Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial

Despite the negative influence of cannabis use on the development and prognosis of first-episode psychosis (FEP), there is little evidence on effective specific interventions for cannabis use cessation in FEP. The aim of this study was to compare the efficacy of a specific cognitive behavioral thera...

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Autores: González Ortega, Itxaso, Echeburúa, Enrique, Alberich, Susana, Bernardo Arroyo, Miquel, Vieta i Pascual, Eduard, 1963-, Salazar de Pablo, Gonzalo, González-Pinto, Ana
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/192062
Acceso en línea:https://hdl.handle.net/2445/192062
Access Level:acceso abierto
Palabra clave:Psicosi
Cànnabis
Teràpia cognitiva
Avaluació de resultats (Assistència mèdica)
Assaigs clínics
Psychoses
Cannabis
Cognitive therapy
Outcome assessment (Medical care)
Clinical trials
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spelling Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled TrialGonzález Ortega, ItxasoEcheburúa, EnriqueAlberich, SusanaBernardo Arroyo, MiquelVieta i Pascual, Eduard, 1963-Salazar de Pablo, GonzaloGonzález-Pinto, AnaPsicosiCànnabisTeràpia cognitivaAvaluació de resultats (Assistència mèdica)Assaigs clínicsPsychosesCannabisCognitive therapyOutcome assessment (Medical care)Clinical trialsDespite the negative influence of cannabis use on the development and prognosis of first-episode psychosis (FEP), there is little evidence on effective specific interventions for cannabis use cessation in FEP. The aim of this study was to compare the efficacy of a specific cognitive behavioral therapy (CBT) for cannabis cessation (CBT-CC) with treatment as usual (TAU) in FEP cannabis users. In this single-blind, 1-year randomized controlled trial, 65 participants were randomly assigned to CBT-CC or TAU. The primary outcome was the reduction in cannabis use severity. The CBT-CC group had a greater decrease in cannabis use severity and positive psychotic symptoms over time, and a greater improvement in functioning at post-treatment than TAU. The treatment response was also faster in the CBT-CC group, reducing cannabis use, anxiety, positive and general psychotic symptoms, and improving functioning earlier than TAU in the follow-up. Moreover, patients who stopped and/or reduced cannabis use during the follow-up, decreased psychotic symptoms and increased awareness of disease compared to those who continued using cannabis. Early intervention based on a specific CBT for cannabis cessation, may be effective in reducing cannabis use severity, in addition to improving clinical and functional outcomes of FEP cannabis users.MDPI2023202320222023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion19 p.application/pdfhttps://hdl.handle.net/2445/192062Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.3390/ijerph19127325International Journal of Environmental Research and Public Health, 2022, vol. 19, num. 12, p. 7325https://doi.org/10.3390/ijerph19127325cc-by (c) González Ortega, Itxaso et al., 2022https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1920622026-05-29T05:05:01Z
dc.title.none.fl_str_mv Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial
title Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial
spellingShingle Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial
González Ortega, Itxaso
Psicosi
Cànnabis
Teràpia cognitiva
Avaluació de resultats (Assistència mèdica)
Assaigs clínics
Psychoses
Cannabis
Cognitive therapy
Outcome assessment (Medical care)
Clinical trials
title_short Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial
title_full Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial
title_fullStr Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial
title_full_unstemmed Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial
title_sort Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial
dc.creator.none.fl_str_mv González Ortega, Itxaso
Echeburúa, Enrique
Alberich, Susana
Bernardo Arroyo, Miquel
Vieta i Pascual, Eduard, 1963-
Salazar de Pablo, Gonzalo
González-Pinto, Ana
author González Ortega, Itxaso
author_facet González Ortega, Itxaso
Echeburúa, Enrique
Alberich, Susana
Bernardo Arroyo, Miquel
Vieta i Pascual, Eduard, 1963-
Salazar de Pablo, Gonzalo
González-Pinto, Ana
author_role author
author2 Echeburúa, Enrique
Alberich, Susana
Bernardo Arroyo, Miquel
Vieta i Pascual, Eduard, 1963-
Salazar de Pablo, Gonzalo
González-Pinto, Ana
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Psicosi
Cànnabis
Teràpia cognitiva
Avaluació de resultats (Assistència mèdica)
Assaigs clínics
Psychoses
Cannabis
Cognitive therapy
Outcome assessment (Medical care)
Clinical trials
topic Psicosi
Cànnabis
Teràpia cognitiva
Avaluació de resultats (Assistència mèdica)
Assaigs clínics
Psychoses
Cannabis
Cognitive therapy
Outcome assessment (Medical care)
Clinical trials
description Despite the negative influence of cannabis use on the development and prognosis of first-episode psychosis (FEP), there is little evidence on effective specific interventions for cannabis use cessation in FEP. The aim of this study was to compare the efficacy of a specific cognitive behavioral therapy (CBT) for cannabis cessation (CBT-CC) with treatment as usual (TAU) in FEP cannabis users. In this single-blind, 1-year randomized controlled trial, 65 participants were randomly assigned to CBT-CC or TAU. The primary outcome was the reduction in cannabis use severity. The CBT-CC group had a greater decrease in cannabis use severity and positive psychotic symptoms over time, and a greater improvement in functioning at post-treatment than TAU. The treatment response was also faster in the CBT-CC group, reducing cannabis use, anxiety, positive and general psychotic symptoms, and improving functioning earlier than TAU in the follow-up. Moreover, patients who stopped and/or reduced cannabis use during the follow-up, decreased psychotic symptoms and increased awareness of disease compared to those who continued using cannabis. Early intervention based on a specific CBT for cannabis cessation, may be effective in reducing cannabis use severity, in addition to improving clinical and functional outcomes of FEP cannabis users.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/192062
url https://hdl.handle.net/2445/192062
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/ijerph19127325
International Journal of Environmental Research and Public Health, 2022, vol. 19, num. 12, p. 7325
https://doi.org/10.3390/ijerph19127325
dc.rights.none.fl_str_mv cc-by (c) González Ortega, Itxaso et al., 2022
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) González Ortega, Itxaso et al., 2022
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 19 p.
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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