Psychological Treatment in Psychiatric Inpatient Care

Study Overview
=================
Brief Summary
-----------------
This study aims to investigate the effect of a brief psychotherapeutic treatment intervention based on ACT, aimed specifically at the vulnerable group of patients in psychiatric 24-hour care treated according to LPT. The study aims to investigate whether a brief number of therapeutic sessions according to ACT during inpatient care produce positive effects on personally relevant life areas for a diagnostically mixed group of patients in a psychiatric intensive care unit.

Official Title
-----------------
Psychological Treatment in Psychiatric Inpatient Care

Conditions
-----------------
Compulsory Psychiatric Care Act, Psychosis, Acceptance & Commitment Therapy, Psychiatric Hospitalization, Psychiatric Disorder

Intervention / Treatment
-----------------
* Behavioral: ACT


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 18 years old or older. Treated according to the compulsory psychiatric care act. Meet the criterion of informed consent. Exclusion Criteria: Lack the cognitive ability to acquire the treatment intervention, such as impaired attention, memory, logic and reasoning, and also auditory and visual processing. This will be based on a clinical assessment by the ward team, including the attending psychiatrist and a clinical psychologist. Ongoing psychological treatment parallel to the admission.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: Single-case experimental design.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Acceptance & Commitment Therapy (ACT)<br>Psyhotherapy based on principles of functional analysis, behavioral activation, and experiential avoidance. | Behavioral: ACT<br>* The treatment is based on a variant of CBT, as briefly referred to before, ACT. In short, the treatment consists of identifying central and important areas of life, and how to approach these even though you are also struggling with persistent and challenging problems. In this study, the treatment intervention is flexibly constructed, focusing on several central principles based on ACT. These can be applied during one or numerous sessions. The intervention is a flexible application of clinical functional analysis, as well as a couple of selected interventions which, in terms of experience and in previous studies, have been shown to work well for the current group (24-hour psychiatric patients with complex problems) and which are individually adaptable to the nature of the problem and degree.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Personal Questionnaire | Scores range from 1-4 per item (number of items might differ between patients as the measure is individually constructed. Higher scores correspond to worse outcome. | Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session | 
| Change in Bull's Eye Values Survey | The score ranges from 0-28, higher scores corresponding to better outcome. | Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session | 
| Change in PHQ-9 | The score ranges from 0-27, higher scores corresponding to worse outcome. | Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session | 
| Change in GAD-7 | The score ranges from 0-21, higher scores corresponding to worse outcome. | Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session | 
| Change in Psy-flex | The score ranges from 6-30, higher scores corresponding to better outcome. | Four times daily, from point of inclusion to after a minimum of five data points (approximately a day and a half) after last treatment session |