Empowerment, Recovery, Schizophrenia, Self Esteem, Social Cognition
Conditions
Brief summary
REMEDRUGBY's objective is to strengthen the capacity of users to interact with others in an assertive way and to fight against stigma. It proposes to specifically target the processes of social cognition. Social cognition brings together the mental mechanisms that allow everyone to decipher the social situations, emotions and intentions of others and interact with others in the different contexts of everyday life. People with a psychic handicap frequently have difficulties in this area, which has often important consequences for their social and professional integration. The REMEDRUGBY program proposes to work specifically on these processes in the context of sport (+ role Play and blog) to strengthen the ability to interact with others and to deal with the stigma that can be encountered on a daily basis.
Interventions
OTHERREMEDRUGBY PROGRAM
* 1st Session presentation of the programme, its objectives and a common reflection on the concepts of stigmatization/destigmatization. * 2nd to 4th session devoted to a group reflection on social conventions and their meaning followed by a practice by means of role-playing. * 5th to 7th session devoted to writing comments about tournaments on the blog by working on the intentions of others and the emotional impact of comments on their recipients. * 8th, 9th 11th sessions devoted to media relations with group reflection on the image of themselves and their pathology that participants wish to refer to the media, followed by a practice in role-playing games Interviewer-interviewed * 10th session devoted to planning and organizing the day of matches with writing a program of the day and spreading on the blog * 12th General Debriefing session Including : - 3 tournaments * 8 hours of Touch Rugby
OTHERTOUCH RUGBY PROGRAM
Practical training Program at Touchrugby at the rate of 12 weekly sessions of 2 hours and 3 inter-institutional tournaments per day
OTHERTAU
Treatment as usual
Sponsors
Centre Hospitalier Le Valmont (Valence)
Hôpital le Vinatier
Centre Hospitalier Spécialisé de la Savoie (Chambéry)
Centre Hospitalier Annecy Genevois
Centre Hospitalier Universitaire de Saint Etienne
Centre Hospitalier Sainte Marie de Clermont Ferrand
University Hospital, Clermont-Ferrand
Hospital Center Alpes-Isère
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
RemedRugby program Vs TAU + TouchRugby
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of schizophrenia, schizo-affective disorder (DSM-V criteria; APA, 2013). * French mother tongue. * psychotropic treatment unchanged during the month prior to inclusion. * Patients who gave their informed consent to participate in the study. * affiliated with a social security scheme or beneficiary of such a scheme * Subject suitable for the practice of sport.
Exclusion criteria
* Recent dependence and abuse on cannabis or any other substance (DSM-V criteria), except tobacco. * Neurological disorders of vascular, infectious or neurodegenerative origin. * taking of medicinal products with a cerebral or psychic impact (e.g., corticosteroids). * Inability to practice sport * Pregnancy planned or in progress * Simultaneous Participation in any other program of remediation of social cognition, training in social skills, self-esteem.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Movie to Assess Social Cognition (MASC) | Changes between baseline function, after intervention and at 6 months of follow-up | Changes in the aggregates (average) of standardized performance levels : z-scores of Theory of Mind (range 0-45) during social cognitive remediation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Personal and Social Performance scale (PSP) | Changes between baseline function, after intervention and at 6 months of follow-up | Changes in the aggregates (average) of standardized performance levels : z-scores of social function (0 to 100) after social cognitive remediation |
| Self Esteem Rating Scale (SERS) | Changes between baseline function, after intervention and at 6 months of follow-up | Changes in the aggregates (average) of standardized performance levels : z-scores (minimum score 10-maximum score 70) in self-assessment of self-esteem |
| Boston University Empowerment Scale (BUES) | Changes between baseline function, after intervention and at 6 months of follow-up | Changes in the aggregates (average) of standardized performance levels : z-scores (minimum score 1- maximum score 4) in self-assessment of empowerment |
| Internalized Stigma of Mental Illness (ISMI) | Changes between baseline function, after intervention and at 6 months of follow-up | self-assessment of internalized stigma |
| Stages of Recovery Instrument (STORI) | Changes between baseline function, after intervention and at 6 months of follow-up | Self-assessment of personal recovery |
| Social Perception and Knowledge (PerSo) | Changes between baseline function, after intervention and at 6 months of follow-up | cognitive task to assess competence in perception of social situations and social knowledge |
| Positive and Negative Symptoms Scale for Schizophrenia (PANSS) | Changes between baseline function, after intervention and at 6 months of follow-up | Changes in the aggregates (average) of standardized performance levels : z-scores of positive and negative symptoms (minimum score 30- maximum score 210) of schizophrenia after social cognitive remediation |
| Questionnaire of Cognitive and Affective Empathy | Changes between baseline function, after intervention and at 6 months of follow-up | Changes in the aggregates (average) of standardized performance levels : z-scores (minimum score 31, maximum score 124) in a self-assessment of empathy |
| French National Adult Reading Test (f-NART | Baseline measure only | cognitive task to assess premorbid intellectual quotient (IQ) |
| Trail Making Test A (TMT A) | Changes between baseline function, after intervention and at 6 months of follow-up | cognitive task to assess speed of processing |
| Trail Making Test B (TMT B) | Changes between baseline function, after intervention and at 6 months of follow-up | cognitive task to assess reactive mental flexibility |
| Self-assessment of Social Cognition (AcSo) | Changes between baseline function, after intervention and at 6 months of follow-up | self-assessment of patient' perception of social cognitive deficits |
| Commission Test (modified zoo test) | Changes between baseline function, after intervention and at 6 months of follow-up | cognitive task to asess planification abilities |
| Ambiguous Intentions and Hostility Questionnaire (AIHQ) | Changes between baseline function, after intervention and at 6 months of follow-up | Changes in the aggregates (average) of standardized performance levels : z-scores (minimum score 1, maximum score 6) at a cognitive task to measure hostile social cognitive bias |
Countries
France
Outcome results
None listed