Evidence map›Paper›PMID 37635319›Full record

ArticleThe British journal of clinical psychology2023

A case series study of compassion-focused therapy for distressing experiences in psychosis.

Charles Heriot-Maitland, Andrew Gumley, Til Wykes, Eleanor Longden, Chris Irons, Paul Gilbert, Emmanuelle Peters

Abstract read
In one paragraph

Article in The British journal of clinical psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

7 authors.

Charles Heriot-MaitlandDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0002-4770-6532
Andrew GumleyGlasgow Mental Health Research Facility, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-8888-938X
Til WykesDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0002-5881-8003
Eleanor LongdenPsychosis Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0003-3046-9697
Chris IronsBalanced Minds, London, UK.ORCID https://orcid.org/0000-0001-8004-1141
Paul GilbertCentre for Compassion Research and Training, College of Health, Psychology and Social Care, University of Derby, Derby, UK.ORCID https://orcid.org/0000-0001-8431-9892
Emmanuelle PetersDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0003-3327-9223

Funding

Medical Research Council G1100568Medical Research Council MR/L01677X/1Medical Research Council MR/L01677X/2
6 · The paper itself

Abstract

objectivesCompassion-focused therapy (CFT) is an evolution-informed biopsychosocial approach that seeks to cultivate attachment and care motivational systems and their psychophysiological regulators. These can counteract some of the harmful effects of social threat, inferiority, shame, self-criticism and depression, which are common in people with psychosis and undermine their well-being, social trust and ability to feel safe. This study aimed to test the acceptability of a novel manualized individual CFT intervention for psychosis (CFTp).

designA non-concurrent, multiple-baseline, case series design, with three phases: baseline, intervention and follow-up.

methodsThe 26-session CFTp intervention was provided for a sample of eight people with distressing psychotic experiences and a psychosis-related diagnosis. The study aimed to assess acceptability of CFTp and to test clinically reliable improvements while receiving the intervention, compared to a baseline period.

resultsSeven of eight participants completed the therapy, and clinically reliable improvements were found at both the single-case and group level of analysis. At the single-case level, over half the participants showed improvements in depression (5/7), stress (5/7), distress (5/7), anxiety (4/7) and voices (3/5). One participant showed a deterioration in anxiety (1/7) and dissociation (1/7). At the group level (n = 7), there were significant improvements in depression, stress, distress, voices and delusions. The improvements in voices, delusions and distress were sustained at 6- to 8-week follow-up, but depression and stress dropped slightly to trend-level improvements.

conclusionsCFTp is a feasible and acceptable intervention for psychosis, and further investigation is warranted with a randomized controlled trial.

Indexed as

EmpathyPsychotic DisordersAnxietyHumansPsychotherapyTreatment Outcomeauditory hallucinationscase seriescompassion-focused therapydelusionspsychosisvoices

Identifiers

PMID37635319
PMCPMC10946731

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Registered trials

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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.