Evidence map›Paper›PMID 35485835›Full record

Trial reportPsychological medicine2023

Manualized group cognitive behavioral therapy for social anxiety in first-episode psychosis: a randomized controlled trial.

Martin Lepage, Christopher R Bowie, Tina Montreuil, Larry Baer, Olivier Percie du Sert, Tania Lecomte, Ridha Joober, Amal Abdel-Baki, G Eric Jarvis, Howard C Margolese and 3 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02294409 (Manualized Group Cognitive-behavioral Therapy for Social Anxiety in First Episode Psychosis), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02294409 nacompletednot on this map

Manualized Group Cognitive-behavioral Therapy for Social Anxiety in First Episode Psychosis: A Randomized Controlled Trial

TypeinterventionalSponsorDouglas Mental Health University InstituteRan2014 to 2019Enrolled105ConditionsSocial Phobia, PsychosisArmsManualized group Cognitive-behavioral therapy (CBT) for social anxiety in first episode psychosis, Group Computer assisted cognitive remediation therapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Martin LepagePrevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0003-4345-6502
Christopher R BowieDepartment of Psychology, Department of Psychiatry, Centre for Neuroscience Studies, Queen's University, Kingston, Ontario, Canada.
Tina MontreuilDepartments of Educational & Counselling Psychology and Psychiatry, McGill University, Montreal, Quebec, Canada.
Larry BaerPrevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
Olivier Percie du SertPrevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
Tania LecomteDepartment of Psychology, University of Montréal, Montréal, Quebec, Canada.
Ridha JooberPrevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
Amal Abdel-BakiClinique JAP-Centre hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada.
G Eric JarvisFirst Episode Psychosis Program, Jewish General Hospital, Department of Psychiatry, McGill University, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-0508-6689
Howard C MargolesePrevention and Early Intervention Program for Psychoses, McGill University Health Centre, Montreal, Quebec, Canada.
Luigi De BenedictisConnec-T Clinic (First Psychotic Episode and Early Intervention Program), Institut universitaire en santé mentale de Montréal, Montreal, Quebec, Canada.
Norbert SchmitzDepartment of Population-Based Medicine, Institute of Health Sciences, University Hospital Tuebingen, Tuebingen, Germany.
Ashok K MallaPrevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Montreal, Quebec, Canada.
Douglas Mental Health University Institute · CAMcGill University Health Centre · CACentre Hospitalier de l’Université de Montréal · CAInstitut universitaire en santé mentale de Montréal · CAJewish General Hospital · CAQueen's University · CAUniversité de Montréal · CA

Funding

Fonds de Recherche du Québec - Santé Research Chair
6 · The paper itself

Abstract

backgroundSocial anxiety (SA), a prevalent comorbid condition in psychotic disorders with a negative impact on functioning, requires adequate intervention relatively early. Using a randomized controlled trial, we tested the efficacy of a group cognitive-behavioral therapy intervention for SA (CBT-SA) that we developed for youth who experienced the first episode of psychosis (FEP). For our primary outcome, we hypothesized that compared to the active control of group cognitive remediation (CR), the CBT-SA group would show a reduction in SA that would be maintained at 3- and 6-month follow-ups. For secondary outcomes, it was hypothesized that the CBT-SA group would show a reduction of positive and negative symptoms and improvements in recovery and functioning.

methodNinety-six patients with an FEP and SA, recruited from five different FEP programs in the Montreal area, were randomized to 13 weekly group sessions of either CBT-SA or CR intervention.

resultsLinear mixed models revealed that multiple measures of SA significantly reduced over time, but with no significant group differences. Positive and negative symptoms, as well as functioning improved over time, with negative symptoms and functioning exhibiting a greater reduction in the CBT-SA group.

conclusionsWhile SA decreased over time with both interventions, a positive effect of the CBT-SA intervention on measures of negative symptoms, functioning, and self-reported recovery at follow-up suggests that our intervention had a positive effect that extended beyond symptoms specific to SA.ClinicalTrials.gov identifier: NCT02294409.

Indexed as

Cognitive Behavioral TherapyOccupational TherapyPsychotic DisordersAdolescentAnxietyHumansTreatment OutcomeCognitive behavioral therapycognitive remediationfirst-episode psychosissocial anxiety

Identifiers

PMID35485835
PMCPMC10277720
OpenAlexW4206661841

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.