Psychological distress in people with schizophrenia and related psychotic disorders, mood disorders and anxiety or other non-psychotic disorders Mental and Behavioural Disorders Outpatients in secondary mental health care with primary diagnosis ICD-10 F2 (schizophrenia and related psychotic disorders), F3 (mood disorders) or F4 (anxiety and other non-psychotic disorders) with at least moderate symptom distress.
Conditions
Interventions
Participants will be randomly allocated with equal chance to receive either their preferred form of group arts therapy (art, dance movement or music therapy), or group counselling. Participants will c
Sponsors
East London NHS Foundation Trust
Eligibility
Sex/Gender
All
Age
18 Years to 110 Years
Inclusion criteria
Inclusion criteria: 1. Outpatient in secondary mental health care 2. Motivation to attend group arts therapy for 5 months and expression of preference for one of three forms 3. Aged 18 years or older 4. Primary diagnosis of ICD-10 - diagnosed with at least one of the following (participants are not required to be diagnosed with all three): 4.1. F2 (schizophrenia and related psychotic disorders) 4.2. F3 (mood disorders) 4.3. F4 (anxiety and other non-psychotic disorders) 5. Duration of current mental disorder of 6 months or longer 6. At least moderate symptom level on BSI (score of 1.65 or above on Global Severity Index) 7. Capacity to provide informed consent
Exclusion criteria
Exclusion criteria: 1. Primary diagnosis of organic mental disorder (F0), substance misuse (F1), personality disorder (F6) 2. Duration of current mental disorder <6 months (i.e. patients with short-term crises) 3. Physical condition that prevents attendance of group arts therapies 4. Insufficient command of English for communication with other group members and therapists.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Psychological distress, assessed using the Brief Symptom Inventory Global Severity Index, at the end of 20 weeks of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| The following are assessed at the end of 20 weeks of treatment, and 6 and 12 months post-treatment: 1. Psychological distress, assessed using the Brief Symptom Inventory (all subscales) 2. Observer-rated psychiatric symptoms, assessed using the Brief Psychiatric Rating Scale (BPRS) 3. Quality of life, assessed using the Manchester Short Assessment of Quality of Life (MANSA) 4. Objective social situation, assessed using the Objective Social Outcomes Index (SIX) 5. Use of health and social care, assessed using the Client Services Receipt Inventory (CSRI) 6. Self-related health to estimate Quality-adjusted life years (QALYS), assessed using the EQ-5D-3L questionnaire | — |
Countries
England, United Kingdom
Contacts
Public ContactCatherine Carr
Outcome results
None listed