Psychotic Episode Clinical Trial
— DIPEMOfficial title:
Effect of Experience Sharing and Mutual Assistance on Insight and Recovery During the First Psychotic Episode
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.
Status | Recruiting |
Enrollment | 50 |
Est. completion date | November 13, 2025 |
Est. primary completion date | November 13, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 40 Years |
Eligibility | Inclusion Criteria: - 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 Exclusion Criteria: - Patients whose clinical condition does not allow them to participate in research - Patients placed in isolation rooms during the intervention |
Country | Name | City | State |
---|---|---|---|
France | Etablissement Public de Santé de Ville-Evrard | Neuilly-sur-Marne |
Lead Sponsor | Collaborator |
---|---|
Centre hospitalier de Ville-Evrard, France |
France,
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. — View Citation
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. — View Citation
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. — View Citation
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. — View Citation
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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. — View Citation
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. — View Citation
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | 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 | The increase of Recovery Scale | Scale of recovery "Stage of recovery instrument" (STORI). The time is 25 minutes. There are 5 dimensions of recovery, with 10 groups of questions, with 50 items in total. There is 5 choices for each items, with "0" to "2" for "not at all true currently" and "3" to "5" is "completely true currently". | At baseline (T0) and at 5 days after the intervention's beginning (T1). | |
Secondary | The semi-structured interview | For the first semi-structured interview, with 11 questions on 3 themes : the crisis course and the hospitalization, the role of peers during hospitalization and finally afterwards hospitalization. For the second semi-structured interview, there are 13 questions with 4 themes : the hospitalization living, psychosocial functioning, trouble awareness and management of symptoms. | At baseline (T0) and at 1 month after the hospitalization's end (T2). |
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