Preferences for psychological therapy in psychosis: trial participation, mode of treatment, and willingness to be randomised

J Ment Health. 2014 Apr;23(2):67-71. doi: 10.3109/09638237.2013.841865. Epub 2013 Dec 12.

Abstract

Background: Psychological therapies for psychosis are well evidenced; however, service user preferences for psychological treatment and trial participation have been little researched.

Aims: To investigate preferences for psychological treatments for psychosis and trial participation decisions within a sample of people with experience of psychosis.

Method: Hypothetical preferences were assessed in 90 individuals diagnosed with non-affective psychosis: (a) willingness/unwillingness to participate in a psychological therapy trial; (b) willingness/unwillingness to be randomised to treatment condition; (c) preference for mode of therapy; (d) reasons for preferences; (e) socio-demographic and clinical characteristics associated with preferences.

Results: Most participants reported willingness to participate in a therapy trial and preferred not to be randomly allocated. Reasons for preferences were diverse, and preferences were not associated with socio-demographic or clinical variables.

Conclusions: The need for treatment choice in services for psychosis and further research in this area has been highlighted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Mental Health Services
  • Middle Aged
  • Patient Participation / psychology*
  • Patient Preference / psychology*
  • Psychotherapy*
  • Psychotic Disorders / therapy*
  • Randomized Controlled Trials as Topic
  • Young Adult