The cognitive–phenomenological assessment of delusions and hallucinations at the early intervention in psychosis service stage: The results of a quality improvement project
| العنوان: | The cognitive–phenomenological assessment of delusions and hallucinations at the early intervention in psychosis service stage: The results of a quality improvement project |
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| المؤلفون: | Maria Isaacson, Cassie M. Hazell, John Cape, Emily Hickson, Faaizah Islam, Amber Gill, Kathleen Simon, Ruchit Patel, Jonathan Souray, David Raune |
| المصدر: | Early Intervention in Psychiatry. 16:1345-1352 |
| بيانات النشر: | Wiley, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Psychiatry and Mental health, Cognition, Psychotic Disorders, Hallucinations, Humans, Pshychiatric Mental Health, Quality Improvement, Delusions, Biological Psychiatry |
| الوصف: | Aim Clinical assessments are vital for gaining an understanding of a patients' presenting problem. A priority for Early Intervention in Psychosis Service staff is understanding and supporting their patients' experiences of hallucinations and/or delusions. We aimed to identify what cognitive–phenomenology dimensions of hallucinations and delusions EIPS staff were assessing with their patients. Methods We developed a brief checklist of cognitive–phenomenological dimensions of hallucinations and delusions called the Lived Experience Symptom Survey (LESS) based on relevant literature. As part of a Quality Improvement Project, we reviewed the health records of a sub-sample of EIPS patients using the LESS identifying whether each dimension was present or absent. Results We found that all patients had been asked about the content of their hallucinations and/or delusions, and the majority had been asked about the valence of this content. Despite patients having experienced psychosis for almost 2 years on average, less than half of patients were asked about the potential or actual harm associated with these symptoms. All other cognitive–phenomenological dimensions were assessed inconsistently. Conclusions The assessment of hallucination and delusions in our EIPS was inconsistent and incomprehensive. These findings require replication in other EIPS' but may point to a need for guidelines and training around how to conduct a thorough assessment of hallucinations and delusions for current and future EIPS staff. Improved assessment of these symptoms will aid the development of risk assessments and treatment plans. |
| تدمد: | 1751-7893 1751-7885 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::69ebd8575a9e2a24f57516a51355dd0f https://doi.org/10.1111/eip.13283 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....69ebd8575a9e2a24f57516a51355dd0f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17517893 17517885 |
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