Be outspoken and overcome stigmatizing thoughts (BOOST): a group treatment for internalized stigma in first-episode psychosis
Be outspoken and overcome stigmatizing thoughts (BOOST): a group treatment for internalized stigma in first-episode psychosis
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DOI：
10.1080/17522439.2018.1472630
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发表时间：
2018-01-01
影响因子：
1.2
通讯作者：
Bowie, Christopher R.
中科院分区：
文献类型：
--
作者：
Best, Michael W.;Grossman, Michael;Bowie, Christopher R.
背景：内化的耻辱感与精神病患者的一系列负面结果有关。本文概述了一种新的基于群体的干预方法，用于减少内化的耻辱感（Be直言不讳和克服耻辱感[BOOST]），该方法将认知行为技术与首发精神病的同伴支持相结合。方法：BOOST是一种结合认知重构、自信沟通技巧和同伴支持的八期小组干预。结果来自一项小型非对照开放标签试验研究，15名参与者参与了精神病早期干预计划。结果：33%的参与者在完成干预之前停止了BOOST。完成BOOST的患者内化污名（d= 0.76）、自尊（d=1.20）和生活满意度（d=1.27）均有显著改善。结论：这项小型试点研究的结果表明，BOOST不仅能有效改善内化的耻辱感，还能提高自尊和生活满意度。在一项随机对照试验中，BOOST的进一步评估正在进行中，同伴支持和认知行为干预相结合的作用的进一步调查有必要作为一种减少内化耻辱的方法。
Background: Internalized stigma is associated with a broad array of negative outcomes for people experiencing psychosis. The current article provides an overview of a novel group-based intervention for reducing internalized stigma (Be Outspoken and Overcome Stigmatizing Thoughts [BOOST]) that combines cognitive behavioural techniques with peer support in first-episode psychosis.Methods: BOOST is an eight-session group intervention that combines cognitive restructuring, assertive communication skills and peer support. Results are presented from a small pilot non-controlled open-label study of 15 participants at an early intervention for psychosis programme.Results: Thirty-three percent of participants discontinued BOOST before completing the intervention. Those who completed BOOST experienced significantly improved internalized stigma (d=.76), self-esteem (d=1.20) and satisfaction with life (d=1.27).Conclusions: Results from this small pilot study suggest that BOOST is not only effective at improving internalized stigma, but also at improving self-esteem and satisfaction with life. Further evaluation of BOOST in a randomized controlled trial is ongoing, and further investigation of the role of combined peer support and cognitive behavioural intervention is warranted as a method of reducing internalized stigma.