Psychosocial Intervention to Reduce Self-stigma and Improve Quality of Life Among People With Mental Illness in Chile

NCT03197168 | Completed

• 1 other identifier: SA13I20384
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

The principal objective of this pilot trial is to evaluate the effectiveness of a psychosocial intervention to reduce self-stigma and improve treatment adherence and quality of life among people with a severe mental illness who attend to Community Mental Health Centers in Chile. The intervention is based on recovery and narrative therapy and considers 10 group sessions, mainly with patients, but also integrating relatives and professionals in some of the activities.

Conditions

Schizophrenia; Bipolar Disorder; Schizoaffective Disorder

Keywords

stigma; psychosocial intervention; low-and-middle income countries

Outcome Measures

Primary Outcomes (1)

• Self-stigma

  Internalized Stigma of Mental Illness Scale (ISMI) (Rishter et al., 2003). A Chilean version of this instrument was used during the study.

  Baseline (month 6); First follow-up assessment (change from Baseline ISMI scores at month 10); Second follow-up assessment (change from Baseline and 1st follow-up ISMI scores at month 14)

Secondary Outcomes (3)

• Quality of Life

  Baseline (month 6); First follow-up assessment (change from Baseline CSCV scores at month 10); Second follow-up assessment (change from Baseline and 1st follow-up CSCV scores at month 14)

• Psychopathology

  Baseline (month 6); First follow-up assessment (chance from Baseline PANSS scores at month 10); Second follow-up assessment (change from Baseline and 1st follow-up PANSS scores at month 14)

• Treatment adherence

  Baseline (month 6); First follow-up assessment (change from Treatment Adherence Baseline at month 10); Second follow-up assessment (change from Treatment Adherence Baseline and 1st follow-up at month 14)

Study Arms (2)

Intervention

EXPERIMENTAL

Intervention to reduce self-stigma among people with mental illness + Usual care

Behavioral: Intervention to reduce self-stigma among people with mental illness

Control

PLACEBO COMPARATOR

Usual care

Behavioral: Control

Interventions

Intervention to reduce self-stigma among people with mental illness BEHAVIORAL

This is a 10-session group intervention (held once a week), each lasting approximately 90 minutes, taking place where the participants receive mental health treatment. The intervention is informed by the following key areas: (1) recovery perspective of mental health and severe mental disorders; (2) constructivist epistemology approach to learning, using cases and users' experiences; and (3) psychotherapeutic and collective narrative practices, to address internalized problems and challenges shared among the group members, respectively.

Intervention

Control BEHAVIORAL

Generally, each community mental health center in Chile includes two full-time psychologists, a full-time social worker and half-time occupational therapist, nurse, and psychiatrist. This team mainly offers psychiatric medication, psychotherapy, and psycho-education for users and relatives. They do not offer any specific intervention to tackle stigma among providers.

Control

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• People with diagnosis of severe mental illness, including the following ICD-10 disorders: schizophrenia, schizoaffective disorder, bipolar disorder, severe depressive episode with psychotic symptoms.
• No longer than 5 years since the diagnosis since the first visit to a mental health clinic.

You may not qualify if:

• Expressing active suicidal ideation.
• Having substance abuse or dependence alone (may have psychotic symptoms but does not meet criteria for diagnoses included).
• Presenting cognitive or other sensorial impairment which is likely to preclude reliable assessment via our interview procedures

Sponsors & Collaborators

• University of Chile: lead
• Ministry of Health, Chile: collaborator

Study Sites (1)

University of Chile

Santiago, Santiago Metropolitan, 8320000, Chile

Location

Related Publications (1)

• Schilling S, Bustamante JA, Sala A, Acevedo C, Tapia E, Alvarado R, Sapag JC, Yang LH, Lukens E, Mascayano F, Cid P, Tapia T. Development of an intervention to reduce self-stigma in outpatient mental health service users in Chile. Rev Fac Cien Med Univ Nac Cordoba. 2015;72(4):284-94.

  PMID: 27107279 RESULT

Related Links

• Related Info

MeSH Terms

Conditions

Schizophrenia; Bipolar Disorder; Psychotic Disorders; Social Stigma

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Bipolar and Related Disorders; Mood Disorders; Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: BA MPH

Study Record Dates

• First Submitted: September 1, 2016
• First Posted: June 23, 2017
• Study Start: March 1, 2014
• Primary Completion: August 1, 2015
• Study Completion: March 1, 2016
• Last Updated: June 23, 2017

Record last verified: 2017-06

Data Sharing

• IPD Sharing: Will not share

Locations

CL (1)