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Unforeseen difficulties in recruiting participants.
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acceptance & Commitment Therapy (ACT) | Experimental | Psyhotherapy based on principles of functional analysis, behavioral activation, and experiential avoidance. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ACT | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kent Nilsson, Professor | Uppsala University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital of Västmanland, Västerås | Västerås | Västmanland County | 72189 | Sweden |
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| ID | Term |
|---|---|
| D011618 | Psychotic Disorders |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
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Single-case experimental design.
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