Trial Outcomes & Findings for RCT Social Cognition Training and Therapeutic Alliance Focused Therapy for Persons With Severe Mental Illness (NCT NCT02380885)

NCT ID: NCT02380885

Last Updated: 2025-03-06

Results Overview

A widely used measure of emotion perception and is indexed by the total number of correctly identified emotions out of nineteen pictured faces (higher number indicates better emotion identification).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

158 participants

Primary outcome timeframe

This outcome measure was assessed at baseline (Pre-intervention) and at 6 months later (Post-intervention).

Results posted on

2025-03-06

Participant Flow

A total of 158 participants participated in the study (158 participants were randomized into three groups). Data were collected between the years 2014 and 2018 from four psychiatric rehabilitation agencies.

Participant milestones

Participant milestones
Measure
SCIT
Social Cognition and Interaction Training: psychosocial group intervention SCIT: psychosocial group intervention
TAFT
Therapeutic Alliance Focused Therapy TAFT: psychosocial group intervention
TAU Group
Treatment as Usual
Overall Study
STARTED
62
58
38
Overall Study
COMPLETED
23
20
20
Overall Study
NOT COMPLETED
39
38
18

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

RCT Social Cognition Training and Therapeutic Alliance Focused Therapy for Persons With Severe Mental Illness

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SCIT
n=23 Participants
Social Cognition and Interaction Training: psychosocial group intervention SCIT: psychosocial group intervention
TAFT
n=20 Participants
Therapeutic Alliance Focused Therapy TAFT: psychosocial group intervention
TAU Group
n=20 Participants
Treatment as Usual
Total
n=63 Participants
Total of all reporting groups
Age, Customized
Age
38.9 years
STANDARD_DEVIATION 11 • n=5 Participants
41.4 years
STANDARD_DEVIATION 12.2 • n=7 Participants
39.7 years
STANDARD_DEVIATION 9.4 • n=5 Participants
39.94 years
STANDARD_DEVIATION 11 • n=4 Participants
Sex/Gender, Customized
male
12 participants
n=5 Participants
14 participants
n=7 Participants
15 participants
n=5 Participants
41 participants
n=4 Participants
Sex/Gender, Customized
female
11 participants
n=5 Participants
6 participants
n=7 Participants
5 participants
n=5 Participants
22 participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
23 Participants
n=5 Participants
20 Participants
n=7 Participants
20 Participants
n=5 Participants
63 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
Israel
23 participants
n=5 Participants
20 participants
n=7 Participants
20 participants
n=5 Participants
63 participants
n=4 Participants
The Face Emotion Identification Task (FEIT)
12.83 units on a scale
n=5 Participants
12.42 units on a scale
n=7 Participants
11.55 units on a scale
n=5 Participants
12.29 units on a scale
n=4 Participants

PRIMARY outcome

Timeframe: This outcome measure was assessed at baseline (Pre-intervention) and at 6 months later (Post-intervention).

Population: Each participant underwent a baseline evaluation prior to his participation of one of the groups (=PRE group), and underwent another evaluation at the end of the group intervention (=POST group, at 6 months)

A widely used measure of emotion perception and is indexed by the total number of correctly identified emotions out of nineteen pictured faces (higher number indicates better emotion identification).

Outcome measures

Outcome measures
Measure
SCIT
n=23 Participants
Social Cognition and Interaction Training: psychosocial group intervention SCIT: psychosocial group intervention
TAFT
n=20 Participants
Therapeutic Alliance Focused Therapy TAFT: psychosocial group intervention
TAU Group
n=20 Participants
Treatment as Usual
The Face Emotion Identification Task (FEIT)
PRE group intervention
12.83 score on a scale
Standard Deviation 2.86
12.47 score on a scale
Standard Deviation 3.71
11.55 score on a scale
Standard Deviation 3.20
The Face Emotion Identification Task (FEIT)
POST group intervention
13.65 score on a scale
Standard Deviation 2.71
13.65 score on a scale
Standard Deviation 3.45
12.00 score on a scale
Standard Deviation 3.73

PRIMARY outcome

Timeframe: This outcome measure was assessed at baseline (Pre-intervention) and at 6 months later (Post-intervention).

