Compassion Focused Therapy (CFT) for the Reduction of the Internalized Stigma of Mental Disorders: a Multi-center, Prospective, Randomized, Controlled Study

Status: Recruiting
Location: See all (7) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

People with mental disorders face frequent stigmatizing attitudes and behaviors from others . In response to this, they tend to isolate themselves, with the risk of impeding care and the process of recovery and integration into society . Stigmatization can also be assimilated by patients themselves - i.e. self-stigma. Self-stigma is involved in diminished coping skills that lead to social avoidance and difficulties in adhering to care . Reducing self-stigma and its emotional corollary, shame, is thus crucial to attenuate the disability associated with mental illness. Shame is inherent to self-stigma and leads to difficulties in adhering to care as well as greater severity of clinical presentations . Compassion Focused Therapy (CFT) is a third wave cognitive behavioral therapy that targets shame reduction and hostile self-to-self relationship and allows for symptom improvement while increasing self-compassion, a major resilience factor . Although shame is a prominent part of the concept of self-stigma, the efficacy of CFT has never been evaluated in individuals with high levels of self-stigma. In this study, the investigators will evaluate the efficacy and acceptability of a group based CFT program on decreasing self-stigma, compared to treatment as usual (TAU) and a psychoeducation program whose efficacy has been assessed in a previous trial.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Patient ≥18 years of age

• Patient informed of the results of the preliminary medical examination

• Patient affiliated to a social health insurance plan (beneficiary or beneficiary's family)

• Patient with one or several diagnoses of chronic psychiatric disorder (schizophrenia, schizoaffective disorder, bipolar disorder, recurrent major depression, borderline personality disorder) or a neurodevelopmental disorder (autism spectrum disorder) treated as an outpatient or in a day hospital

• CGI-Severity score\<6 assessed by the psychiatrist (Berk et al., 2008) ISMI score indicating moderate to high self-stigma (\>2.5; Lysaker et al., 2007)

Locations
Other Locations
France
Pôle de Psychiatrie Adulte, Hôpital Charles Perrens
NOT_YET_RECRUITING
Bordeaux
Ch Le Vinatier
NOT_YET_RECRUITING
Bron
CHU de Clermont-Ferrand, Hôpital Gabriel Montpied, Service de Psychiatrie B
NOT_YET_RECRUITING
Clermont-ferrand
Pôle Hospitalo-Universitaire de Psychiatrie d'adultes et d'addictologie du Grand Nancy, Centre Psychothérapique de Nancy
NOT_YET_RECRUITING
Laxou
CHU de Montpellier, Psychiatrie d'adultes, Hôpital la Colombière
NOT_YET_RECRUITING
Montpellier
Etablissement Public de Santé Mentale (EPSM) de la Marne, Site Pierre-Briquet, Unité de réhabilitation psychosociale
NOT_YET_RECRUITING
Reims
Service de Psychiatrie, Hôpital Civil, Hôpitaux Universitaires de Strasbourg
RECRUITING
Strasbourg
Contact Information
Primary
Luisa Weiner
weiner@unistra.fr
0033388116312
Time Frame
Start Date: 2023-04-03
Estimated Completion Date: 2028-03-01
Participants
Target number of participants: 336
Treatments
Experimental: Compassion Focused Therapy
Active_comparator: Ending Self Stigma
No_intervention: Treatment As Usual
Sponsors
Leads: University Hospital, Strasbourg, France

This content was sourced from clinicaltrials.gov