Cognitive Strengths in First-Episode Psychosis: Perspectives of Cognition Experts

Cognitive impairments are core features of first-episode psychosis (FEP). A cognitive strengths based approach to treatment in FEP are one complimentary yet relatively unexplored method of intervention. This study explored the perspectives of experts in the field of cognition or FEP on the usefulness of a cognitive strengths-based approach in FEP. Semi-structured interviews were conducted with 10 international cognition or FEP experts (Mage = 50.2 years). An iterative, deductive thematic analysis was used to identify codes and organize them into overarching themes. Six higher-order themes summarized the data, which were related to: cognitive strengths in practice, self-report assessment methods, potential benefits and barriers of intervention, and implementation and development. Participants were positive about cognitive strengths approaches in FEP, suggesting that it may offer intrinsic benefits (e.g., self-efficacy) and promote greater functioning. Potential barriers, including harms related to invalidating cognitive concerns, did not outweigh potential benefits. Perspectives on self-report methodology, implementation, and development, were generally mixed. Cognitive strength-based approaches in FEP are promising areas of investigation according to experts in the field of cognition and FEP. Consultation with other key stakeholders (e.g., clinicians, people with psychosis) is an essential first step towards understanding the feasibility of this type of approach in mental health settings. © 2021, The Author(s), under exclusive licence to Springer Nature India Private Limited.