Clinical trial NCT03028545: Representations and Strategies for Recovery
Official title: Representations, Strategies and Identity Redefinition in the Recovery Process: Exploratory Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Schizophrenia, Undifferentiated
Anorexia
Bipolar Disorders
Personality Disorders
Keywords: schizophrenia
anorexia
bipolar disorders
personality disorders
Lead sponsor: Hôpital le Vinatier
Sponsor class: OTHER
First posted: 2017-01-23
Enrollment: 37
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: In the recent context of deinstitutionalization and longitudinal studies pointing to a large number of positive long-term outcommes for people affected by a psychiatric disorder (schizophrenia, bipolar disorder, eating disorder, severe personality disorder, etc.), the possibility of overcoming the consequences of a psychiatric pathology emerges as a solid fact. Therefore, the existence of this possibility calls for the identification of the determinants underlying of the various outcomes over time of those affected by a severe psychiatric disorder, in particular those likely to underpin the most positive developments.

While it is well known from a medical point of view that certain dimensions affect the prognosis of persons affected by a severe psychiatric disorder (such as the persistence of negative symptoms or cognitive disorders in schizophrenic disorders), prognosis from a purely medical perspective (and putting aside the role of the person and his environment) seems to be able to account only for a modest proportion of the prognosis of people affected by a serious psychiatric disorder.

It is this fact that has gradually led to the emergence of complementary models capable of enriching the understanding of the determinants of the future of people affected by a severe psychiatric disorder, in particular models inviting to separate "becoming of the person" from the " psychiatric disorder "to take into account the" personal role of the person "in his or her own healing. This perspective is the "recovery" perspective.

Recovery process is defined as a personal trajectory which includes the person's experiences and the reactions of his / her environment following the installation of a psychiatric disorder, which can support a mode of release of the status of "psychiatric patient". Recovery thus implies an "approach underpinned by the understanding of the human response to pathology" (Noiseux) and, one might add, of its environment.

However, while these studies point to a number of crucial dimensions involved in the recovery of a severe psychiatric disorder, one of the important limitations of these studies is the distance from any psychopathological consideration, thus setting aside the possibility of specific processes of recovery depending of the pathology. The identification of recurrent experiential logics specific to the various psychiatric disorders therefore appears to be an important field of investigation. It would potentially be able to guide the development of new therapeutic devices based on the recovery model.

Detailed description: 1. Elaboration of a semi directed grid (exploratory phase)
2. Collection of individual narratives
3. Data analysis, according to IPA method (interpretative phenomenological analysis)

   * On the basis of individual narratives
   * On the basis of a focus group
4. Publication of results

Eligibility criteria: Inclusion Criteria:

* Age 18 to 80 years
* Psychiatric diagnosis according to DSM V critera of schizophrenia, eating disorder, bipolar disorder, personality disorder
* In recovery scale
* Informed of their diagnosis

Exclusion Criteria:

* Acute psychiatric state
* Poor understanding of french language

Primary outcomes:
measure: Collection of individual narratives to understand the recovery process
timeFrame: one year
Secondary outcomes:
measure: Change from baseline in the Quality of Well-Being at one year
timeFrame: one year
measure: Change from baseline in measures of psychological recovery at one year
timeFrame: one year
Other outcomes:
Locations:
city: Bron
country: France
facility: Vial Veronique
state: Rhone Alpes
Study officials:
affiliation: CH LE VINATIER
name: MARTIN BRICE, MD/PhD
role: PRINCIPAL_INVESTIGATOR
References: