Integrated treatment of first episode psychosis with online training (e-learning): study protocol for a randomised controlled trial

BackgroundThe integrated treatment of first episode psychosis has been shown to improve functionality and negative symptoms in previous studies. In this paper, we describe a study of integrated treatment (individual psychoeducation complementary to pharmacotherapy) versus treatment as usual, comparing results at baseline with those at 6-month re-assessment (at the end of the study) for these patients, and online training of professionals to provide this complementary treatment, with the following objectives: 1) to compare the efficacy of individual psychoeducation as add-on treatment versus treatment as usual in improving psychotic and mood symptoms; 2) to compare adherence to medication, functioning, insight, social response, quality of life, and brain-derived neurotrophic factor, between both groups; and 3) to analyse the efficacy of online training of psychotherapists.Methods/designThis is a single-blind randomised clinical trial including patients with first episode psychosis from hospitals across Spain, randomly assigned to either a control group with pharmacotherapy and regular sessions with their psychiatrist (treatment as usual) or an intervention group with integrated care including treatment as usual plus a psychoeducational intervention (14 sessions). Training for professionals involved at each participating centre was provided by the coordinating centre (University Hospital of Álava) through video conferences. Patients are evaluated with an extensive battery of tests assessing clinical and sociodemographic characteristics (Positive and Negative Syndrome Scale, State-Trait Anxiety Inventory, Liebowitz Social Anxiety Scale, Hamilton Rating Scale for Depression, Scale to Assess Unawareness of Mental Disorders, Strauss and Carpenter Prognostic Scale, Global Assessment of Functioning Scale, Morisky Green Adherence Scale, Functioning Assessment Short Test, World Health Organization Quality of Life instrument WHOQOL-BREF (an abbreviated version of the WHOQOL-100), and EuroQoL questionnaire), and brain-derived neurotrophic factor levels are measured in peripheral blood at baseline and at 6 months. The statistical analysis, including bivariate analysis, linear and logistic regression models, will be performed using SPSS.DiscussionThis is an innovative study that includes the assessment of an integrated intervention for patients with first episode psychosis provided by professionals who are trained online, potentially making it possible to offer the intervention to more patients.Trial registrationNCT01783457 clinical trials.gov. Date of registration in primary registry 23 January 2013

Revista de psicodidáctica

Resumen tomado de la publicación. Resumen en castellano e inglésEn el campo de la psicología y educación moral hay una necesidad por una medida válida de la competencia del juicio moral. La idea de que el comportamiento y el desarrollo morales tengan un aspecto cognitivo es nueva y genera controversia. ¿Existe este componente realmente?O sea ¿Se puede medir y se puede demostrar que es relevante para el comportamiento humano? ¿Se desarrolla como se cree que lo hace, qué hace que se desarrolle y qué lo erosiona?. Para contestar estas cuestiones se hace necesario contar con un instrumento válido y la propuesta de Lind (1989), el Moral Judgement Test (MJT), supone una renovación en la evaluación del modelo de desarrollo moral propuesto por Kohlberg. La validez y certificación de la versión en euskera supone los pasos técnicos habituales en este tipo de procesos y sirve par abordar la validez de otro modelo teórico (Turiel, 1992).País VascoUniversidad Pública de Navarra. Biblioteca; Campus de Arrosadía; 31006 Pamplona; +34948169060; 948169069;ES

Tantak

Resumen tomado de la publicaciónEn este artículo se relata el proceso de validación de un instrumento de medida: el CY-PSPP (Children and Youth-Physical Self -Perception Profile). Whitehead (1995) es el autor de la versión original (en inglés, para niños/as entre 12 y 13 años de edad). Consiste en una adaptación del PSPP de Fox y Corbin (1989) para estudiantes universitarios. Estos cuestionarios pretenden analizar en profundidad el autoconcepto físico, del que distinguen 4 escalas: atractivo físico, fuerza, competencia física y habilidad deportiva. Hemos empleado una muestra de 575 niños/as para validar las versiones en euskera y castellano. Se han recogido diferencias estadísticamente significativas en las variables edad, género y participación deportiva. Se ofrece un análisis detallado de las mismas. Se apunta la necesidad de mejorar en futuros trabajos la fiabilidad del citado instrumento.País VascoES

