Effectiveness of a Group Psychological Intervention in Reducing Self-stigma Among Patients With Mental Disorders

NCT04168918 | Terminated

• 1 other identifier: 191002-A
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

At the Psychiatric Hospital, there are limited mental health professionals to offer the standard of care that is expected at a psychiatric institution. Psychotherapy is most affected. However, there are mental health professionals in training and long waiting times before clients are seen, which provides an opportunity for an intervention to be carried out. The purpose of the study therefore, is to determine whether a group psychological intervention can primarily reduce self-stigma among outpatients at the Psychiatric Hospital. The intervention's effects on self-efficacy and quality of life will also be assessed.

Conditions

Self-stigma; Self Efficacy; Quality of Life

Outcome Measures

Primary Outcomes (1)

• Change in self-stigma

  Mean Change from Baseline in scores on the Internalized Stigma of Mental Illness Inventory (ISMI) after 6 sessions Each item is scored 1-4 (1=strongly disagree;4=strongly agree), yielding a total between 29 and 116. Higher scores indicate greater self-stigma.

  From enrollment to the end of intervention at 12 weeks

Secondary Outcomes (2)

• Change in self-efficacy: General self-efficacy scale

  From enrollment to the end of intervention at 12 weeks

• Change in quality of life: WHO5 Well Being Index

  From enrollment to the end of intervention at 12 weeks

Study Arms (2)

Group Psychological Intervention

EXPERIMENTAL

One topic will be discussed at each of the six sessions using some principles from cognitive behavioral therapy and psychoeducation.

Behavioral: Group psychological Intervention

Treatment-as-usual

NO INTERVENTION

Participants will receive their usual care which involves being seen by a mental health professional (psychologist, psychiatrist/resident in psychiatry, or mental health nurse).

Interventions

Group psychological Intervention BEHAVIORAL

There will be 6 sessions covering 6 topics (Understanding mental disorders, Self-stigma, Social support, Substance use and mental illness, Self-help strategies, Available mental health services). Each session will begin with welcoming, reviewing what was done in the last session and home assignments (where applicable), question-guided discussion, lecture, group sharing and home assignment

Group Psychological Intervention

Eligibility Criteria

• Age: 18 Years - 69 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Attend clinic every 2 weeks
• Willingness to attend all sessions

You may not qualify if:

• Cognitive impairment that limits the participant from understanding material and answering questions

Sponsors & Collaborators

• The University of The West Indies: lead

Study Sites (1)

The Psychiatric Hospital

Bridgetown, Barbados

Location

Related Publications (4)

• Cuhadar D, Cam MO. Effectiveness of psychoeducation in reducing internalized stigmatization in patients with bipolar disorder. Arch Psychiatr Nurs. 2014 Feb;28(1):62-6. doi: 10.1016/j.apnu.2013.10.008. Epub 2013 Oct 28.

  PMID: 24506989 BACKGROUND

• Schwarzer R, Jerusalem M. Generalized Self-Efficacy scale. In J. Weinman, S. Wright, & M. Johnston, Measures in health psychology: A user's portfolio. Causal and control beliefs (pp. 35-37). Windsor, UK: NFER-NELSON, 1995

  BACKGROUND

• Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76. doi: 10.1159/000376585. Epub 2015 Mar 28.

  PMID: 25831962 BACKGROUND

• Chang CC, Wu TH, Chen CY, Wang JD, Lin CY. Psychometric evaluation of the internalized stigma of mental illness scale for patients with mental illnesses: measurement invariance across time. PLoS One. 2014 Jun 2;9(6):e98767. doi: 10.1371/journal.pone.0098767. eCollection 2014.

  PMID: 24887440 BACKGROUND

Study Officials

• Shani KM Venner, MBBS,MPH

  University of the West Indies-Cave Hill Campus

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Postgraduate student

Model Details: Fifty per cent receive psychological intervention and fifty per cent receive treatment-as-usual

Study Record Dates

• First Submitted: November 14, 2019
• First Posted: November 19, 2019
• Study Start: January 7, 2020
• Primary Completion: January 24, 2020
• Study Completion: March 6, 2020
• Last Updated: May 21, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

BA (1)