A brief compassion focused therapy group for outpatients with psychosis

Charles Heriot-Maitland; Caroline Lawlor; Nadine Keen; Fergus Kane; Hassan Jafari; Emmanuelle Peters

doi:10.1080/17522439.2024.2402826

A brief compassion focused therapy group for outpatients with psychosis

Charles Heriot-Maitland^*, Caroline Lawlor, Nadine Keen, Fergus Kane, Hassan Jafari, Emmanuelle Peters

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Background: A service evaluation of the feasibility and acceptability of a six-session compassion focused therapy (CFT) group for outpatients with psychosis was conducted. Methods: Fourteen groups were run across two services, with different facilitators following the same protocol. One hundred and nine clients were recruited, of whom 80 completed groups, and 71–76 completed measures of key social processes targeted by CFT. Results: Overall attendance and satisfaction ratings were good. A thematic analysis of feedback suggested a range of therapeutic benefits. A mixed-effects model with maximum likelihood estimation, incorporating random effects at two hierarchical levels, showed significant improvements in pre-post measures of social safeness (p <.001, effect size.53) and self-compassion (p =.002, effect size.50), but changes in perceived social rank were only at trend level (p =.087, effect size.21). Discussion: These findings indicate that CFT groups are feasible and acceptable for outpatients with psychosis, and that it is possible to effectively target, in six-weeks, some of the key processes central to CFT. The next step will be to replicate these findings using a more robust methodology, and further research is needed to determine the impact of CFT groups on other outcomes (e.g. distress, well-being, symptoms, and valued goals) and whether impact is maintained over time.

Original language	English
Journal	Psychosis
Early online date	17 Sept 2024
DOIs	https://doi.org/10.1080/17522439.2024.2402826
Publication status	E-pub ahead of print - 17 Sept 2024

Keywords

group
psychological therapy
Psychosis, compassion-focused therapy, compassionate mind training

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1080/17522439.2024.2402826Licence: CC BY

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title = "A brief compassion focused therapy group for outpatients with psychosis",

abstract = "Background: A service evaluation of the feasibility and acceptability of a six-session compassion focused therapy (CFT) group for outpatients with psychosis was conducted. Methods: Fourteen groups were run across two services, with different facilitators following the same protocol. One hundred and nine clients were recruited, of whom 80 completed groups, and 71–76 completed measures of key social processes targeted by CFT. Results: Overall attendance and satisfaction ratings were good. A thematic analysis of feedback suggested a range of therapeutic benefits. A mixed-effects model with maximum likelihood estimation, incorporating random effects at two hierarchical levels, showed significant improvements in pre-post measures of social safeness (p <.001, effect size.53) and self-compassion (p =.002, effect size.50), but changes in perceived social rank were only at trend level (p =.087, effect size.21). Discussion: These findings indicate that CFT groups are feasible and acceptable for outpatients with psychosis, and that it is possible to effectively target, in six-weeks, some of the key processes central to CFT. The next step will be to replicate these findings using a more robust methodology, and further research is needed to determine the impact of CFT groups on other outcomes (e.g. distress, well-being, symptoms, and valued goals) and whether impact is maintained over time.",

keywords = "group, psychological therapy, Psychosis, compassion-focused therapy, compassionate mind training",

author = "Charles Heriot-Maitland and Caroline Lawlor and Nadine Keen and Fergus Kane and Hassan Jafari and Emmanuelle Peters",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.",

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doi = "10.1080/17522439.2024.2402826",

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AU - Heriot-Maitland, Charles

AU - Lawlor, Caroline

AU - Keen, Nadine

AU - Kane, Fergus

AU - Jafari, Hassan

AU - Peters, Emmanuelle

PY - 2024/9/17

Y1 - 2024/9/17

N2 - Background: A service evaluation of the feasibility and acceptability of a six-session compassion focused therapy (CFT) group for outpatients with psychosis was conducted. Methods: Fourteen groups were run across two services, with different facilitators following the same protocol. One hundred and nine clients were recruited, of whom 80 completed groups, and 71–76 completed measures of key social processes targeted by CFT. Results: Overall attendance and satisfaction ratings were good. A thematic analysis of feedback suggested a range of therapeutic benefits. A mixed-effects model with maximum likelihood estimation, incorporating random effects at two hierarchical levels, showed significant improvements in pre-post measures of social safeness (p <.001, effect size.53) and self-compassion (p =.002, effect size.50), but changes in perceived social rank were only at trend level (p =.087, effect size.21). Discussion: These findings indicate that CFT groups are feasible and acceptable for outpatients with psychosis, and that it is possible to effectively target, in six-weeks, some of the key processes central to CFT. The next step will be to replicate these findings using a more robust methodology, and further research is needed to determine the impact of CFT groups on other outcomes (e.g. distress, well-being, symptoms, and valued goals) and whether impact is maintained over time.

AB - Background: A service evaluation of the feasibility and acceptability of a six-session compassion focused therapy (CFT) group for outpatients with psychosis was conducted. Methods: Fourteen groups were run across two services, with different facilitators following the same protocol. One hundred and nine clients were recruited, of whom 80 completed groups, and 71–76 completed measures of key social processes targeted by CFT. Results: Overall attendance and satisfaction ratings were good. A thematic analysis of feedback suggested a range of therapeutic benefits. A mixed-effects model with maximum likelihood estimation, incorporating random effects at two hierarchical levels, showed significant improvements in pre-post measures of social safeness (p <.001, effect size.53) and self-compassion (p =.002, effect size.50), but changes in perceived social rank were only at trend level (p =.087, effect size.21). Discussion: These findings indicate that CFT groups are feasible and acceptable for outpatients with psychosis, and that it is possible to effectively target, in six-weeks, some of the key processes central to CFT. The next step will be to replicate these findings using a more robust methodology, and further research is needed to determine the impact of CFT groups on other outcomes (e.g. distress, well-being, symptoms, and valued goals) and whether impact is maintained over time.

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ER -

A brief compassion focused therapy group for outpatients with psychosis

Abstract

Keywords

UN SDGs

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