Effect of Experience Sharing and Mutual Assistance on Insight and Recovery During the First Psychotic Episode

NCT06263933 | Unknown

• 1 other identifier: 2023-A01804-41
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Controlled, prospective, qualitative and quantitative trial. The goal of this trial is to evaluate the mutual assistance early intervention device efficacy and its impact on insight and personal recovery of participants living with a first psychotic episode. This intervention lasts 5 days with 1 session per day of 1 hour 30 minutes. Three evaluations, before the intervention, after intervention and 1 month after the hospitalization's end.

Conditions

Psychotic Episode

Keywords

retablishment; insight; mutual assistance; peer helper; psychiatric hospitalization; first psychotic episode

Outcome Measures

Primary Outcomes (1)

• The level of the increasing of The INSIGHT scale

  Used the "Echelle de conscience de trouble" - insight scale. There are 8 items, with 3 choices for each items : agree, disagree, unsure. The time is 5 minutes. Maximum score = 12, very good Insight Minimum score= 0, No Insight 9 and more= good insight

  at baseline (T0) and at 5 days after the intervention's beginning (T1).

Secondary Outcomes (2)

• The increase of Recovery Scale

  At baseline (T0) and at 5 days after the intervention's beginning (T1).

• The semi-structured interview

  At baseline (T0) and at 1 month after the hospitalization's end (T2).

Study Arms (2)

Control group

SHAM COMPARATOR

Patients are followed in routine care.

Other: Insight Scale; Other: Semi-directional interviews; Other: routine care

DIPEM group

EXPERIMENTAL

Patients have 5 session of mutual assistance with a mediator psychologist, during five days, with 1 session per day. Each session lasts 1h30, with 45 min for atelier, 15 min for pause and 30 min about collective discussion.

Other: Insight Scale; Other: Semi-directional interviews; Other: session of mutual assistance with a mediator psychologist

Interventions

Insight Scale OTHER

Before the patient was in DIPEM or control group and after the patient is involved in DIPEM or control group

Also known as: stage of recovery scale

Control group; DIPEM group

Semi-directional interviews OTHER

In the end of the intervention. In the end of DIPEM Or in the end of control group. This intervention will be held after one month of hospitalization.

Control group; DIPEM group

routine care OTHER

routine care

Control group

session of mutual assistance with a mediator psychologist OTHER

session of mutual assistance with a mediator psychologist

DIPEM group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Man or woman between 18 and 40 years old
• First psychotic episode under the guidance of a doctor
• Brief psycotic trouble (SM-V)
• Presenting a first psychiatry hospitalization (all modalities hospitalizations combined)
• Fluent in French language (read and written)
• Patient affiliated to a social protection system or beneficiary of Medical Aid of State
• Patient having signed informed consent for his participation in the protocol

You may not qualify if:

• Patients whose clinical condition does not allow them to participate in research
• Patients placed in isolation rooms during the intervention

Sponsors & Collaborators

• Centre hospitalier de Ville-Evrard, France: lead

Study Sites (1)

Etablissement Public de Santé de Ville-Evrard

Neuilly-sur-Marne, 93330, France

RECRUITING

Related Publications (8)

• Andresen R, Oades L, Caputi P. The experience of recovery from schizophrenia: towards an empirically validated stage model. Aust N Z J Psychiatry. 2003 Oct;37(5):586-94. doi: 10.1046/j.1440-1614.2003.01234.x.

  PMID: 14511087 BACKGROUND

• Courtet P. [Suicidal risk during the first psychotic episode]. Encephale. 2018 Dec;44(6S):S39-S43. doi: 10.1016/S0013-7006(19)30078-8. French.

  PMID: 30935486 BACKGROUND

• Fennig S, Kovasznay B, Rich C, Ram R, Pato C, Miller A, Rubinstein J, Carlson G, Schwartz JE, Phelan J, et al. Six-month stability of psychiatric diagnoses in first-admission patients with psychosis. Am J Psychiatry. 1994 Aug;151(8):1200-8. doi: 10.1176/ajp.151.8.1200.

  PMID: 8037256 BACKGROUND

• Franck N. [How to involve patients with schizophrenia in their treatment using psychoeducation]. Presse Med. 2016 Sep;45(9):742-8. doi: 10.1016/j.lpm.2016.07.012. Epub 2016 Aug 12. French.

  PMID: 27526987 BACKGROUND

• Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007 Jul;20(4):359-64. doi: 10.1097/YCO.0b013e32816ebc8c.

  PMID: 17551351 BACKGROUND

• Malla A, McGorry P. Early Intervention in Psychosis in Young People: A Population and Public Health Perspective. Am J Public Health. 2019 Jun;109(S3):S181-S184. doi: 10.2105/AJPH.2019.305018.

  PMID: 31242015 BACKGROUND

• Souaiby L, Gaillard R, Krebs MO. [Duration of untreated psychosis: A state-of-the-art review and critical analysis]. Encephale. 2016 Aug;42(4):361-6. doi: 10.1016/j.encep.2015.09.007. Epub 2016 May 6. French.

  PMID: 27161262 BACKGROUND

• Thompson KN, McGorry PD, Harrigan SM. Reduced awareness of illness in first-episode psychosis. Compr Psychiatry. 2001 Nov-Dec;42(6):498-503. doi: 10.1053/comp.2001.27900.

  PMID: 11704943 BACKGROUND

Central Study Contacts

Rusheenthira Thavaseelan

CONTACT

0143093232; r.thavaseelan@epsve.fr

mathilde Pistre

CONTACT

0143093232; m.pistre@epsve.fr

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: head of research center and clinical professor

Model Details: A control group and a intervention group

Study Record Dates

• First Submitted: January 3, 2024
• First Posted: February 16, 2024
• Study Start: November 13, 2023
• Primary Completion: November 13, 2024
• Study Completion: November 13, 2025
• Last Updated: February 16, 2024

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)