ArticleBMJ open2017
Identification of the delivery of cognitive behavioural therapy for psychosis (CBTp) using a cross-sectional sample from electronic health records and open-text information in a large UK-based mental health case register.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Potential of Research Drawing on Clinical Free Text to Bring Benefits to Patients in the United Kingdom: A Systematic Review of the Literature.Frontiers in digital health · 2021Pooled it
- A psychological intervention for engaging dialogically with auditory hallucinations (Talking With Voices): A single-site, randomised controlled feasibility trial.Schizophrenia research · 2022Trial
- A qualitative analysis of a psychoeducational video resource to reduce stigma for those who hear voices: The compassion focused therapy 'Stuart video'.Psychology and psychotherapy · 2026Article
- Process Evaluation of Digital Mental Health Interventions for Psychosis: Scoping Review With Framework Synthesis.JMIR human factors · 2026Article
- Ketogenic metabolic therapy as a candidate adjunct for CBTp delivery in schizophrenia spectrum disorders.Frontiers in psychology · 2026Article
- Ethnic disparities, clinical and pathways to care characteristics associated with the offer, uptake, and type of psychological therapy during first-episode psychosis: examining the role of early intervention for psychosis.Psychological medicine · 2025Article
- Just Not Enough: Utilization of Outpatient Psychotherapy Provided by Clinical Psychologists for Patients With Psychosis and Bipolar Disorder in Switzerland.Health services insights · 2024Article
- International rates of receipt of psychological therapy for psychosis and schizophrenia: systematic review and meta-analysis.International journal of mental health systems · 2023Review
- Recommended practices and ethical considerations for natural language processing-assisted observational research: A scoping review.Clinical and translational science · 2023Article
- Ethnic inequalities in involuntary admission under the Mental Health Act: an exploration of mediation effects of clinical care prior to the first admission.The British journal of psychiatry : the journal of mental science · 2023Article
- Ethnic inequalities in clozapine use among people with treatment-resistant schizophrenia: a retrospective cohort study using data from electronic clinical records.Social psychiatry and psychiatric epidemiology · 2022Article
- Article
- SlowMo therapy, a new digital blended therapy for fear of harm from others: An account of therapy personalisation within a targeted intervention.Psychology and psychotherapy · 2022Article
- Association between depressive symptoms and cognitive-behavioural therapy receipt within a psychosis sample: a cross-sectional study.BMJ open · 2022Article
- Using Natural Language Processing on Electronic Health Records to Enhance Detection and Prediction of Psychosis Risk.Schizophrenia bulletin · 2021Article
- Article
- Provision of National Institute for Health and Care Excellence-adherent cognitive behavior therapy for psychosis from inpatient to community settings: A national survey of care pathways in NHS mental health trusts.Health science reports · 2020Article
- Mindfulness for psychosis groups; description and preliminary evaluation of a novel routine care pathway in Hong Kong.International journal of mental health systems · 2020Article
- Toward the Development of Data Governance Standards for Using Clinical Free-Text Data in Health Research: Position Paper.Journal of medical Internet research · 2020Article
- 'Real time' monitoring of antipsychotic prescribing in patients with dementia: a study using the Clinical Record Interactive Search (CRIS) platform to enhance safer prescribing.BMJ open quality · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveOur primary objective was to identify cognitive behavioural therapy (CBT) delivery for people with psychosis (CBTp) using an automated method in a large electronic health record database. We also examined what proportion of service users with a diagnosis of psychosis were recorded as having received CBTp within their episode of care during defined time periods provided by early intervention or promoting recovery community services for people with psychosis, compared with published audits and whether demographic characteristics differentially predicted the receipt of CBTp.
methodsBoth free text using natural language processing (NLP) techniques and structured methods of identifying CBTp were combined and evaluated for positive predictive value (PPV) and sensitivity. Using inclusion criteria from two published audits, we identified anonymised cross-sectional samples of 2579 and 2308 service users respectively with a case note diagnosis of schizophrenia or psychosis for further analysis.
resultsThe method achieved PPV of 95% and sensitivity of 96%. Using the National Audit of Schizophrenia 2 criteria, 34.6% service users were identified as ever having received at least one session and 26.4% at least two sessions of CBTp; these are higher percentages than previously reported by manual audit of a sample from the same trust that returned 20.0%. In the fully adjusted analysis, CBTp receipt was significantly (p<0.05) more likely in younger patients, in white and other when compared with black ethnic groups and patients with a diagnosis of other schizophrenia spectrum and schizoaffective disorder when compared with schizophrenia.
conclusionsThe methods presented here provided a potential method for evaluating delivery of CBTp on a large scale, providing more scope for routine monitoring, cross-site comparisons and the promotion of equitable access.
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