Population: Each participant underwent a baseline evaluation prior to his participation of one of the groups (=PRE group), and underwent another evaluation at the end of the group intervention (=POST group, at 6 months)

The Faux Pas Task is a social cognition assessment tool that measures the ability to detect and understand social faux pas - situations where someone says something they shouldn't have said because they didn't know or realize certain information. Faux-Pas task in its Hebrew version (Shamay-Tsoory, Tomer, Berger, Goldsher, \& Aharon-Peretz, 2005) was used to assess TOM. It consist of 10 stories in which a faux pas has occurred and 10 control stories. It assesses emotional and cognitive attributions and the score for each story ranged between 0 to 7. After each story the participants are asked six questions regarding the recognition of faux-pas (understanding the mental state of speaker and listener, understanding the emotional state of the listener). The total score ranges from 0 to 70, when higher scores indicate better ability to detect social mistakes.

Outcome measures

Outcome measures
Measure
SCIT
n=23 Participants
Social Cognition and Interaction Training: psychosocial group intervention SCIT: psychosocial group intervention
TAFT
n=20 Participants
Therapeutic Alliance Focused Therapy TAFT: psychosocial group intervention
TAU Group
n=20 Participants
Treatment as Usual
Faux-Pas Task
PRE group intervention
30.79 score on a scale
Standard Deviation 8.19
30.11 score on a scale
Standard Deviation 6.84
27.95 score on a scale
Standard Deviation 8.11
Faux-Pas Task
POST group intervention
34.41 score on a scale
Standard Deviation 5.51
31.89 score on a scale
Standard Deviation 7.98
29.20 score on a scale
Standard Deviation 8.51

PRIMARY outcome

Timeframe: This outcome measure was assessed at baseline (Pre-intervention) and at 6 months later (Post-intervention).

Population: Each participant underwent a baseline evaluation prior to his participation of one of the groups (=PRE group), and underwent another evaluation at the end of the group intervention (=POST group, at 6 months)

The AIHQ is a measure of attributional style for situations with negative outcomes and ambiguous causality. Participants are asked to read each of five vignettes, to imagine that the scenario is happening to her or him, and to write down the reason why the other person acted the way he did toward the participant. Two independent raters subsequently code this written response for the purpose of computing a "hostility bias." The participant then rates the degree to which he or she thinks the other person performed the action on purpose, how angry this action would make the participant feel, and how much the participant would blame the other person. Four scales that are calculated: Hostility Bias, Blame Score, Aggression Bias, Intentionality Bias (each is a 5-point Likert scale) . In the total scores, each scale can be range from 0 (min) to 25 (max), with higher scores indicating greater attribution of hostile intent, blame, or aggressive response tendencies.

Outcome measures

Outcome measures
Measure
SCIT
n=23 Participants
Social Cognition and Interaction Training: psychosocial group intervention SCIT: psychosocial group intervention
TAFT
n=20 Participants
Therapeutic Alliance Focused Therapy TAFT: psychosocial group intervention
TAU Group
n=20 Participants
Treatment as Usual
Ambiguous Intentions Hostility Questionnaire (AIHQ)
Hostility bias - pre group intervention
10.93 score on a scale
Standard Deviation 3.50
12.63 score on a scale
Standard Deviation 4.20
11.64 score on a scale
Standard Deviation 3.70
Ambiguous Intentions Hostility Questionnaire (AIHQ)
Hostility bias - post group intervention
10.19 score on a scale
Standard Deviation 2.34
11.64 score on a scale
Standard Deviation 4.50
12.06 score on a scale
Standard Deviation 3.61
Ambiguous Intentions Hostility Questionnaire (AIHQ)
Intentionality score - pre
12.49 score on a scale
Standard Deviation 3.31
12.58 score on a scale
Standard Deviation 4.66
12.42 score on a scale
Standard Deviation 3.76
Ambiguous Intentions Hostility Questionnaire (AIHQ)
Intentionality score - post
11.69 score on a scale
Standard Deviation 2.09
11.05 score on a scale
Standard Deviation 4.78
12.30 score on a scale
Standard Deviation 2.96
Ambiguous Intentions Hostility Questionnaire (AIHQ)
Anger score - pre
14.9 score on a scale
Standard Deviation 4.21
14.68 score on a scale
Standard Deviation 5.52
12.66 score on a scale
Standard Deviation 4.50
Ambiguous Intentions Hostility Questionnaire (AIHQ)
Anger score - post
13.53 score on a scale
Standard Deviation 3.39
12.47 score on a scale
Standard Deviation 5.64
13.47 score on a scale
Standard Deviation 5.26
Ambiguous Intentions Hostility Questionnaire (AIHQ)
Blame score - pre
14.29 score on a scale
Standard Deviation 4.09
14.16 score on a scale
Standard Deviation 5.92
13.05 score on a scale
Standard Deviation 4.50
Ambiguous Intentions Hostility Questionnaire (AIHQ)
Blame score - post
13 score on a scale
Standard Deviation 3.61
13 score on a scale
Standard Deviation 5.73
13.63 score on a scale
Standard Deviation 4.42

