Psychological Treatment in Psychiatric Inpatient Care

NCT06012981 | Terminated

• 1 other identifier: 280468
• Study Type: interventional
• Target: 1
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the effect of a brief psychotherapeutic treatment intervention based on ACT, aimed specifically at the vulnerable group of patients in psychiatric 24-hour care treated according to LPT. The study aims to investigate whether a brief number of therapeutic sessions according to ACT during inpatient care produce positive effects on personally relevant life areas for a diagnostically mixed group of patients in a psychiatric intensive care unit.

Conditions

Compulsory Psychiatric Care Act; Psychosis; Acceptance & Commitment Therapy; Psychiatric Hospitalization; Psychiatric Disorder

Outcome Measures

Primary Outcomes (5)

• Change in Personal Questionnaire

  Scores range from 1-4 per item (number of items might differ between patients as the measure is individually constructed. Higher scores correspond to worse outcome.

  Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session

• Change in Bull's Eye Values Survey

  The score ranges from 0-28, higher scores corresponding to better outcome.

  Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session

• Change in PHQ-9

  The score ranges from 0-27, higher scores corresponding to worse outcome.

  Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session

• Change in GAD-7

  The score ranges from 0-21, higher scores corresponding to worse outcome.

  Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session

• Change in Psy-flex

  The score ranges from 6-30, higher scores corresponding to better outcome.

  Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session

Study Arms (1)

Acceptance & Commitment Therapy (ACT)

EXPERIMENTAL

Psyhotherapy based on principles of functional analysis, behavioral activation, and experiential avoidance.

Behavioral: ACT

Interventions

ACT BEHAVIORAL

The treatment is based on a variant of CBT, as briefly referred to before, ACT. In short, the treatment consists of identifying central and important areas of life, and how to approach these even though you are also struggling with persistent and challenging problems. In this study, the treatment intervention is flexibly constructed, focusing on several central principles based on ACT. These can be applied during one or numerous sessions. The intervention is a flexible application of clinical functional analysis, as well as a couple of selected interventions which, in terms of experience and in previous studies, have been shown to work well for the current group (24-hour psychiatric patients with complex problems) and which are individually adaptable to the nature of the problem and degree.

Acceptance & Commitment Therapy (ACT)

Eligibility Criteria

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

You may qualify if:

• years old or older.
• Treated according to the compulsory psychiatric care act.
• Meet the criterion of informed consent.

You may not qualify if:

• Lack the cognitive ability to acquire the treatment intervention, such as impaired attention, memory, logic and reasoning, and also auditory and visual processing. This will be based on a clinical assessment by the ward team, including the attending psychiatrist and a clinical psychologist.
• Ongoing psychological treatment parallel to the admission.

Sponsors & Collaborators

• Uppsala University: lead

Study Sites (1)

Hospital of Västmanland, Västerås

Västerås, Västmanland County, 72189, Sweden

Location

MeSH Terms

Conditions

Psychotic Disorders; Mental Disorders

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders

Study Officials

• Kent Nilsson, Professor

  Uppsala University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Single-case experimental design.

Study Record Dates

• First Submitted: April 28, 2023
• First Posted: August 28, 2023
• Study Start: September 1, 2023
• Primary Completion: November 15, 2023
• Study Completion: November 15, 2023
• Last Updated: December 20, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)