Acceptance & Commitment Therapy for Psychotic Inpatients

Uppsala University

Overview

The overarching aim of the research project is to investigate whether Acceptance \& Commitment Therapy (ACT) is an efficacious psychotherapeutic method of treatment for inpatients suffering from acute psychosis. The method will be applied in two ways. Firstly, as an individual treatment for patients. Secondly, as an integrated part of the daily work on an inpatient ward, administered by nurses and assistant nurses trained in the method.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

Acute Psychosis

Interventions

Acceptance & Commitment TherapyBEHAVIORAL

A variant of cognitive behavior therapy focused on acceptance and valued living in the presence of distressing symptoms.

AttentionBEHAVIORAL

Supportive conversation at a frequency and length corresponding to the experimental condition.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Admitted to a specified psychiatric inpatient ward during the time-period of the study; psychotic spectrum diagnosis as specified in patient charts; assessed by contact person on the ward as having delusions or hallucinations. Exclusion Criteria: * Cognitive difficulties to an extent where informed consent cannot be given.

Locations (1)

Västmanland Hospital, Västerås, Västmanland County Council

Västerås, Sweden

Outcomes

Primary Outcomes

Rehospitalization

Whether or not, and if so for how many days, a patient has ben readmitted to inpatient care during the follow-up period.

Time frame: 12 months

Secondary Outcomes

Bull's Eye Values Inventory

Quality of life instrument to be administered before treatment, after treatment, and at 3, 6 and 12 month follow-up.

Time frame: 12 months

EQ-5D

Health related quality of life instrument to be administered before treatment, after treatment, and at 3, 6 and 12 month follow-up.

Time frame: 12 months

Clinical Global Impression Scale

Symptom severity instrument to be administered before treatment, after treatment, and at 3, 6 and 12 month follow-up.

Time frame: 12 months

Acceptance & Action Questionnaire

Psychological flexibility instrument to be administered before treatment, after treatment, and at 3, 6 and 12 month follow-up.

Time frame: 12 months

Psychotic Symptom Rating Scales

Symptom severity instrument to be administered before treatment, after treatment, and at 3, 6 and 12 month follow-up.

Time frame: 12 months

Checklist of Unit Behaviors

Measure for degree of activity on the ward.

Time frame: During inpatient care.

Data from ClinicalTrials.gov

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