Psychodynamic Psychotherapy for Psychosis: An Empirical Pilot Study of Efficacy, Therapeutic Action, and Machine Learning Analysis of Within-Session Speech and Behavior
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Overall Functioning - Social
研究概览
简要总结
The broad goals of our pilot study are to (1) determine whether psychodynamic psychotherapy for psychosis (PPfP), relative to treatment as usual (TaU), can maintain or augment clinical and functional benefits for patients who have achieved initial recovery in our coordinated specialty care (CSC) early psychosis treatment program; (2) to conduct novel empirical study of how various psychodynamic factors may inform candidate selection, mediate therapeutic effects, and influence relational aspects of the therapy; and (3) to conduct a detailed study of how features of therapist and patient speech and behavior influence therapeutic outcomes, therapeutic alliance alliance, and relational process. This registration focuses on the first goal.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 35 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •completed the 2-3 year Coordinated Specialty Care (CSC) program
- •judged by present provider to be in an intermediate or advanced phase of recovery
- •had first episode of psychosis within the 3 years prior to enrollment
排除标准
- •established diagnosis of primary affective disorder, psychosis secondary to substance use or a medical illness
- •inability to communicate in English
- •eligibility for Department of Developmental Services
- •legally mandated to enter treatment.
结局指标
主要结局
Overall Functioning - Social
时间窗: From enrollment up to 5 years from enrollment.
The Global Functioning: Social scale will be used, with symptoms rated 1 (most impaired) to 10 (superior functioning).
Overall Symptom Severity
时间窗: From enrollment up to 5 years from enrollment.
The Positive and Negative Symptom Scale (PANSS) will be used. This is a 30 item scale. Each item is measured on a 7-point scale from 1 (absent) to 7 (extreme). Items are summed to obtain an overall score.
Overall Functioning - Role
时间窗: From enrollment up to 5 years from enrollment.
The Global Functioning: Role scale will be used, with symptoms rated 1 (most impaired) to 10 (superior functioning).
次要结局
- Symptom Severity (Positive Symptoms)(From enrollment up to 5 years from enrollment.)
- Symptom Severity (Negative Symptoms)(From enrollment up to 5 years from enrollment.)