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The body esteem influences the physical appearance, which can be a social brake. To enhance the socio-professional insertion of persons with severe mental disorders, the investigators developed a group program about self-presentation and body esteem. The study's objective is to understand the body esteem impact on socio-professional insertion, and how to improve that with a dedicated group program, for patients in a psychosocial rehabilitation center
Our hypothesis is that a group program centered on the image and the presentation of the self, with the intervention of professionals of the image of the body, such as socio-hairdresser, socio-beautician, allows a better socio-professional inclusion, through an improvement in body self-esteem. Taking care of yourself will require different approaches such as advice on hygiene, becoming aware of your body, experimenting with beauty treatments and having the means to reproduce them at home. We will compare our IPS program (Image and Presentation of Self), with the usual management in the care center (TAU = "Treatment As Usual")
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IPS (Self-image and body-representation program) | Experimental | The IPS program (Self-image and body representation) was designed by Dr PLAZAT and coll. for specific use with patients with severe mental disorders suffering of low self- and body-esteem and aiming at " reinsert themselves" in the society. |
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| TAU | Active Comparator | Treatment As Usual : the usual care proposed by the health service (SUR/CL3R). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IPS program : Self-image and body representation | Behavioral | The IPS program consists in 13 sessions of 2 hours over a 13-weeks period. Sessions content is as follows :
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| Measure | Description | Time Frame |
|---|---|---|
| Appreciation of one's own appearance | The main judgement criterion is the difference before/after the program for each of the two groups (IPS and TAU) of the weighted average at the "satisfaction with overall appearance" and "wish to change appearance" dimensions of the BES (Body-Esteem Scale), common dimensions for men and women. This difference will be compared between the 2 groups by a Student test (or a Wilcoxon-Mann-Whitney test in case of non normality). | baseline, one month, three months, nine months after the end of the treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Appreciation of the Self-esteem measured by the Self-Esteem Rating Scale | As for the primary outcome | baseline, one month, three months, nine months after the end of the treatment |
| Appreciation of the well-being measured by the Warwick-Edinburgh Well-Being Mental Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lucie-Orianne PLAZAT, M.D | Centre Hospitalier le Vinatier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| centre de réhabilitation - Hôpital le Vinatier | Lyon | Rhône | 69006 | France |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D001714 | Bipolar Disorder |
| D010554 | Personality Disorders |
| D001008 | Anxiety Disorders |
| D003866 | Depressive Disorder |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D000068105 | Bipolar and Related Disorders |
| D019964 | Mood Disorders |
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Randomized, single-centre, comparative, interventional study, treated in open parallel groups, measuring the impact of "professional" body image intervention on improving body self-esteem in patients with severe mental health problems.
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| TAU | Behavioral | The treatment of the group TAU (Treatment As Usual) will consist of the usual care proposed by the health service. No additional session will be proposed. |
|
As for the primary outcome |
| baseline, one month, three months, nine months after the end of the treatment |
| Appreciation of the satisfaction level measured by the Client's Assessment of Strengths, Interests and Goals Scale (CASIG ) | As for the primary outcome | baseline, one month, three months, nine months after the end of the treatment |
| Appreciation of the satisfaction measured by the Satisfaction in the domains of life | As for the primary outcome | baseline, one month, three months, nine months after the end of the treatment |