AzTrials
AzTrials

Schizophrenia and Disorders With Psychotic FeaturesAGES-MindNCT03309475

Effectiveness of a Mindfulness-based Group Training Addressing Social Cognition in First Episode Psychosis (AGES-Mind)

A study testing SocialMIND, Psychoeducational multicomponent intervention and Psychosocial treatment in people with Schizophrenia and Disorders With Psychotic Features and Psychotic Episode, run by Instituto de Investigación Hospital Universitario La Paz at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The current investigation aims to compare two group intervention in patients with a first episode of psychosis, that is, people who have suffered their first psychotic episode within 5 years prior to their inclusion in the study. Read more about this study

Who is it for?
Ages 18 to 45 years
What is being tested?
SocialMIND, Psychoeducational multicomponent intervention and Psychosocial treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
59 participants
Where
1 siteSpain
Study dates
1 Sep 2018to 31 Jan 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • 18-45 years old
  • First hospitalization, first visit to mental health services with positive symptoms, onset of antipsychotic treatment, or first appearance of positive symptoms confirmed by an informant within the period of five years prior to the enrolment in the study;
  • Informed consent given

Who cannot join

  • Clinical Global Impression (CGI) higher than 5 ("markedly ill")
  • Other Axis I diagnoses, except for substance use if psychotic symptoms remain at least 14 days after negative urine test.
  • Intellectual disability plus impaired global functioning prior to disorder onset
  • Generalized development disorder
  • Pregnancy
  • Attendance to either mindfulness programs or structured psychoeducational interventions at the time of the enrolment

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • La Paz University Hospital

    Madrid, 28046

Other trials in Spain

About this study

Official title: Mindfulness-based Social Cognition Group Training (SocialMIND) Versus Psychoeducational Multicomponent Intervention in Patients With a First Episode of Psychosis (AGES-Mind Study): A Randomized Controlled Trial

The current investigation aims to compare two group intervention in patients with a first episode of psychosis, that is, people who have suffered their first psychotic episode within 5 years prior to their inclusion in the study. The experimental arm is a mindfulness-based social cognition training (SocialMind) designed by professionals with both formal training and clinical experience in the field of mindfulness and third generation cognitive-behavioral therapies. The active comparator arm is a psychoeducation program specifically designed for individuals with recent onset psychosis by members of the team with great experience in delivering such interventions. The main outcome is social functioning, as measured by the Personal and Social Performance Scale (PSP), an instrument developed for psychotic patients. The main hypothesis is that the improvement in social functioning will be larger among the participants on the experimental arm, because there is enough evidence suggesting that deficits in social cognition are present even in the first stages of psychotic syndrome and related to social functioning and general disability. Moreover, mindfulness-based interventions have proven themselves effective in other severe mental disorders.

Read the detailed description

Social functioning is impaired among many patients with a first episode of psychosis, who also show a lower ability to recognize, understand and benefit from social stimuli (i.e., deficits in social cognition) than their pairs. Both deficits underlie the general functional impairment found across non-affective psychotic syndromes. Since currently available pharmacological strategies have not proven themselves effective in addressing this matter, new psychotherapeutic approaches should be developed. Investigators' main hypothesis is that a mindfulness-based social cognition group training (SocialMind) will improve social and general functioning, and that this improvement will be higher in the SocialMind than in the psychoeducation group. Given the association between oxidative stress and cognitive functioning, a relationship between oxidative stress biomarkers and intervention-related variables is also expected.

A research team with more than ten mental health professionals and many collaborators will carry and oversee the assessment sessions. A Pharmacology Department will analyse the biological samples. Regulated-trained, well-experienced clinicians will design and administer both interventions. The whole team will take part in the process of scientific publication and results dissemination.

