Title |
Reducing Delusional Conviction through a Cognitive-Based Group Training Game: A Multicentre Randomized Controlled Trial
|
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Published in |
Frontiers in Psychiatry, April 2015
|
DOI | 10.3389/fpsyt.2015.00066 |
Pubmed ID | |
Authors |
Yasser Khazaal, Anne Chatton, Karen Dieben, Philippe Huguelet, Maria Boucherie, Gregoire Monney, Laurent Lecardeur, Virginie Salamin, Fethi Bretel, Silke Azoulay, Elodie Pesenti, Raoul Krychowski, Andreia Costa Prata, Javier Bartolomei, Perrine Brazo, Alexei Traian, Thomas Charpeaud, Elodie Murys, Florent Poupart, Serge Rouvière, Daniele Zullino, Alberto Parabiaghi, Mohamed Saoud, Jérôme Favrod |
Abstract |
"Michael's game" (MG) is a card game targeting the ability to generate alternative hypotheses to explain a given experience. The main objective was to evaluate the effect of MG on delusional conviction as measured by the primary study outcome: the change in scores on the conviction subscale of the Peters delusions inventory (PDI-21). Other variables of interest were the change in scores on the distress and preoccupation subscales of the PDI-21, the brief psychiatric rating scale, the Beck cognitive insight scale, and belief flexibility assessed with the Maudsley assessment of delusions schedule (MADS). We performed a parallel, assessor-blinded, randomized controlled superiority trial comparing treatment as usual plus participation in MG with treatment as usual plus being on a waiting list (TAU) in a sample of adult outpatients with psychotic disorders and persistent positive psychotic symptoms at inclusion. The 172 participants were randomized, with 86 included in each study arm. Assessments were performed at inclusion (T1: baseline), at 3 months (T2: post-treatment), and at 6 months after the second assessment (T3: follow-up). At T2, a positive treatment effect was observed on the primary outcome, the PDI-21 conviction subscale (p = 0.005). At T3, a sustained effect was observed for the conviction subscale (p = 0.002). Further effects were also observed at T3 on the PDI-21 distress (p = 0.002) and preoccupation subscales (p = 0.001), as well as on one of the MADS measures of belief flexibility ("anything against the belief") (p = 0.001). The study demonstrated some significant beneficial effect of MG. |
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