Psychological Treatment in Psychiatric Inpatient Care.

NCT06702254 | Completed

• 1 other identifier: 2020-01169
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

There is a lack of psychological treatments within inpatient psychiatric care while there is support for active psychological interventions having an effect on psychiatric problems. The purpose of the present feasibility study is to test whether a psychological treatment based on Cognitive Behavioral therapy (CBT) and Acceptande and Commitment therapy (ACT) for patients in psychiatric inpatient care is acceptable, understandable, helpful and effective both for patients and the staff who carry out the treatment. The therapist in the project will receive training and on-going supervision in a CBT-manual created within the research group.

Conditions

Anxiety and Depression; Psychiatric Inpatients

Keywords

Cognitive behavioral therapy; Acceptance and commitment therapy; Psychiatric inpatient care

Outcome Measures

Primary Outcomes (1)

• Behavioral Activation Depression Scale-Short Form (BADS-SF)

  A self-report with nine questions that measures current activity level and satisfaction linked to activity under the present week inclusive of today. Scale scores are from 0 to 6 with a maximum of 54. Higher scores indicate a greater level of activity and satisfaction.

  Change from pre intervention to post intervention at treatment end, up to four weeks.

Secondary Outcomes (5)

• Generalized Anxiety Disorder-7 (GAD-7)

  Change from pre intervention to post intervention at treatment end, up to four weeks.

• Experience of Health (EQ-5D) (EuroQol, https://euroquol.org)

  Change from pre intervention to post intervention at treatment end, up to four weeks.

• Patient Health Questionnaire (PHQ-9)

  Change from pre intervention to post intervention at treatment end, up to four weeks.

• Patient Satisfaction (https://patientenkat.se/sv/)

  Change from pre intervention to post intervention at treatment end, up to four weeks.

• Experience of the psychological treatment

  Post treatment, an average of two weeks.

Study Arms (2)

Treament as usual

OTHER

The in-ward patient are provided treatment as usual. This can include medication, routine brief conversation and ward activity.

Other: Treatment as usual

Psychological manualized treatment with CBT and ACT

EXPERIMENTAL

The intervention is based on a manual and is an add-on to treatment as usual. In-ward patients are offered a brief psychological treatment based on core features from CBT and ACT such as behavioral activation and work on values and unhelpful thoughts. Prior to the intervention nursing staff receive training in the manual followed by supervision during the treatment intervention. The treatment in this condition is an add-on to usual treatment given in the wards. The intervention is brief up to four sessions in the manual but can be shortened or extended to fit the patients admission time.

Behavioral: Experimental: Psychological manualized treatment with CBT and ACT

Interventions

Experimental: Psychological manualized treatment with CBT and ACT BEHAVIORAL

The intervention is brief and centered around four therapeutic sessions that can be extended or shortened depending on how long patients are hospitalized. Core techniques from CBT and ACT are included in the manual and consists of behavioral activation and values and unhelpful thoughts. Nursing staff on these wards have received training in the manual parallel with supervision which is not given in the treatment as usual wards. The wards that have not received the intervention will be offered this at the end of their TAU period.

Psychological manualized treatment with CBT and ACT

Treatment as usual OTHER

This treatment as usual can consist of medication, brief talks, leisure activity on the wards.

Treament as usual

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Meet criteria for and are enrolled in psychiatric inpatient care.
• Agree to participate in the study.
• Assessed to be stable enough to participate in a conversation after a routine ward medical assessment (do they understand what they are agreeing to/not to, can communicate, etc.)

You may not qualify if:

• \* Other ongoing intensive psychotherapy (e.g. in outpatient care that continues during the psychiatric inpatient care stay).

Sponsors & Collaborators

• Region Stockholm: lead
• Karolinska Institutet: collaborator

Study Sites (1)

Psykiatri Nordväst

Stockholm, Sweden, Sweden

Location

MeSH Terms

Conditions

Anxiety Disorders; Depression

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Mental Disorders; Behavioral Symptoms; Behavior

Study Officials

• Lena Reuterskiöld PhD

  Region Stockholm

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: November 8, 2024
• First Posted: November 22, 2024
• Study Start: December 5, 2020
• Primary Completion: December 15, 2023
• Study Completion: June 30, 2024
• Last Updated: November 22, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)