Self and Body-esteem in Socio-professional Rehabilitation

Study Overview
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Brief Summary
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The body esteem influences the physical appearance, which can be a social brake. To enhance the socio-professional insertion of persons with severe mental disorders, the investigators developed a group program about self-presentation and body esteem. The study's objective is to understand the body esteem impact on socio-professional insertion, and how to improve that with a dedicated group program, for patients in a psychosocial rehabilitation center

Detailed Description
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Our hypothesis is that a group program centered on the image and the presentation of the self, with the intervention of professionals of the image of the body, such as socio-hairdresser, socio-beautician, allows a better socio-professional inclusion, through an improvement in body self-esteem. Taking care of yourself will require different approaches such as advice on hygiene, becoming aware of your body, experimenting with beauty treatments and having the means to reproduce them at home. We will compare our IPS program (Image and Presentation of Self), with the usual management in the care center (TAU = Treatment As Usual)

Official Title
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Group Program IPS: Body-esteem and Self-esteem in a Psycho-social Rehabilitation Perspective

Conditions
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Schizophrenia, Bipolar Disorder, Personality Disorders, Anxiety Disorders, Depressive Disorder

Intervention / Treatment
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* Behavioral: IPS program : Self-image and body representation
* Behavioral: TAU


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 to 65. Speaking French. Diagnosis of severe mental disorders (MSD) established according to the criteria of the DSM-V (Diagnostic and Statistical Manual of Mental Disorders) such as: Schizophrenia, Bipolar Disorders, Serious Personality Disorders, Severe Anxiety Disorders, Depressive Disorders; with a clinical stability of more than 3 months. Supported at SUR/CL3R with an application for socio-professional reintegration. Guardian agreement (for persons under guardianship); Information given to the curator (for persons under curatorship); Member of the social security scheme. Exclusion Criteria: Diagnosis of Autism Spectrum Disorder (ASD) or Eating Behaviour Disorder. Clinical status incompatible with group activity. Acute episode in progress. Refusal to participate. Simultaneous participation in a psycho-social rehabilitation program targeting image or self-esteem (general and/or body).

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized, single-centre, comparative, interventional study, treated in open parallel groups, measuring the impact of professional body image intervention on improving body self-esteem in patients with severe mental health problems.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: IPS (Self-image and body-representation program)<br>The IPS program (Self-image and body representation) was designed by Dr PLAZAT and coll. for specific use with patients with severe mental disorders suffering of low self- and body-esteem and aiming at  reinsert themselves in the society. | Behavioral: IPS program : Self-image and body representation<br>* The IPS program consists in 13 sessions of 2 hours over a 13-weeks period. Sessions content is as follows : : Introduction : Sensory approach workshop : Self presentation and personal hygiene : Organisation of well-being, planning and pictograms : Becoming aware of my body, my envelope : Presentation and self-esteem (photolanguage) : Self-presentation in social interactions: Social codes : My ideas and desires for change : Places of well-being and clothing hygiene : Vocational insertion devices : Daring change : presence of a Socio-hairdresser : The awakening of color : presence of a Socio-aesthetician : Development of practice sheets and the network<br>|
| Active Comparator: TAU<br>Treatment As Usual : the usual care proposed by the health service (SUR/CL3R). | Behavioral: TAU<br>* The treatment of the group TAU (Treatment As Usual) will consist of the usual care proposed by the health service. No additional session will be proposed.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Appreciation of one's own appearance | The main judgement criterion is the difference before/after the program for each of the two groups (IPS and TAU) of the weighted average at the satisfaction with overall appearance and wish to change appearance dimensions of the BES (Body-Esteem Scale), common dimensions for men and women. This difference will be compared between the 2 groups by a Student test (or a Wilcoxon-Mann-Whitney test in case of non normality). | baseline, one month, three months, nine months after the end of the treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Appreciation of the Self-esteem measured by the Self-Esteem Rating Scale | As for the primary outcome | baseline, one month, three months, nine months after the end of the treatment | 
| Appreciation of the well-being measured by the Warwick-Edinburgh Well-Being Mental Scale | As for the primary outcome | baseline, one month, three months, nine months after the end of the treatment | 
| Appreciation of the satisfaction level measured by the Client's Assessment of Strengths, Interests and Goals Scale (CASIG ) | As for the primary outcome | baseline, one month, three months, nine months after the end of the treatment | 
| Appreciation of the satisfaction measured by the Satisfaction in the domains of life | As for the primary outcome | baseline, one month, three months, nine months after the end of the treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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severe mental disorders, body-esteem, body-representation, self-esteem, socio-professional insertion