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A pilot validation of a modified Illness Perceptions Questionnaire designed to predict response to cognitive therapy for psychosis

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posted on 2023-06-09, 02:14 authored by Elena Marcus, Philippa Garety, John Weinman, Richard Emsley, Graham Dunn, Paul Bebbington, Daniel Freeman, Elizabeth Kuipers, David FowlerDavid Fowler, Amy Hardy, Helen Waller, Suzanne Jolley
Background and objectives: Clinical responsiveness to cognitive behavioural therapy for psychosis (CBTp) varies. Recent research has demonstrated that illness perceptions predict active engagement in therapy, and, thereby, better outcomes. In this study, we aimed to investigate the psychometric properties of a modification of the Illness Perceptions Questionnaire (M-IPQ) designed to predict response following CBTp. Methods: Fifty-six participants with persistent, distressing delusions completed the M-IPQ; forty before a brief CBT intervention targeting persecutory ideation and sixteen before and after a control condition. Additional predictors of outcome (delusional conviction, symptom severity and belief inflexibility) were assessed at baseline. Outcomes were assessed at baseline and at follow-up four to eight weeks later. Results: The M-IPQ comprised two factors measuring problem duration and therapy-specific perceptions of Cure/Control. Associated subscales, formed by summing the relevant items for each factor, were reliable in their structure. The Cure/Control subscale was also reliable over time; showed convergent validity with other predictors of outcome; predicted therapy outcomes; and differentially predicted treatment effects. Limitations: We measured outcome without an associated measure of engagement, in a small sample. Findings are consistent with hypothesis and existing research, but require replication in a larger, purposively recruited sample. Conclusions: The Cure/Control subscale of the M-IPQ shows promise as a predictor of response to therapy. Specifically targeting these illness perceptions in the early stages of cognitive behavioural therapy may improve engagement and, consequently, outcomes.

History

Publication status

  • Published

File Version

  • Published version

Journal

Journal of Behavior Therapy and Experimental Psychiatry

ISSN

0005-7916

Publisher

Elsevier

Issue

4

Volume

45

Page range

459-466

Department affiliated with

  • Psychology Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2016-07-25

First Open Access (FOA) Date

2016-07-25

First Compliant Deposit (FCD) Date

2016-07-25

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