Psychosis Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
School of Psychological Sciences, The University of Manchester, Manchester, UK.
Int J Ment Health Nurs. 2019 Jun;28(3):721-734. doi: 10.1111/inm.12576. Epub 2019 Jan 31.
In this study, we aimed to understand how people with first-episode psychosis experienced a transdiagnostic cognitive therapy called method of levels (MOL). Semistructured interviews were conducted with 12 individuals who were participants of a feasibility randomized controlled trial of MOL for first-episode psychosis. Interviews were analysed using thematic analysis. Four superordinate themes were identified: 'The therapist's approach'; 'I was in control'; 'Thinking and talking'; and 'Looking at problems from a different perspective'. Our findings suggest that therapy was experienced as most helpful when participants perceived themselves to have control over the process of therapy, could explore and express a wide range of difficulties, and were able to generate new perspectives on their problems. MOL and its associated system of client-led appointment scheduling were predominantly perceived to be helpful and appear suitable for further testing in a larger clinical trial.
在这项研究中，我们旨在了解首次发作精神分裂症患者如何体验一种称为水平方法（MOL）的跨诊断认知疗法。对 12 名参加首次发作精神分裂症 MOL 的可行性随机对照试验的参与者进行了半结构化访谈。使用主题分析对访谈进行了分析。确定了四个上级主题：“治疗师的方法”；“我有控制权”；“思考和交谈”；和“从不同角度看问题”。我们的研究结果表明，当参与者认为自己对治疗过程有控制，能够探索和表达广泛的困难，并能够对自己的问题产生新的看法时，治疗最有帮助。MOL 及其相关的客户主导预约安排系统主要被认为是有帮助的，并且似乎适合在更大的临床试验中进一步测试。
