"Psychiatric Social Work Intervention to Enhance Insight on illness in Persons with Schizophrenia"

Phase 1

Completed

Lead Sponsor: National Institute of Mental Health And Neuro SciencesInstitute of National Importance

Brief Summary: Insight is a critical factor in determining recovery from schizophrenia.Lack of insight into the illness is a cardinal symptom which is seen by researchers and clinical diagnostic manuals as a hindrance to seeking and continuing required treatment by the affected population.The relevance of this study is that, There are lack of studies attempted in improving insight into schizophrenia in India under psychosocial basis.If research can develop an effective package based on psychosocial grounds at the first episode itself then we could restrict or reduce the duration of illness by providing effective treatment and the rest of the negative consequences among people with schizophrenia and their care providers .Hence, this study is an attempt to develop and test the efficacy of an exclusive Psychiatric Social Work Intervention for insight enhancement for person with first episode schizophrenia in the clinical setting.This study is Randomised Controlled Trial with Researcher blinding,random allocation of subjects to the study etc.If the study proved effective in results then, it would be widely used in the mental health clinical setting by any multi-disciplinary team member for a wide population during their first episode of schizophrenia across any centres in our country.

Recruitment & Eligibility

Inclusion Criteria

1)Diagnosis of DSM V criteria for Schizophrenia 2)Subjects symptoms should be stabilized on regular medication minimum 3 months prior to the entry into the study.
3)Subjects insight score should be 4 or less in the CGI severity Scale 4)Duration of illness is greater or equal to 6 months to less or equal to 5 years 5)Family caregiver who accompany the person with first episode schizophrenia to NIMHANS OPD.

Exclusion Criteria

1)Subjects with history of any comorbid psychiatric or neurological disorders.
2)Subjects with psychiatric emergencies(i.e catatonia,suicidal ideation,aggression) 3)Subjects with substance abuse/dependence 4)Subjects with severe formal thought disorder 5)Subjects with intellectual disability as assessed clinically.

Primary Outcome Measures

Name	Time	Method
1)Better self knowledge and Insight	Baseline and Immediately after intervention
2)Decreased internalized stigma	Baseline and Immediately after intervention
2)Better treatment attitude	Baseline and Immediately after intervention
3)Better socio-occupational functioning	Baseline and Immediately after intervention
4)Higher chances of early remission.	Baseline and Immediately after intervention

Secondary Outcome Measures

Name	Time	Method
1)Decreased involuntary hospitalization	2)Able to identify warning signs and side effects

Locations (1): Out Patient Under Department of Psychiatry and Schizophrenia Clinic
🇮🇳
Bangalore, KARNATAKA, India
Out Patient Under Department of Psychiatry and Schizophrenia Clinic
🇮🇳Bangalore, KARNATAKA, India
Boban Joseph
Principal investigator
09483429290
bobinjoseph@gmail.com