PRIMARY outcome

Timeframe: This outcome measure was assessed at baseline (Pre-intervention) and at 6 months later (Post-intervention).

Population: Each participant underwent a baseline evaluation prior to his participation of one of the groups (=PRE group), and underwent another evaluation at the end of the group intervention (=POST group, at 6 months)

The SSPA is a verbal role-play assessment in which the subject participates in two 3-minute role-play conversations ("scenes") with the assessor on pre-determined topics (e.g. "Your landlord has not fixed a leak that you told him about last week, and now you are calling him on the phone to follow-up."). Role-plays are tape-recorded and rated by independent coders. Each one of the 17 domains is rated on a 5-point Likert-type scale. Thus, the total score for the task can be ranged from 0 (min) to 85 (max), with higher scores signifying greater social skills. The SSPA has good face validity as a social skill measure and among individuals with schizophrenia it shown excellent inter-rater reliability, good test-retest reliability, and good convergent validity with a measure of activities of daily living. It is a 5-point Likert-type scale with higher scores signifying greater social skill.

Outcome measures

Outcome measures
Measure
SCIT
n=23 Participants
Social Cognition and Interaction Training: psychosocial group intervention SCIT: psychosocial group intervention
TAFT
n=20 Participants
Therapeutic Alliance Focused Therapy TAFT: psychosocial group intervention
TAU Group
n=20 Participants
Treatment as Usual
Social Skill Performance Assessment
PRE group intervention
47.13 score on a scale
Standard Deviation 13.3
48.90 score on a scale
Standard Deviation 13.4
54 score on a scale
Standard Deviation 16
Social Skill Performance Assessment
POST group intervention
52.39 score on a scale
Standard Deviation 16.6
50.20 score on a scale
Standard Deviation 12.7
49.70 score on a scale
Standard Deviation 16.2

SECONDARY outcome

Timeframe: This outcome measure was assessed at baseline (Pre-intervention) and at 6 months later (Post-intervention).

Population: Each participant underwent a baseline evaluation prior to his participation of one of the groups (=PRE group), and underwent another evaluation at the end of the group intervention (=POST group, at 6 months)

The Wisconsin Quality of Life Scale (W-QLI) is a multidimensional assessment tool designed to measure quality of life, particularly for individuals with mental illness. The scores range from 0 to 7, with the higher score indicating higher social QoL.

Outcome measures

Outcome measures
Measure
SCIT
n=23 Participants
Social Cognition and Interaction Training: psychosocial group intervention SCIT: psychosocial group intervention
TAFT
n=20 Participants
Therapeutic Alliance Focused Therapy TAFT: psychosocial group intervention
TAU Group
n=20 Participants
Treatment as Usual
Wisconsin Social Quality of Life Scale.
PRE group intervention
4.48 score on a scale
Standard Deviation 1.22
5.22 score on a scale
Standard Deviation 1.35
4.78 score on a scale
Standard Deviation 1.40
Wisconsin Social Quality of Life Scale.
POST group intervention
4.61 score on a scale
Standard Deviation 1.31
5.23 score on a scale
Standard Deviation 1.53
4.77 score on a scale
Standard Deviation 1.32

Adverse Events

SCIT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

TAFT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

TAU - Treatment as Usual

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof. Ilanit Hasson-Ohayon

Bar-Ilan University

Phone: +972-3-5317673

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place