Psychological Treatment in Psychiatric Inpatient Care

Psychosis Clinical Trial

Official title:

Psychological Treatment in Psychiatric Inpatient Care

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT06012981
• Other study ID #: 280468
• Status: Terminated
• Phase: N/A
• Start date: September 1, 2023
• Est. completion date: November 15, 2023

Study information

• Verified date: December 2023
• Source: Uppsala University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 1
• Est. completion date: November 15, 2023
• Est. primary completion date: November 15, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 18 years old or older.

• Treated according to the compulsory psychiatric care act.

• Meet the criterion of informed consent.

Exclusion Criteria:

• 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.

Related Conditions & MeSH terms

• Mental Disorders
• Problem Behavior
• Psychiatric Disorder
• Psychiatric Hospitalization
• Psychosis

Intervention

Behavioral:
• ACT
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.

Locations

Country	Name	City	State
Sweden	Hospital of Västmanland, Västerås	Västerås	Västmanland

Sponsors (1)

Lead Sponsor	Collaborator
Uppsala University

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	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
Primary	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
Primary	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