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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Sham Comparator | Patients are followed in routine care. |
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| DIPEM group | Experimental | Patients have 5 session of mutual assistance with a mediator psychologist, during five days, with 1 session per day. Each session lasts 1h30, with 45 min for atelier, 15 min for pause and 30 min about collective discussion. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Insight Scale | Other | Before the patient was in DIPEM or control group and after the patient is involved in DIPEM or control group |
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| Measure | Description | Time Frame |
|---|---|---|
| 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). |
| Measure | Description | Time Frame |
|---|---|---|
| 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). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rusheenthira Thavaseelan | Contact | 0143093232 | 033 | r.thavaseelan@epsve.fr |
| mathilde Pistre | Contact | 0143093232 | 033 | m.pistre@epsve.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Etablissement Public de Santé de Ville-Evrard | Recruiting | Neuilly-sur-Marne | 93330 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 14511087 | Background | 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. | |
| 30935486 | Background | 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. |
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A control group and a intervention group
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| Semi-directional interviews | Other | In the end of the intervention. In the end of DIPEM Or in the end of control group. This intervention will be held after one month of hospitalization. |
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| routine care | Other | routine care |
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| session of mutual assistance with a mediator psychologist | Other | session of mutual assistance with a mediator psychologist |
|
| 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). |
| 8037256 | Background | 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. |
| 27526987 | Background | 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. |
| 17551351 | Background | Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007 Jul;20(4):359-64. doi: 10.1097/YCO.0b013e32816ebc8c. |
| 31242015 | Background | 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. |
| 27161262 | Background | 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. |
| 11704943 | Background | Thompson KN, McGorry PD, Harrigan SM. Reduced awareness of illness in first-episode psychosis. Compr Psychiatry. 2001 Nov-Dec;42(6):498-503. doi: 10.1053/comp.2001.27900. |