Final published version
Licence: CC BY: Creative Commons Attribution 4.0 International License
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Assessing the delivering of iMAgery-focused therapy for PSychosis (iMAPS) via telehealth
AU - Cairns, Aimee J. J.
AU - Kelly, James
AU - Taylor, Christopher D. J.
PY - 2023/9/30
Y1 - 2023/9/30
N2 - Objectives: To examine the feasibility and acceptability of a novel telehealth (video‐conferencing software and telephone calls) imagery‐based therapeutic intervention for people experiencing persecutory delusions. Utilising a multiple baseline case series design and exploring imagery‐focused therapy for psychosis (iMAPS). Design: A non‐concurrent A‐B multiple baseline design was used. Methods: Participants experiencing persecutory delusions and self‐reporting a psychosis or schizophrenia‐spectrum diagnosis were recruited through online adverts. On completion of assessments, participants were randomly assigned to multiple baseline assessments, of between three and five sessions. Six therapy sessions followed, consisting of imagery formulation, safe‐place imagery creation, compassionate imagery, imagery manipulation and rescripting. Participants completed pre‐ and post‐measures and sessional measures via an online survey software or in semi‐structured interviews. Two weeks post‐intervention, a final measure was completed exploring any potential adverse effects of psychotherapy. Results: Five female participants completed all baseline and therapeutic sessions, suggesting the therapy was and mode of delivery was feasible and acceptable. Results indicate strong effect sizes across PANSS positive subscale and mood, as well as participants reporting a clinically significant change in at least one measure, for example, PSYRATS. All participants reported a reduction in the realness and compelling nature of distressing imagery. Conclusions: Results suggest delivering a telehealth imagery‐focused therapy is acceptable and feasibly delivered via telehealth. A control group and blinding of assessments would strengthen the methodological limitations present.
AB - Objectives: To examine the feasibility and acceptability of a novel telehealth (video‐conferencing software and telephone calls) imagery‐based therapeutic intervention for people experiencing persecutory delusions. Utilising a multiple baseline case series design and exploring imagery‐focused therapy for psychosis (iMAPS). Design: A non‐concurrent A‐B multiple baseline design was used. Methods: Participants experiencing persecutory delusions and self‐reporting a psychosis or schizophrenia‐spectrum diagnosis were recruited through online adverts. On completion of assessments, participants were randomly assigned to multiple baseline assessments, of between three and five sessions. Six therapy sessions followed, consisting of imagery formulation, safe‐place imagery creation, compassionate imagery, imagery manipulation and rescripting. Participants completed pre‐ and post‐measures and sessional measures via an online survey software or in semi‐structured interviews. Two weeks post‐intervention, a final measure was completed exploring any potential adverse effects of psychotherapy. Results: Five female participants completed all baseline and therapeutic sessions, suggesting the therapy was and mode of delivery was feasible and acceptable. Results indicate strong effect sizes across PANSS positive subscale and mood, as well as participants reporting a clinically significant change in at least one measure, for example, PSYRATS. All participants reported a reduction in the realness and compelling nature of distressing imagery. Conclusions: Results suggest delivering a telehealth imagery‐focused therapy is acceptable and feasibly delivered via telehealth. A control group and blinding of assessments would strengthen the methodological limitations present.
KW - RESEARCH ARTICLE
KW - RESEARCH ARTICLES
KW - case series
KW - imagery
KW - imagery‐intervention
KW - mental imagery
KW - psychosis
KW - schizophrenia
U2 - 10.1111/papt.12463
DO - 10.1111/papt.12463
M3 - Journal article
VL - 96
SP - 678
EP - 696
JO - Psychology and Psychotherapy: Theory, Research and Practice
JF - Psychology and Psychotherapy: Theory, Research and Practice
SN - 1476-0835
IS - 3
ER -