Alpha-Interferon Induced Psychosis: A Single Case Study
CBT for Positive and Negative Symptoms of Schizophreniform
Keywords:
Schizophreniform, Cognitive Behavior Therapy, Positive & Negative Symptoms, Hepatitis C, Alpha Interferon
Abstract
Abstract Views: 170
Ms. X, 33 years old, was referred with the complaints of suspiciousness against family members and doctors, suspiciousness towards medical treatment and food items, poor medicine compliance, social withdrawal, irritability, anger outbursts and body aches. It was aimed to find out the efficacy of Cognitive Behavior Therapy in the treatment of symptoms of Schizophreniform. Single case ABA research design was used. The assessment of the patient was done through clinical interview, Mental State Examination (MSE) and Visual Analogue Scale Ratings of presenting complaints, and by Positive and Negative Syndrome Scale for Schizophrenia (PANSS). She was diagnosed with 295.40 (F20.81) Schizophreniform. The results of the study showed that there was a significant decrease in the severity of symptoms which showed that CBT is an effective mode of treatment for dealing the symptoms of Schizophreniform.
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References
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Schaefer, M., Capuron, L., Friebe, A., Diez-Quevedo, C., Robaeys, G., Neri, S., . . . Pariante, C. M. (2012). Hepatitis C infection, antiviral treatment and mental health: A European expert consensus statement. Journal of Hepatology, 57(6), 1379-1390. http://doi.10.1016/j.jhep.2012.07.037
Silverman, B. C., Kim, A. Y., & Freudenreich, O. (2010). Interferon-induced psychosis as a “psychiatric contraindication” to hepatitis C treatment: a review and case-based discussion. Psychosomatics, 51(1), 1-7. http:// doi: 10.1176/appi.psy.51.1.1
Smith, L., Nathan, P., Juniper, U., Kingsep, P. & Lim, L. (2003). Cognitive Behavioral Therapy for Psychotic Symptoms: A Therapist’s Manual. Centre for Clinical Intervention.
Wells, A. (1997). Cognitive Therapy of Anxiety Disorders, A Practice Manual and Conceptual Guide. John Wiley & Sons Ltd.
Adinolfi, L., Nevola, R., Lus, G., Restivo, L., Guerrera, B., Romano, C., Zampino, R., Rinaldi, L., Sellitto, A., Giordano, M. & Marrone, A. (2015). Chronic hepatitis C virus infection and neurological and psychiatric disorders: An overview. World journal of gastroenterology : WJG. 21. 2269-2280. https:// doi.10.3748/wjg.v21.i8.2269.
American Psychiatric Association. (2006). Evidence-Based Treatments for Schizophrenia: Information for families and Other Supporters. Arlington, VA: American Psychiatric Association.
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, (5th Ed.) Washington, DC: American Psychiatric Publishing.
Bell, V., Halligan, P. W., & Ellis, H. D. (2006). Explaining delusions: a cognitive perspective. Trends in cognitive sciences, 10(5), 219-226. https://https://doi: 10.1016/j.tics.2006.03.004
Burns, D. (1999). Feeling good; The new mood therapy. New York; Harper Collins Publishers.
Cheng, Y. C., Chen, C. C., Ho, A. S., & Chiu, N. Y. (2009). Prolonged psychosis associated with interferon therapy in a patient with hepatitis C: case study and literature review. Psychosomatics, 50(5), 538-542.https:// doi.10.1176/appi.psy.50.5.538
Debien, C., Lenclave, D.C., Foutrein, P., & Bailly, D. (2001). Alpha interferon and mental disorders. Encephale, 27(4), 308-317. http://www.ncbi.nlm.nih.gov/pubmed/11686052
Dieperink, E., Willenbring, M., & Ho, S. B. (2000). Neuropsychiatric symptoms associated with hepatitis C and interferon alpha: a review. American Journal of Psychiatry, 157(6), 867-876.https://doi.10.1176/appi.ajp.157.6.867.
Freeman, D., Garety, P. A., Kuipers, E., Fowler, D., & Bebbington, P. E. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Psychology, 41(4), 331-347. https://doi: 10.1348/014466502760387461
Hansen, L., Kingdon, D. & Turkington, D. (2006). Clinical. The ABCs of cognitive behavioral therapy for schizophrenia. Psychiatric Times, 23(7), 49-50. http://www.psychiatrictimes.com/schizophrenia/abcs
Hamid, S., Umar, M., Alam, A., Siddiqui, A., Qureshi, H., & Butt, J. (2004). PSG consensus statement on management of hepatitis C virus infection. JPMA. The Journal of the Pakistan Medical Association, 54(3), 146-150.
Jacobson, E. (1938). Progressive relaxation. England: University of Chicago Press.
Kouimtsidis, C., Reynolds, M., Drummond, C., Davis, P. & Tarrier, N. (2007). Cognitive-Behavioral Therapy in the Treatment of Addiction. A Treatment Planner for Clinicians. John Wiley & Sons Ltd.
Leahy, R. L. (2003). Cognitive Therapy Techniques, A Practitioners Guide. The Guilford Press.
Lincoln, T. M., Ziegler, M., Mehl, S., Kesting, M. L., Lüllmann, E., Westermann, S., & Rief, W. (2012). Moving from efficacy to effectiveness in cognitive behavioral therapy for psychosis: A randomized clinical practice trial. Journal of Consulting and Clinical Psychology, 80(4), 674. https://doi.10.1037/a0028665
Myers, E., Startup, H., & Freeman, D. (2013). Improving sleep, improving delusions: CBT for insomnia in individuals with persecutory delusions. CBT for schizophrenia: evidence-based interventions and future directions. Malden: John Wiley & Sons, 213-33.
Kay, S. T., Opler, L. A. & Fiszbein, A. (1986). Positive and Negative Syndrome Scale Manual. US: Multi-Health Systems, Inc.
Quarantini, L. C., Cruz, S. C., Batista-Neves, S. C., Paraná, R., Miranda-Scippa, Â., & Bressan, R. A. (2006). Psychosis during peginterferon-alpha2a and ribavirin therapy: case report. Brazilian Journal of Infectious Diseases, 10(6), 406-407. https://doi.org/10.1590/S1413-86702006000600010
Schaefer, M., Capuron, L., Friebe, A., Diez-Quevedo, C., Robaeys, G., Neri, S., . . . Pariante, C. M. (2012). Hepatitis C infection, antiviral treatment and mental health: A European expert consensus statement. Journal of Hepatology, 57(6), 1379-1390. http://doi.10.1016/j.jhep.2012.07.037
Silverman, B. C., Kim, A. Y., & Freudenreich, O. (2010). Interferon-induced psychosis as a “psychiatric contraindication” to hepatitis C treatment: a review and case-based discussion. Psychosomatics, 51(1), 1-7. http:// doi: 10.1176/appi.psy.51.1.1
Smith, L., Nathan, P., Juniper, U., Kingsep, P. & Lim, L. (2003). Cognitive Behavioral Therapy for Psychotic Symptoms: A Therapist’s Manual. Centre for Clinical Intervention.
Wells, A. (1997). Cognitive Therapy of Anxiety Disorders, A Practice Manual and Conceptual Guide. John Wiley & Sons Ltd.
Published
2022-08-19
How to Cite
Saleem, S., Majeed, R., & Ashraf, R. (2022). Alpha-Interferon Induced Psychosis: A Single Case Study. Clinical and Counselling Psychology Review, 3(2). https://doi.org/10.32350/ccpr.32.03
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