Common mental disorder including psychotic experiences: Trailblazing a new recovery pathway within the Improving Access to Psychological Therapies programme in England.

Perez J ^{1,

2},

Russo DA ^{1,

2},

Stochl J ²,

Clarke J ³,

Affiliations

1. CAMEO Early Intervention in Psychosis Service, Cambridge and Peterborough NHS Foundation Trust, Cambridge, UK.
Authors
Perez J^{1,

2}
Russo DA^{1,

2}
Jones PB^{1,

2}
(3 authors)
2. Department of Psychiatry, University of Cambridge, Cambridge, UK.
Authors
Perez J^{1,

2}
Russo DA^{1,

2}
Stochl J²
Jones PB^{1,

2}
(4 authors)
3. Psychological Wellbeing Services (IAPT Services), Cambridge and Peterborough NHS Foundation Trust, Cambridge, UK.
Authors
Clarke J³
Martin Z³
Jassi C³
(3 authors)
4. Psychosis Research Unit, Greater Manchester West Mental Health NHS Foundation Trust, Prestwich, UK.
Authors
French P⁴
(1 author)
5. Department of Psychology, University of Sussex, Sussex, UK.
Authors
Fowler D⁵
(1 author)

ORCIDs linked to this article

Early Intervention in Psychiatry, 16 May 2017, 12(3):497-504
https://doi.org/10.1111/eip.12434 PMID: 28509391

Abstract

Psychotic experiences, depressive and anxiety symptoms may be manifestations of a latent continuum of common mental distress. The Improving Access to Psychological Therapies (IAPT) programme has increased the reach of psychological treatments to people with common mental disorders in England. However, psychotic experiences are neither measured nor considered in therapy. We aimed to confirm the presence of psychotic experiences among IAPT service-users and determine whether these experiences are associated with higher depression/anxiety levels and poorer recovery. All service-users that attended the Fenland and Peterborough IAPT teams in Cambridgeshire between November 16, 2015 and January 29, 2016 participated in a service evaluation. In addition to routine mesures, such as the Generalized Anxiety Disorder-7 questionnaire (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), we introduced a shortened version of the Community Assessment of Psychic Experiences (CAPE-P15) to measure psychotic experiences. Classes of individuals were identified with latent class analysis. Associations were reported using Pearson correlation coefficient. One hundred and seventy-three services-users were included, mostly females (N = 133; 76.9%). The mean age was 36.6 (SD = 13.3). Around 30% likely belonged to a class with psychotic experiences. CAPE-P15 frequency was significantly correlated to PHQ-9 (r = 0.44; P < .001) and GAD-7 (r = 0.32; P < .001). Similarly, CAPE-P15 distress and both PHQ-9 (r = 0.43; P < .001) and GAD-7 (r = 0.38; P < .001) were highly correlated. These associations were replicated after the initial period of the therapy, indicating poor recovery. Some IAPT service-users suffer psychotic experiences. Tailoring available evidence-based psychological therapies for these people in IAPT settings might trailblaze a new care pathway to improve recovery in this group.

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Read article at publisher's site: https://doi.org/10.1111/eip.12434

References

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Zavlis O
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The Community Assessment of Psychic Experiences-Positive scale (CAPE-P15) accurately classifies and differentiates psychotic experience levels in adolescents from the general population.
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Treating sleep problems in young people at ultra-high-risk of psychosis: study protocol for a single-blind parallel group randomised controlled feasibility trial (SleepWell).
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More sensitive identification of psychotic experiences in common mental disorder by primary mental healthcare services - effect on prevalence and recovery: casting the net wider.
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Search life-sciences literature (45,090,497 articles, preprints and more)

Common mental disorder including psychotic experiences: Trailblazing a new recovery pathway within the Improving Access to Psychological Therapies programme in England.

Affiliations

ORCIDs linked to this article

Abstract

Full text links

References

Title not supplied

Brief screening for psychosis-like experiences.

Early changes, attrition, and dose-response in low intensity psychological interventions.

Title not supplied

Predicting psychosis: meta-analysis of transition outcomes in individuals at high clinical risk.

Comorbid depressive and anxiety disorders in 509 individuals with an at-risk mental state: impact on psychopathology and transition to psychosis.

Poor functioning ability is associated with high risk of developing psychosis in adolescents.

Title not supplied

Psychiatric morbidity, functioning and quality of life in young people at clinical high risk for psychosis.

Prevalence of suicide risk factors in people at ultra-high risk of developing psychosis: a service audit.

Citations & impact

Impact metrics

Citations of article over time

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Article citations

Complex relational needs impede progress in NHS Talking Therapies (IAPT): implications for public mental health.

The Community Assessment of Psychic Experiences-Positive scale (CAPE-P15) accurately classifies and differentiates psychotic experience levels in adolescents from the general population.

Treating sleep problems in young people at ultra-high-risk of psychosis: study protocol for a single-blind parallel group randomised controlled feasibility trial (SleepWell).

More sensitive identification of psychotic experiences in common mental disorder by primary mental healthcare services - effect on prevalence and recovery: casting the net wider.

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Common mental disorder including psychotic experiences: Trailblazing a new recovery pathway within the Improving Access to Psychological Therapies programme in England.

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