Schizophrenia
Conditions
Brief summary
Introduction: Health care that addresses the emotional regulation capacity of patients with schizophrenia confronted with daily stress may contribute to a less anxious life. A psycho-physiological training (cardiac coherence training; CCT) focusing on emotion regulation is known to decrease anxiety for non-clinical individuals. Methods: the investigators performed a pilot cross sectional survey to explore the benefits of CCT for clinically stable patients with schizophrenia. Ten patients were enrolled in the program consisting in height to twelve weekly one hour session program during a 2-month follow-up. Standardised questionnaires were used before and after the intervention assessing anxiety, well-being outcomes, and how patients deal with stress and stressors.
Detailed description
Ten subjects, five women and five men, all volunteers, were included in the study. The patients were all clients of the rehabilitation center for psychotic disorders (Le Vinatier hospital) situated in Lyon, France. Criteria for entry into the study included: a Diagnostic and Statistical Manual of Mental Disorder-4 diagnosis of schizophrenia as confirmed by the Mini International Neuropsychiatric Interview for DSM-IV (MINI); age between 18 and 65; being clinically stable (i.e. not having required hospitalization or increases in medication as a result of an exacerbation of acute symptoms over the previous three months. All subjects completed a set of paper and pencil standardized assessments at pre-intervention and immediately after the end of the intervention. Trait and State anxiety was assessed using the French version of the Spielberger State-Trait-Anxiety Inventory (S-STAI). Three questionnaires were used in order to evaluate the outcomes quality of life of patients. 1/ The Positive And Negative Syndrome Scale (PANSS); 2/ Patient's body/mind perceptions were assessed using mindfulness concept (Freiburg Mindfulness Inventory, FMI), and 3/ Patients' quality of life was evaluated using the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). One questionnaire was used to assess how patients deal with stress and stressors (the Derogatis Stress Profile, DSP).
Interventions
OTHERemotion focused therapy training
The Cardiac Coherence Training (CCT) incorporates a series of emotion-refocusing and restructuring techniques involving the use of biofeedback to control heart rate variability
Sponsors
Institut de Recherche Biomedicale des Armees
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* diagnosis of remitted schizophrenia
Exclusion criteria
* exacerbation of schizophrenic symptoms over the previous three months (hospitalization or increases in medication)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| psychometric outcome: Spielberger State Anxiety Inventory (S-STAI) | up to two months | outcomes assessed before and after the 3-month Cardiac Coherence Training |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| psychometric outcome: Freiburg Mindfulness Inventory (FMI) | up to two months | outcomes assessed before and after the 3-month Cardiac Coherence Training |
Outcome results
None listed