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Representations and Strategies for Recovery (EPR)

Primary Purpose

Schizophrenia, Undifferentiated, Anorexia, Bipolar Disorders

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Collection of the individual narrative, semi-directed interviews
Sponsored by
Hôpital le Vinatier
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Schizophrenia, Undifferentiated focused on measuring schizophrenia, anorexia, bipolar disorders, personality disorders

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 18 to 80 years
  • Psychiatric diagnosis according to DSM V critera of schizophrenia, eating disorder, bipolar disorder, personality disorder
  • In recovery scale
  • Informed of their diagnosis

Exclusion Criteria:

  • Acute psychiatric state
  • Poor understanding of french language

Sites / Locations

  • Vial Veronique

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Other

Other

Other

Other

Arm Label

schizophrenia

bipolar disorders

eating disorders

personality disorders

Arm Description

Exploring and understanding, through a multidisciplinary exploration (medical, anthropological and sociological) representations and recovery strategies in schizophrenia

Exploring and understanding, through a multidisciplinary exploration (medical, anthropological and sociological) representations and recovery strategies in bipolar disorders

Exploring and understanding, through a multidisciplinary exploration (medical, anthropological and sociological) representations and recovery strategies in eating disorders

Exploring and understanding, through a multidisciplinary exploration (medical, anthropological and sociological) representations and recovery strategies in personality disorders

Outcomes

Primary Outcome Measures

Collection of individual narratives to understand the recovery process
Semi-directed maintenance grid

Secondary Outcome Measures

Change from baseline in the Quality of Well-Being at one year
Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS)
Change from baseline in measures of psychological recovery at one year
Stages of recovery instrument (STORI ANDREASEN)

Full Information

First Posted
January 17, 2017
Last Updated
June 16, 2020
Sponsor
Hôpital le Vinatier
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1. Study Identification

Unique Protocol Identification Number
NCT03028545
Brief Title
Representations and Strategies for Recovery
Acronym
EPR
Official Title
Representations, Strategies and Identity Redefinition in the Recovery Process: Exploratory Study
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
January 4, 2017 (Actual)
Primary Completion Date
September 30, 2019 (Actual)
Study Completion Date
March 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hôpital le Vinatier

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
In the recent context of deinstitutionalization and longitudinal studies pointing to a large number of positive long-term outcommes for people affected by a psychiatric disorder (schizophrenia, bipolar disorder, eating disorder, severe personality disorder, etc.), the possibility of overcoming the consequences of a psychiatric pathology emerges as a solid fact. Therefore, the existence of this possibility calls for the identification of the determinants underlying of the various outcomes over time of those affected by a severe psychiatric disorder, in particular those likely to underpin the most positive developments. While it is well known from a medical point of view that certain dimensions affect the prognosis of persons affected by a severe psychiatric disorder (such as the persistence of negative symptoms or cognitive disorders in schizophrenic disorders), prognosis from a purely medical perspective (and putting aside the role of the person and his environment) seems to be able to account only for a modest proportion of the prognosis of people affected by a serious psychiatric disorder. It is this fact that has gradually led to the emergence of complementary models capable of enriching the understanding of the determinants of the future of people affected by a severe psychiatric disorder, in particular models inviting to separate "becoming of the person" from the " psychiatric disorder "to take into account the" personal role of the person "in his or her own healing. This perspective is the "recovery" perspective. Recovery process is defined as a personal trajectory which includes the person's experiences and the reactions of his / her environment following the installation of a psychiatric disorder, which can support a mode of release of the status of "psychiatric patient". Recovery thus implies an "approach underpinned by the understanding of the human response to pathology" (Noiseux) and, one might add, of its environment. However, while these studies point to a number of crucial dimensions involved in the recovery of a severe psychiatric disorder, one of the important limitations of these studies is the distance from any psychopathological consideration, thus setting aside the possibility of specific processes of recovery depending of the pathology. The identification of recurrent experiential logics specific to the various psychiatric disorders therefore appears to be an important field of investigation. It would potentially be able to guide the development of new therapeutic devices based on the recovery model.
Detailed Description
Elaboration of a semi directed grid (exploratory phase) Collection of individual narratives Data analysis, according to IPA method (interpretative phenomenological analysis) On the basis of individual narratives On the basis of a focus group Publication of results

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia, Undifferentiated, Anorexia, Bipolar Disorders, Personality Disorders
Keywords
schizophrenia, anorexia, bipolar disorders, personality disorders

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
schizophrenia
Arm Type
Other
Arm Description
Exploring and understanding, through a multidisciplinary exploration (medical, anthropological and sociological) representations and recovery strategies in schizophrenia
Arm Title
bipolar disorders
Arm Type
Other
Arm Description
Exploring and understanding, through a multidisciplinary exploration (medical, anthropological and sociological) representations and recovery strategies in bipolar disorders
Arm Title
eating disorders
Arm Type
Other
Arm Description
Exploring and understanding, through a multidisciplinary exploration (medical, anthropological and sociological) representations and recovery strategies in eating disorders
Arm Title
personality disorders
Arm Type
Other
Arm Description
Exploring and understanding, through a multidisciplinary exploration (medical, anthropological and sociological) representations and recovery strategies in personality disorders
Intervention Type
Behavioral
Intervention Name(s)
Collection of the individual narrative, semi-directed interviews
Intervention Description
Visit one : individual interview Individual narrative Passing Psychometric Measurement Scales of Recovery: Score at Warwick and Wellness Scale Andreasen scale score Visit two Focus group
Primary Outcome Measure Information:
Title
Collection of individual narratives to understand the recovery process
Description
Semi-directed maintenance grid
Time Frame
one year
Secondary Outcome Measure Information:
Title
Change from baseline in the Quality of Well-Being at one year
Description
Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS)
Time Frame
one year
Title
Change from baseline in measures of psychological recovery at one year
Description
Stages of recovery instrument (STORI ANDREASEN)
Time Frame
one year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18 to 80 years Psychiatric diagnosis according to DSM V critera of schizophrenia, eating disorder, bipolar disorder, personality disorder In recovery scale Informed of their diagnosis Exclusion Criteria: Acute psychiatric state Poor understanding of french language
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MARTIN BRICE, MD/PhD
Organizational Affiliation
CH LE VINATIER
Official's Role
Principal Investigator
Facility Information:
Facility Name
Vial Veronique
City
Bron
State/Province
Rhone Alpes
ZIP/Postal Code
69678
Country
France

12. IPD Sharing Statement

Plan to Share IPD
No

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Representations and Strategies for Recovery

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