Being tested
SocialMIND, Psychoeducational multicomponent intervention, Psychosocial treatment, Psychotropic treatment
Keywords
first episode psychosis, early psychosis, schizophrenia, mindfulness, social cognition, social functioning, AGES-Mind, SocialMind
Medical subject headings
Schizophrenia Spectrum and Other Psychotic Disorders, Psychotic Disorders, Schizophrenia, Social Adjustment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SocialMINDBehavioural

    Also called Mindfulness-based social cognition training, Mindfulness-based social cognition group training, MB-SCT

    SocialMind is a mindfulness-based intervention including elements such as radical acceptance, decentering or meditation-techniques. It is designed to target social cognition, defined as the ability to recognize, understand and benefit from social stimuli.

  • Psychoeducational multicomponent interventionBehavioural

    Also called PMI, Structured psychoeducational group, Psychoeducational group, Psychoeducation group

    The psychoeducational multicomponent intervention addresses and discuss several aspects of great importance for persons who suffer a first episode of psychosis, such as biased perception and thinking, delusions-related anxiety or the nature of hallucinations. Its aim is to encourage patients to reflect upon their experiences from a critic perspective.

  • Psychosocial treatmentBehavioural

    Treatment as usual delivered by patient's practitioner

  • Psychotropic treatmentDrug

    Also called Drug treatment

    Treatment as usual delivered by patient's practitioner

Study groups in NCT03309475
Study groupRoleWhat they receive
SocialMINDExperimentalThe experimental arm will receive treatment as usual (both psychotropic treatment and psychosocial treatment) and mindfulness-based social cognition group training (SocialMind), specifically designed for patients with first episode psychosis by the research team. There will be a first phase (intensive intervention) consisting of 8 weekly sessions and a second phase (follow-up sessions) consisting of 4 fortnightly sessions and 5 monthly sessions.
Receives: Behavioral: SocialMIND; Behavioral: Psychosocial treatment; Drug: Psychotropic treatment
Psychoeducational Multicomponent InterventionActive comparatorThe active comparator arm will receive treatment as usual (both psychotropic treatment and psychosocial treatment) and a psychoeducational multicomponent intervention for psychosis.There will be a first phase (intensive intervention) consisting of 8 weekly sessions and a second phase (follow-up sessions) consisting of 4 fortnightly sessions and 7 monthly sessions.
Receives: Behavioral: Psychoeducational multicomponent intervention; Behavioral: Psychosocial treatment; Drug: Psychotropic treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in social functioning

    Personal and Social Performance Scale (PSP) measures patient's functioning on different social areas, such as self-care, relationships, social activities and aggressive behavior.

    Measured: 8, 16, 36 and 48 weeks

Secondary outcomes (13)
  1. Change in global functioning

    Global Assessment of Functioning Scale (GAF) measures patient's general functioning using a single 0-100 scale.

    Measured: 8, 16, 36 and 48 weeks

  2. Change in quality of life

    WHOQOL-BREF measures patient's quality of life according to World Health Organization parameters.

    Measured: 8, 16, 36 and 48 weeks

  3. Change in clinical global impression

    Clinical Global Impression Scale for Schizophrenia (CGI-SCH) measures patients' clinical state and clinical change over time

    Measured: 8, 16, 36 and 48 weeks

  4. Change in psychotic symptoms

    Positive and Negative Symptoms Scale for Schizophrenia (PANSS) measures psychotic syndrome through a detailed clinical interview.

    Measured: 8, 16, 36 and 48 weeks

  5. Change in depressive symptoms

    Calgary Depression Scale for Schizophrenia (CDSS) measures depressive symptoms in psychotic patients through a personal interview

    Measured: 8, 16, 36 and 48 weeks

  6. Change in anxiety symptoms

    Beck Anxiety Inventory (BAI) measures clinical anxiety through 21 items.

    Measured: 8, 16, 36 and 48 weeks

  7. Change in social cognition

    Hinting task, Reading the Mind in the Eyes Test (RMET), Emotion Recognition task (ER-40) and Ambiguous Intentions and Attribution Questionnaire (AIHQ) measure main domains of social cognition.

