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An online compassion-focused crisis intervention during COVID-19 lockdown: a cases series on patients at high risk for psychosis

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  • Simone Cheli
  • Veronica Cavalletti
  • Nicola Petrocchi

Abstract

AimTo pilot-test the effectiveness of a online compassion-focused crisis intervention for persons who were diagnosed with brief psychotic disorder and were still at high risk for a psychotic episode at the Italian announcement of lockdown on March 9th, 2020.MethodsSix patients who, at the moment of the lockdown, were treated through different psychotherapy approaches and antipsychotic drugs for a first brief psychotic episode accessed a 4-week online compassion-focused intervention comprising a weekly individual video-call session, and an open messenger service with audio-recorded compassion focused practices. Primary outcome (general symptomatology) was assessed one‐week before and at the end of the intervention. Secondary outcomes (depression, anxiety and stress symptoms) were assessed daily during the intervention, for a total of 28 days.ResultsFive of six participants demonstrated a reliable change in both primary and secondary outcomes, and no one reported acute psychotic episodes during the lockdown. All participants reported a stable or increased working alliance.ConclusionThese data provide the preliminary feasibility and effectiveness of a brief online compassion-focused crisis intervention for patients diagnosed with a brief psychotic disorder, in situations where the telepsychology is offered, unplanned, as the only possible treatment option.

Suggested Citation

  • Simone Cheli & Veronica Cavalletti & Nicola Petrocchi, 2020. "An online compassion-focused crisis intervention during COVID-19 lockdown: a cases series on patients at high risk for psychosis," Psychosis, Taylor & Francis Journals, vol. 12(4), pages 359-362, October.
    • Handle: RePEc:taf:rpsyxx:v:12:y:2020:i:4:p:359-362
    DOI: 10.1080/17522439.2020.1786148
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    Cited by:

    1. Marcela Matos & Kirsten McEwan & Martin Kanovský & Júlia Halamová & Stanley R Steindl & Nuno Ferreira & Mariana Linharelhos & Daniel Rijo & Kenichi Asano & Sara P Vilas & Margarita G Márquez & Sónia G, 2021. "The role of social connection on the experience of COVID-19 related post-traumatic growth and stress," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-26, December.

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