Schizophrenia, schizoaffective disorder or delusional disorder Mental and Behavioural Disorders Schizophrenia
Conditions
Interventions
Patients are randomised to two groups:
1. Intervention: The intervention group will receive Attention Training (n=20). ATT will be delivered over eight sessions. During these sessions, participants wi
Sponsors
Greater Manchester West NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. In contact with mental health services 2. Either meets ICD-10 criteria for schizophrenia, schizoaffective disorder or delusional disorder, or meet entry criteria for early intervention In psychosis services (operationally defined using the PANSS) 3. Score at least four on PANSS delusions or hallucinations items 4. Help seeking 5. Competent and willing to provide written informed consent
Exclusion criteria
Exclusion criteria: 1. Moderate to severe learning disability 2. Organic impairment 3. Non-English speaking (this would prevent the use of standardised assessment instruments) 4. Inpatient/acute psychiatric care needed 5. Does not have a care coordinator or responsible clinician 6. Substance dependency 7. Deaf or hard of hearing (this would prevent use of the audio task as part of the intervention)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility will be measured using referral rates, recruitment, attendance at sessions, adherence to between-session work, and follow-up and questionnaire response rates. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The PANSS (Positive and Negative Syndrome Scale): a structured clinical interview assessing positive and negative symptoms of psychosis occurring within the last seven days 2. The HADS (Hospital Anxiety and Depression Scale): a self-report measure of anxiety and depression 3. The MCQ-30 (Meta-cognitions Questionnaire): a 30-item self-report measure of meta-cognitive beliefs 4. The CAS (Cogntive Attentional Syndrome Scale): a short self-report measure of cognitive attentional syndrome activation in the last seven days 5. The ACS (Attention Control Scale): a 20 item measure designed to assess general capacity to control attention 6. The WHOQOL: a questionnaire assessing quality of life of the participant 7. The QPR (Process of Recovery Questionnaire): a service user designed measure of recovery 8. Finally, a self-attention rating scale will be administered after the first and second ATT session for those randomly allocated the ATT plus TAU arm. The scale will utilise a likert rating to measure current intensity of self-focus on a scale ranging from -3 (entirely externally focussed) to +3 (entirely self-focussed). | — |
Countries
United Kingdom
Outcome results
None listed