    Measured: 8, 16, 36 and 48 weeks

  8. Change in reflective functioning

    Reflective Functioning Questionnaire (RFQ-8) measures mentalization ability through a set of 8 questions

    Measured: 8, 16, 36 and 48 weeks

  9. Change in emotional intelligence

    Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT v2.0) measures emotional intelligence through a set of questions referred to different situations.

    Measured: 8, 16, 36 and 48 weeks

  10. Change in mindful attention and awareness

    Mindfulness Attention Awareness Scale (MAAS) measures processes thought to be related to clinical outcomes in mindfulness-based interventions.

    Measured: 8, 16, 36 and 48 weeks

  11. Change in cognitive insight

    Beck Cognitive Insight Scale (BCIS) explores self-reflection and self-certainty, as parts of the cognitive insight construct

    Measured: 8, 16, 36 and 48 weeks

  12. Change in neurocognition

    Four tasks of the Matrics Consensus Cognitive Battery (MCCB) measure different domains of neurocognition (symbol coding, letter number span, spatial span and CPT-IP)

    Measured: 8, 16, 36 and 48 weeks

  13. Change in oxidative stress and anti-inflammatory response

    Total antioxidant status, enzymatic activity and cytokines

    Measured: 8 and 48 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Oct 2017
  2. Study start1 Sep 2018
  3. Primary completion31 Jan 2023
  4. Study completion31 Jan 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Pilot, multi-center, rater-blinded, prospective (48-weeks follow-up), randomized, controlled (versus active comparator \[psychoeducation\]), clinical trial. The experimental arm will receive treatment as usual (both drug and psychosocial therapy) and mindfulness-based social cognition group training, specifically designed for patients with first episode psychosis by the research team. The active comparator arm will receive treatment as usual (both drug and psychosocial therapy) and psychoeducation group training for psychosis.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
59 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03309475
Sponsor's protocol ID
AGES-Mind
Acronym
AGES-Mind
Status last verified
Oct 2023
First submitted
27 Sep 2017
Last updated
9 Jan 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data will be available on request.

Publications

  • Fond G, d'Albis MA, Jamain S, Tamouza R, Arango C, Fleischhacker WW, Glenthoj B, Leweke M, Lewis S, McGuire P, Meyer-Lindenberg A, Sommer IE, Winter-van Rossum I, Kapur S, Kahn RS, Rujescu D, Leboyer M. The promise of biological markers for treatment response in first-episode psychosis: a systematic review. Schizophr Bull. 2015 May;41(3):559-73. doi: 10.1093/schbul/sbv002. Epub 2015 Mar 10.

    PubMed 25759473
  • Brune M. "Theory of mind" in schizophrenia: a review of the literature. Schizophr Bull. 2005 Jan;31(1):21-42. doi: 10.1093/schbul/sbi002. Epub 2005 Feb 16.

    PubMed 15888423
  • Lecomte T, Corbiere M, Ehmann T, Addington J, Abdel-Baki A, Macewan B. Development and preliminary validation of the First Episode Social Functioning Scale for early psychosis. Psychiatry Res. 2014 May 30;216(3):412-7. doi: 10.1016/j.psychres.2014.01.044. Epub 2014 Feb 5.

    PubMed 24613006
  • Mediavilla R, Munoz-Sanjose A, Rodriguez-Vega B, Bayon C, Palao A, Lahera G, Sanchez-Castro P, Roman E, Cebolla S, de Diego A, Pastor JM, Bravo-Ortiz MF. Mindfulness-based social cognition training (SocialMIND) versus psychoeducational multicomponent intervention for people with a first episode of psychosis: a study protocol for a randomised controlled trial. BMC Psychiatry. 2019 Jul 29;19(1):233. doi: 10.1186/s12888-019-2206-4.

    PubMed 31357965

Questions about this trial

What is this clinical trial studying?

A study testing SocialMIND, Psychoeducational multicomponent intervention and Psychosocial treatment in people with Schizophrenia and Disorders With Psychotic Features and Psychotic Episode, run by Instituto de Investigación Hospital Universitario La Paz at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in social functioning (time frame: 8, 16, 36 and 48 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03309475, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jan 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in