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Effectiveness of A Stigma Directed Interventional Program in Schizophrenia

Not Applicable
Suspended
Conditions
Schizophrenia
Stigma, Social
Interventions
Behavioral: Stigma Directed Psycho-educational Intervention program
Registration Number
NCT03930225
Lead Sponsor
Mansoura University
Brief Summary

randomized controlled study measuring the effectiveness of Stigma focused intervention in patients suffering from Schizophrenia

Detailed Description

Effectiveness of A Stigma Directed Intervention Program in Schizophrenia

It is a Randomized Controlled trial that aims at:

* Assessment of the relationship between self- stigma and

1. Family burden on the caregiver (Family member).

2. Medication adherence by patients.

* Assessment of the effectiveness of the family incorporation in the process of psychoeducation delivered to the patients suffering from Schizophrenia on the self-stigma and family burden of patients with Schizophrenia patients.

The study will be held in Mansoura University hospital Psychiatry department and will include 80 Egyptian patients with Schizophrenia or Schizoaffective disorder will be recruited from Psychiatry department of Mansoura University Hospital

Recruitment & Eligibility

Status
SUSPENDED
Sex
All
Target Recruitment
160
Inclusion Criteria
  1. Patients meet the diagnosis of schizophrenia or schizoaffective disorder according to DSM5.The clinical condition is stabilized.
  2. Age range between 18 to 50 years.
  3. Male and female sexes are included.
  4. Availability of close relative in direct contact with the patient.

Inclusion Criteria for the family members:

  1. Primary caregiver and the family member share household with patient.
  2. No history of receiving treatment of psychiatric disorders.
  3. No history of serious head trauma.

Exclusion Criteria :

  1. Co morbid substance abuse or dependence disorder.
  2. Co morbid intellectual disability.
  3. Co morbid chronic medical or neurological condition or history of serious head trauma.

Exclusion Criteria for family members:

-Sever physical illness that hinders their participation- -

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
control groupStigma Directed Psycho-educational Intervention programIn the control group, only Patients will attend the psycho-educational sessions. Family members and patients will be required to attend the assessment sessions.
study groupStigma Directed Psycho-educational Intervention programIn the study group, both patients and their family members will be required to attend a weekly 1 hour long psycho-educational sessions. Moreover assessment sessions will be attended also. "The stigma directed intervention program"
Primary Outcome Measures
NameTimeMethod
change in Self-Stigma using the Arabic version of the internalized stigma of mental illness scaleBaseline assessment followed by Point 1 Assessment at the end of the 8 weekly sessions of the program ( after 2 months from baseline assessment) Final assessment after 3 months from point 1 Assessment

stigma as experienced by patients themselves

change in perceived family burden using the perceived family burden scaleBaseline assessment---- followed by Point 1 Assessment at the end of the 8 weekly sessions of the program ( after 2 months from baseline assessment) Final assessment after 3 months from point 1 Assessment

how much the disorder represent a burden on family

change in medication adherence using customized chart for each patientBaseline assessment followed by Point 1 Assessment at the end of the 8 weekly sessions of the program ( after 2 months from baseline assessment) fFinal assessment after 3 months from point 1 Assessment

the degree the patient adhere to the prescribed medications

Secondary Outcome Measures
NameTimeMethod
change in the clinical outcome using Positive and Negative Symptoms ScaleBaseline assessment followed by Point 1 Assessment at the end of the 8 weekly sessions of the program ( after 2 months from baseline assessment) Final assessment after 3 months from point 1 Assessment

Of the 30 items included in the PANSS, 7 constitute a Positive Scale, 7 a Negative Scale, and the remaining 16 a General Psychopathology Scale. The scores for these scales are arrived at by summation of ratings across component items. Therefore, the potential ranges are 7 to 49 for the Positive and Negative Scales, and 16 to 112 for the General Psychopathology Scale. In addition to these measures, a Composite Scale is scored by subtracting the negative score from the positive score. This yields a bipolar index that ranges from -42 to +42, which is essentially a difference score reflecting the degree of predominance of one syndrome in relation to the other.

Trial Locations

Locations (1)

Mansoura University Psychiatry Department

🇪🇬

Mansoura, Dakahlya, Egypt

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