Wellbeing
Conditions
Keywords
schizophrenia, severe psychiatric conditions, wellbeing, RCT, positive psychology, third-generation psychotherapy
Brief summary
The multicomponet psychological intervention is called Feliz-Mente, with third generation therapy components that aims to improve wellbeing and self-enhancement. Without intervening directly on the symptoms, it is expected to increase positive experiences, the use of personal strengths and positive relationships, and aims to build a more meaningful self-narrative in persons with severe psychiatric conditions. Feliz-Mente is a group intervention of 12 sessions in which participants are expected to perform exercises during and between sessions to improve treatment adherence and daily practice. The design for the present study is a randomized controlled trial, which compares the post-intervention measures of the experimental group (group receiving the intervention) with the post-intervention measures of the control group (treatment as usual + waiting list).
Interventions
The intervention aims to improve well-being, without denying the existence of symptoms or problems, focusing on generating positive emotions and actions congruent with the person's values through 11 weekly 90-minute group sessions. The multi-component intervention manual was composed of evidence-based exercises of Positive Psychoterapy Interventions, Acceptance and Commitment Therapy and Mindfulness and was theory driven according the broaden-and-build-theory (Fredrickson, 2001) and the self-serving model of paranoia (Murphy et al., 2018). It was also informed by previous pilot studies carried out on people with paranoid tendencies (see Valiente et al., 2020) and with Severe Psyquiatric Condition samples.
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\) were aged 18-65 years * 2\) had a minimum of motivation and commitment to participate in group therapy
Exclusion criteria
* 1\) limited cognitive resources or serious formal thinking disorder and/or * 2\) a concurrent diagnosis of substance dependence or a severe personality disorder that could interfere with benefiting from a psychotherapy group.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Well-being | Change from Well-being at 12 weeks and 6 months | Psychological Well-Being Scales (Ryff, 1995) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-esteem | Change from self-esteem at 12 weeks and 6 months | Rosenberg self-esteem scale (Rosenberg, 1965) |
| Attachment | Change from Attachment at 12 weeks and 6 months | Relationship Questionnaire (Bartholomew and Horowitz, 1991) |
| Psychological Symptoms | Change from Psychological Symptoms at 12 weeks and 6 months | Symptom Checklist 90-Revised (SCL-90-R; Derogatis, 2002) |
| Experiential Avoidance | Change from Experiential Avoidance at 12 weeks and 6 months | The Acceptance and Action Questionnaire (AAQ; Hayes et al.,2004) |
Countries
Spain