focused on social recovery. Participants, aged 16–35 within the first 5 years of a diagnosed psychotic disorder, will be recruited from the Children and Adolescent Mental Health Service and the Adult Mental Health Services in the region.

Discussion
Cognitive remediation training (for improving cognition) and social recovery focused cognitive behavioural therapy, have both separately demonstrated effectiveness. This trial will evaluate the feasibility, acceptability, and explore the efficacy of a treatment approach that combines both approaches as part of an integrated, multicomponent intervention.

Item Type: Article
Keywords: Cognitive remediation, Early psychosis, Feasibility, Occupational function, Pilot, Psychosocial intervention, Social function, Social recovery
Schools and Departments: School of Psychology > Psychology
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 13 Oct 2022 13:25
Last Modified: 13 Oct 2022 13:30
URI: http://sro.sussex.ac.uk/id/eprint/108480

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