PDF(Pubmed)
Abstract：
Cognitive Behavioral Therapy for psychosis (CBTp) is a psychological therapy recommended for people with psychosis which can start in the acute phase. However, there is not consensus on how CBTp should be delivered in an acute mental health inpatient setting. This study aimed to gain consensus from therapists on how CBTp should be delivered in this context. A 2-stage Delphi study was conducted to establish consensus on what the core components are of inpatient CBTp from the perspective of therapists who are experts in the field. Forty-five therapists took part in 2 rounds of rating statements on the areas of engagement and feedback, assessment and model, formulation, change strategies, homework, and principles and values. A final list of 114 statements were included, which were rated as essential or important by ≥80% of respondents. The delivery of inpatient CBTp is dependent on several adaptations to traditional CBTp including indirect work, being more flexible with session content and delivery, and making adaptations to the restrictive environment. These recommendations could inform training, competency frameworks, and delivery of CBTp in inpatient settings.
摘要：
精神病认知行为疗法（CBTp）是一种针对精神病患者的心理治疗方法，可在急性期开始。然而,在急性精神健康住院患者中应如何实施CBTp尚未达成共识.这项研究旨在就如何在这种情况下提供CBTp获得治疗师的共识。从该领域专家治疗师的角度，进行了两阶段的Delphi研究，以就住院CBTp的核心组成部分达成共识。45名治疗师参加了两轮关于参与和反馈领域的评级声明，评估和模型，配方，改变策略，家庭作业,原则和价值观。最终包括114份声明，≥80%的受访者将其评为重要或重要。住院患者CBTp的交付取决于对传统CBTp的几种适应，包括间接工作，在会话内容和交付方面更加灵活，适应限制性环境。这些建议可以为培训提供信息，能力框架，以及在住院环境中提供CBTp。