Tantak

Resumen tomado de la publicaciónEl autoconcepto es objeto de estudio estas últimas décadas debido a su importancia en el comportamiento de las personas y el ámbito educativo, tal y como lo aceptan las principales teorías psicológicas. Mayoritariamente se le reconoce una naturaleza multidimensional y jerárquica. Entre las dimensiones del autoconcepto podemos señalar el ámbito físico. Constituido por la autopercepción en dos subapartados: apariencia física/imagen corporal y en habilidades deportivas/competencia física. En nuestro estudio experimental corroboramos la naturaleza multidimensional y jerárquica del modelo teórico de Shavelson et al. (1976), analizando la relación del autoconcepto físico con el resto de las dimensiones, y ratificamos la importancia del citado ámbito. Obtenemos índices de correlación satisfactorios.País VascoES

Revista de psicodidáctica

Resumen basado en el de la publicación. Resumen en castellano e inglésSe presenta el Cuestionario de Autoconcepto Físico (CAF) de nueva creación, tanto en lengua castellana como en euskera, cuyas propiedades psicométricas le hacen adecuado para su aplicación a partir de la preadolescencia. Se trata, al mismo tiempo, de clarificar interrogantes teóricos sobre cuestiones tales como las dimensiones del autoconcepto físico, la relación entre el autoconcepto físico y el desarrollo personal, la práctica deportiva o la ausencia de trastornos de conducta alimentaria, las características de una adecuada intervención educativa para promover el autoconcepto físico.País VascoUniversidad Pública de Navarra. Biblioteca; Campus de Arrosadía; 31006 Pamplona; Tel. +34948169060; Fax +34948169069;ES

Integrated treatment of first episode psychosis with online training (e-learning): study protocol for a randomised controlled trial

Background: The integrated treatment of first episode psychosis has been shown to improve functionality and negative symptoms in previous studies. In this paper, we describe a study of integrated treatment (individual psychoeducation complementary to pharmacotherapy) versus treatment as usual, comparing results at baseline with those at 6-month re-assessment (at the end of the study) for these patients, and online training of professionals to provide this complementary treatment, with the following objectives: 1) to compare the efficacy of individual psychoeducation as add-on treatment versus treatment as usual in improving psychotic and mood symptoms; 2) to compare adherence to medication, functioning, insight, social response, quality of life, and brain-derived neurotrophic factor, between both groups; and 3) to analyse the efficacy of online training of psychotherapists. Methods/design: This is a single-blind randomised clinical trial including patients with first episode psychosis from hospitals across Spain, randomly assigned to either a control group with pharmacotherapy and regular sessions with their psychiatrist (treatment as usual) or an intervention group with integrated care including treatment as usual plus a psychoeducational intervention (14 sessions). Training for professionals involved at each participating centre was provided by the coordinating centre (University Hospital of Alava) through video conferences. Patients are evaluated with an extensive battery of tests assessing clinical and sociodemographic characteristics (Positive and Negative Syndrome Scale, State-Trait Anxiety Inventory, Liebowitz Social Anxiety Scale, Hamilton Rating Scale for Depression, Scale to Assess Unawareness of Mental Disorders, Strauss and Carpenter Prognostic Scale, Global Assessment of Functioning Scale, Morisky Green Adherence Scale, Functioning Assessment Short Test, World Health Organization Quality of Life instrument WHOQOL-BREF (an abbreviated version of the WHOQOL-100), and EuroQoL questionnaire), and brain-derived neurotrophic factor levels are measured in peripheral blood at baseline and at 6 months. The statistical analysis, including bivariate analysis, linear and logistic regression models, will be performed using SPSS. Discussion: This is an innovative study that includes the assessment of an integrated intervention for patients with first episode psychosis provided by professionals who are trained online, potentially making it possible to offer the intervention to more patients

The 3rd Schizophrenia International Research Society Conference, 14-18 April 2012, Florence, Italy: Summaries of oral sessions

The 3rd Schizophrenia International Research Society Conference was held in Florence, Italy, April 14-18, 2012 and this year had as its emphasis, "The Globalization of Research". Student travel awardees served as rapporteurs for each oral session and focused their summaries on the most significant findings that emerged and the discussions that followed. The following report is a composite of these summaries. We hope that it will provide an overview for those who were present, but could not participate in all sessions, and those who did not have the opportunity to attend, but who would be interested in an update on current investigations ongoing in the field of schizophrenia research. (C) 2012 Elsevier B.V. All rights reserved.NIMHNIMH [MHR13MH082446