Abstract
BackgroundCognitive deficits are associated with poor functional outcomes in individuals recovering from a first episode of psychosis (FEP). Existing treatments that target cognitive deficits in FEP may enhance cognitive function, but improvements to real-world functioning are less consistent. Furthermore, these treatments may not adequately address the personal recovery goals of young people attending FEP services. A novel cognitive strengths-based approach may overcome these shortcomings.MethodsThis qualitative study used semi-structured interviews to explore clinicians’ (N = 12) perspectives toward the potential development of a cognitive strengths-based assessment or treatment in FEP. The interviews were analysed using thematic analysis.ResultsFive higher-order themes emerged: (1) pro-strengths attitude despite unfamiliarity and minimal use, (2) default to a cognitive deficit lens, (3) potential benefits of a cognitive strengths approach, (4) potential risks and barriers, and (5) considerations for successful implementation. While clinicians acknowledged their current deficit approach, they supported implementing a cognitive strengths assessment or treatment and highlighted their potential benefits for the personal recovery needs of young people with FEP.ConclusionsThese findings suggest that a deficit-focused approach to cognitive function amongst clinicians may be common practice in FEP services. Nevertheless, a cognitive strengths approach was viewed favourably by clinicians and may represent a novel method of supporting personal recovery. Thus, the design and implementation of a cognitive strengths approach may be worthwhile. Future exploration of other stakeholder perspectives, such as young people with FEP, is essential.
Highlights
Cognitive deficits are associated with poor functional outcomes in individuals recovering from a first episode of psychosis (FEP)
Based on the rates of non-consent and attrition in RCTs [12], not all people with FEP want to engage with Cognitive remediation (CR), suggesting that existing treatments may not engage some young people with psychosis
Setting and participants Purposive sampling was used to recruit medical and allied health clinicians employed at the Early Psychosis Prevention and Intervention Centre (EPPIC) and who provided direct care to young people with FEP
Summary
Cognitive deficits are associated with poor functional outcomes in individuals recovering from a first episode of psychosis (FEP). Existing treatments that target cognitive deficits in FEP may enhance cognitive function, but improvements to real-world functioning are less consistent. These treatments may not adequately address the personal recovery goals of young people attending FEP services. Long-term functional impairment persists in more than two-thirds of young people recovering from a first episode of psychosis (FEP) [1]. These young people may experience enduring functional disability affecting. Exploring alternative approaches that may enhance engagement and functional recovery in young people with FEP is worthwhile
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