Secondary Care Psychological Therapies Service, Pennine Care NHS Foundation Trust, Humphrey House, Angouleme Way, Bury ML9 0EQ, UK.
Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Zochonis Building, Brunswick Street, Manchester M13 9PL, UK.
Behav Cogn Psychother. 2020 Jan;48(1):67-81. doi: 10.1017/S1352465819000274. Epub 2019 Apr 8.
Cognitive behavioural treatments are recommended for people with psychosis. Core beliefs regarding the self and others are a key part of the models underpinning cognitive behavioural therapy but detailed understanding of these putative beliefs in people with psychosis are limited. A greater understanding of these mechanisms is necessary to improve and refine treatments.
This study utilized a qualitative approach to explore core schematic beliefs in psychosis (strongly held positive and negative beliefs about the self and others) and their relation to hallucinations and delusions.
Twenty individuals with psychosis participated in individual semi-structured interviews. Inductive thematic analysis was used to analyse the interviews.
Four emergent themes were identified: (i) the solidity and permanency of core beliefs, (ii) the causes and development of core beliefs, (iii) a synergistic relationship between core beliefs and symptoms, and (iv) core beliefs associated with images and their influence on psychotic symptoms.
This study provides new insights into the range and character of core beliefs in psychosis and provides important data to guide ongoing and future development of treatment approaches for psychosis.
认知行为疗法被推荐用于治疗精神病患者。自我和他人的核心信念是认知行为疗法模型的关键组成部分，但对精神病患者中这些假定信念的详细了解有限。为了改进和完善治疗方法，有必要进一步了解这些机制。
本研究采用定性方法探讨精神病中的核心图式信念（对自我和他人的强烈积极和消极信念）及其与幻觉和妄想的关系。
20 名精神病患者参加了个体半结构化访谈。采用归纳主题分析方法对访谈进行分析。
确定了四个突出的主题：（i）核心信念的坚固性和永久性，（ii）核心信念的原因和发展，（iii）核心信念与症状之间的协同关系，以及（iv）与图像相关的核心信念及其对精神病症状的影响。
本研究深入了解了精神病中核心信念的范围和特征，并为指导精神病治疗方法的不断发展和未来发展提供了重要数据。
