RecruitingNot ApplicableNCT04889911

Pilot RCT of Self-stigma Treatment for First Episode Psychosis

Development of a Stage-specific Adaptation of a Self-stigma Intervention for People Recovering from a First Episode of Psychosis

Sponsor

John Jay College of Criminal Justice, City University of New York

Enrollment

40 participants

Start Date

Aug 1, 2023

Study Type

INTERVENTIONAL

Conditions

Youth First-episode Psychosis

Summary

The overall purpose of the proposed exploratory intervention development application, is to conduct research that will inform the adaptation and preliminary testing of NECT modified for youth (aged 15-24) with first episode psychosis (FEP), targeting self-concept and illness conceptions to increase treatment engagement. The specific aims of the project are to: 1) adapt NECT to be responsive to the needs and preferences of youth with FEP, and 2) Assess the feasibility, acceptability and preliminary effectiveness of the modified intervention (NECT-YA) combined with coordinated specialty care (CSC) services, compared to CSC services alone, in a small (n = 40) RCT.

Eligibility

Min Age: 15 YearsMax Age: 24 Years

Inclusion Criteria4

Meets criteria for FEP youth based on the following definition: age 15-24, onset of psychotic symptoms within the last 5 years, and an absence of a primary substance use or mood disorder that could be causing the psychotic symptoms (confirmed by program eligibility);
Meets criteria for moderate (defined as a mean score of 1-1.5 on the 0-3 scale of the Internalized Stigma of Mental lllness Scale \[ISMI\]) or elevated (defined as a mean score of 1.5-3 on the 0-3 scale of the ISMI) self-stigma;
Speaks English well enough to complete assessments and participate in groups;
Is able to provide informed consent to participate.

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Interventions

BEHAVIORALNarrative Enhancement and Cognitive Therapy- Young Adult, Combined with Coordinated Specialty Care

NECT is a psychosocial intervention focused on addressing the effects of self-stigma on individuals diagnosed with severe mental illnesses. For the present study, the intervention has been modified to address the needs of youth who have recently experienced a first episode of psychosis.

OTHERCoordinated Specialty Care

Coordinated Specialty Care is an evidence-based, multimodal intervention for persons who have experienced a first episode of psychosis.