Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention


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Most of the lifetime disability arising from psychosis is caused by relapse, which leads to more persistent and distressing psychotic experiences.

Early Intervention in Psychosis - Dr. Paddy Power

Research at the University of Glasgow led by Professor Gumley — present developed and refined therapies to prevent psychosis relapse and promote emotional recovery, and supported the design of service models that are responsive to the needs of service users people accessing mental healthcare who are at risk of relapse and poor outcomes.

In , Gumley conducted the first randomised controlled trial of CBT for psychosis relapse. CBT is an evidence-based form of psychotherapy that aims to educate patients about their condition and to provide them with the skills to manage it. Gumley's research showed that CBT leads to a reduction in relapse and hospital admissions However, users who received CBT experienced improved emotional outcomes.

These studies demonstrated that relapse emerges from how service users' cope with the early signs and symptoms of a forthcoming relapse. By improving service users' abilities to recognise, tolerate and cope with distressing experiences through CBT, service users can develop greater control and choice in their recovery.

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Andrew Gumley - Google Scholar Citations

This adaptation focuses on the development of skills to improve emotional regulation, and is published in a treatment manual released in in collaboration with Matthias Schwannauer University of Edinburgh. Between and , a large UK, multi-site, randomised controlled trial EDIE-2 , with a substantial Glasgow contribution led by Gumley, provided further evidence that CBT can help to prevent relapses of psychosis.


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Between and , Gumley evaluated the outcomes of ESTEEM's comprehensive and dedicated early intervention service, which serves year olds. Throughout this study, the duration of untreated psychosis was reduced in Glasgow compared with Edinburgh 13 versus 23 weeks , as was the delay before help-seekers were aided by the services 1 versus 3 weeks. Furthermore, the number of days spent as inpatients in Glasgow was fewer than half that seen in Edinburgh 33 versus 72 days in the 12 months following a first episode of psychosis. This study demonstrated the value of a dedicated early intervention service over a community-level service.

Staying Well After Psychosis: A Cognitive Interpersonal Approach to Recovery and Relapse Prevention

The University of Glasgow research has also explored the importance of attachment the emotional tie between individuals that endures over time and its role in recovery with service users and staff of the ESTEEM service. Gumley, A.


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Psychol Med. Brit J Clin Psychol. Gumley A.

Staying Well After Psychosis: A Cognitive Interpersonal Approach to Recovery and Relapse Prevention

Morrison AP, et al. MacBeth A, et al. Psychol Psychother Theor Res Pract. Gumley et al. Active psychosis can lead to significant personal trauma and socioeconomic costs that are exacerbated by repeated relapses, and is ranked as the third most disabling condition worldwide after quadriplegia and dementia.

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Professor Gumley's work has had local and national impact on psychosis treatment by supporting UK and Scottish government-backed strategies to improve access to psychological therapies, and the development and expansion of early intervention services in Scotland. To meet the requirements of wider access, IATP-SMI commissioned a project co-ordinated by University College London, UCL to determine what competencies are required by therapists to deliver CBT and to develop a competence framework for clinicians and commissioners of mental health services.

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Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention
Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention
Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention
Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention
Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention Staying Well After Psychosis: A Cognitive Interperson Approach to Recovery and Relapse Prevention

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