Social problem solving in carers of young people with a first episode of psychosis: A randomized controlled trial

Terence V. Mccann, Sue M. Cotton, Dan I. Lubman

Research output: Contribution to journalArticleResearchpeer-review

5 Citations (Scopus)


Aim: Caring for young people with first-episode psychosis is difficult and demanding, and has detrimental effects on carers' well-being, with few evidence-based resources available to assist carers to deal with the problems they are confronted with in this situation. We aimed to examine if completion of a self-directed problem-solving bibliotherapy by first-time carers of young people with first-episode psychosis improved their social problem solving compared with carers who only received treatment as usual. Methods: A randomized controlled trial was carried out through two early intervention psychosis services in Melbourne, Australia. A sample of 124 carers were randomized to problem-solving bibliotherapy or treatment as usual. Participants were assessed at baseline, 6- and 16-week follow-up. Results: Intent-to-treat analyses were used and showed that recipients of bibliotherapy had greater social problem-solving abilities than those receiving treatment as usual, and these effects were maintained at both follow-up time points. Conclusions: Our findings affirm that bibliotherapy, as a low-cost complement to treatment as usual for carers, had some effects in improving their problem-solving skills when addressing problems related to the care and support of young people with first-episode psychosis.

Original languageEnglish
Pages (from-to)346-350
Number of pages5
JournalEarly Intervention in Psychiatry
Issue number4
Publication statusPublished - Aug 2017


  • Carer
  • First-episode psychosis
  • Problem solving
  • Self-help manual

Cite this