Assessment of the Effectiveness of the NECT Program

Summary

Self-stigma refers to the transformation process wherein a person's previously held social identity is progressively replaced by a devalued and stigmatized view of oneself termed "illness identity". Self-Stigma is a severe problem in Serious Mental Illness (SMI). Self-stigma prevalence is high (41.7% of the 1229 participants with SZ and 21.7% of the 1182 participants with mood disorders had moderate to high levels of IS in the GAMIAN-Europe study). Self-stigma was negatively associated with self-esteem, social function, wellbeing, quality of life or personal recovery and positively associated with psychiatric symptoms and depression. Several psychosocial interventions (mostly combinations of psychoeducation and cognitive behaviour therapy) have been designed to reduce self-stigma and its impact on clinical and functional outcomes, with preliminary effects on self-stigma, insight and self-efficacy.

Narrative Enhancement and Cognitive Therapy (NECT) is a manualized structured 20-session group-based intervention . Conducted by two trained facilitators the sessions combine psychoeducation, cognitive restructuring and story-telling exercises to reduce self-stigma. Developed in USA, NECT was adapted in Israel and Sweden. NECT showed effectiveness in reducing self-stigma and in improving self-esteem and quality of life. Despite being effective on changing coping strategies, NECT effectiveness on social function is still unclear.

The present study aims to validate NECT French adaptation and to evaluate its effectiveness on social function, self-stigma, psychiatric symptoms, self-esteem, wellbeing, quality of life and personal recovery in SMI participants (schizophrenia, bipolar disorder, borderline personality disorder)

Conditions

• Schizophrenia
• Bipolar Disorder
• Borderline Personality Disorder
• Social Function
• Self-stigma

Interventions

OTHER

Psychiatric interview

PANSS, MADRS, PSP, YMRS

OTHER

Clinical, diagnostic and functional evaluation

ISMI, STORI, SERS, S-QOL, WEWMBS, BIRCHWOOD, MARS

OTHER

neuropsychological assessment

WAIS IV, BEM 144, TMT A, TMT B, D2-R, V-LIS

OTHER

NECT PROGRAM

Narrative Development and Cognitive Therapy (NECT) is a 12 session group-based manualized intervention combining psychoeducation, cognitive restructuring and narrative enhancement. The 2h sessions are conducted by two trained facilitators.

Sponsors & Collaborators

• Hôpital le Vinatier

  collaborator OTHER

• University Hospital, Grenoble

  collaborator OTHER

• Clinique du Dauphiné

  collaborator UNKNOWN

• CH Annecy Genevois

  collaborator OTHER

• University Hospital, Clermont-Ferrand

  collaborator OTHER

• Centre Hospitalier Esquirol

  collaborator OTHER

• Centre Hospitalier Universitaire de Nice

  collaborator OTHER

• CHS LE VALMONT

  collaborator UNKNOWN

• University Hospital, Caen

  collaborator OTHER

• University Hospital, Geneva

  collaborator OTHER

• University Hospital, Montpellier

  collaborator OTHER

• Hospital Center Alpes-Isère

  lead OTHER

Principal Investigators

• Julien JD DUBREUCQ, MD · Hospital Center Alpes-Isère

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

CROSSOVER

Eligibility

Min Age

18 Years

Max Age

60 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-02-10

Primary Completion

2022-09-01

Completion

2023-04-01

Countries

• France
• Switzerland

Study Locations