"Stress in At Risk Mental State: Efficacy of Stress Management Cognitive Behavioral Therapy : a Randomized Controlled Trial"

NCT ID: NCT02368353

Last Updated: 2017-10-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-13

Study Completion Date

2020-08-31

Brief Summary

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The first psychotic episodes are preceded by a pauci-symptomatic phase from 2 to 4 years during which the psychotic symptoms are present at a subliminal level in severity or in frequency. The clinical criteria "mental status with risk" (AR) identifies patients among whom 10 in 40 % will make a psychotic transition in the year.

Our hypothesis is that interventions to reduce reactivity to stress are effective in reducing the intensity of psychotic symptoms in subjects with prodromal psychotic symptoms. Our project is to evaluate a therapy for stress management in at risk patients, compared to a conventional monitoring, and implement a longitudinal follow-up concerning the reduction of psychotic symptoms in conjunction with other markers of stress. Nonstigmatizing, these interventions offer an alternative to antipsychotics all the more interesting since they should also reduce the risk of depression and suicide.

Detailed Description

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Conditions

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Young Subjects With at Risk Mental States

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Cognitive behavioral therapy group

weekly group stress-management CBT (SM-CBT) - 1/week 3 months

Group Type EXPERIMENTAL

Cognitive behavioral therapy

Intervention Type OTHER

Reference group

weekly supportive therapy - 1/week 3 months

Group Type ACTIVE_COMPARATOR

Supportive therapy

Intervention Type OTHER

Interventions

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Cognitive behavioral therapy

Intervention Type OTHER

Supportive therapy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Aged 15 to 25 years
* Help-seekers in one of the specialized clinics for adolescents or young adults 9
* Meets CAARMS criteria for 'at risk mental state' (ARMS)

Exclusion Criteria

* situations of emergency.
* prengnancy, breast-feeding
* Forced hospitalization or individuals under legal guardianship.
* schizophrenia (DSMIV-TR criteria)
* Low IQ (\<70) ,
* Mother tongue and primary educational language other than French
* Blindness, deafness, muteness, sensorimotor or language deficits
* any severe medical condition,
* Daily cannabis use in the last week
* Current depression (\>20 MADRS scale)
* Substance dependence or abuse (except nicotine) for more than 5 years.
* Treatments by benzodiazépine (\> 10 mg amount diazépam) or stop of less than 5 days
* Previous treatment by antipsychotics in a superior dose in more than 100 mg equivalent Chlorpromazine if at least a sequence lasted more than 12 weeks
* Treatment by antipsychotics measures \> 100 mg eq. CPZactuel (superior dose in more than 100 mg equivalent Chlorpromazine) so introduced for less than three weeks
* Antidepressant treatmentsbegun for less three weeks
* Treatment by corticoids (except local treatment)
* Exclusion period of another study;
* The usual contraindications for MRI
* Absence of social insurance
Minimum Eligible Age

15 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier St Anne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Centre Hospitalier Sainte Anne

Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Marie-Odile KREBS KREBS, MD, PhD

Role: CONTACT

Phone: 0033145658646

Email: [email protected]

Marie GODARD

Role: CONTACT

Phone: 0033145657728

Email: [email protected]

Facility Contacts

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Marie-Odile KREBS, MD, PhD

Role: primary

Marie GODARD

Role: backup

Other Identifiers

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D14-P008

Identifier Type: -

Identifier Source: org_study_id