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Cognitively-oriented psychotherapy for early psychosis (COPE): Preliminary results

Published online by Cambridge University Press:  06 August 2018

H. Jackson ,
P. McGorry ,
J. Edwards ,
C. Hulbert ,
L. Henry ,
S. Francey ,
D. Maude ,
J. Cocks ,
P. Power  and
S. Harrigan
...Show all authors
H. Jackson*
Affiliation:
University of Melbourne, Victoria
P. McGorry
Affiliation:
Department of Psychiatry, University of Melbourne, and Early Psychosis Prevention and Intervention Centre (EPPIC), Centre for Young People's Mental Health, Victoria
J. Edwards
Affiliation:
Centre for Young People's Mental Health, Victoria
C. Hulbert
Affiliation:
Preston and Northcote Community Hospital, Victoria
L. Henry
Affiliation:
Early Psychosis Research Centre, Centre for Young People's Mental Health, Victoria
S. Francey
Affiliation:
Centre for Young People's Mental Health, Victoria
D. Maude
Affiliation:
Centre for Young People's Mental Health, Victoria
J. Cocks
Affiliation:
Centre for Young People's Mental Health, Victoria
P. Power
Affiliation:
Centre for Young People's Mental Health, Victoria
S. Harrigan
Affiliation:
Centre for Young People's Mental Health, Victoria
P. Dudgeon
Affiliation:
Centre for Young People's Mental Health, Victoria
*
Correspondence: Professor H. Jackson, Department of Psychology, School of Behavioural Science, University of Melbourne, Parkville, 3052, Victoria, Australia. Fax: 0011 61 03 9347 6618; e-mail: H.Jackson@psych.unimelb.edu.au
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Abstract

Background The present study describes the results of the pilottesting of a therapy we have developed for people with first-episode psychosis. Cognitively-oriented psychotherapy for early psychosis (COPE) is aimed at facilitating the adjustment of the person, and at preventing or alleviating secondary morbidity in the wake of the first psychotic episode.

Method Eighty people formed three groups: those who were offered and accepted COPE (COPE subjects); those who refused COPE (refusal subjects); and those who were offered neither COPE nor any other continuing treatment from our service (control subjects). The individuals were assessed prior to, and at the end of, COPE treatment (a 12-month period) on the Integration/Sealing Over, Explanatory Model, Scale for the Assessment of Negative Symptoms, Brief Psychiatric Rating Scale, Quality of Life, SCL–90–R, and Beck Depression Inventory measures.

Results People who received COPE obtained significantly superior scores (P < 0.05) to the control group on four of the seven measures but only significantly out-performed the refusal group on one of the seven measures (P<0.05). The COPE group performed significantly worse on the BDI than the refusal group (P < 0.05). Effect sizes are also provided for each measure.

Conclusions There seems to be a place for psychological therapy in this group of people butour results need to be replicated in a more definitive randomised controlled trial and such a study is now in progress.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 172 , Issue S33: Verging on reality , June 1998 , pp. 93 - 100
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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