Self and Body-esteem in Socio-professional Rehabilitation (IPS_FIRAH)

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

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

Study Overview

• Status: Completed
• Conditions: Personality Disorders; Depressive Disorder; Schizophrenia; Anxiety Disorders; Bipolar Disorder
• Intervention / Treatment: Behavioral: IPS program : Self-image and body representation; Behavioral: TAU

Detailed Description

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")

• Study Type: Interventional
• Enrollment (Actual): 33
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • Rhône
    • Lyon, Rhône, France, 69006
      • centre de réhabilitation - Hôpital le Vinatier

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

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).

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: IPS (Self-image and body-representation program); 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; 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
Active Comparator: TAU; Treatment As Usual : the usual care proposed by the health service (SUR/CL3R).	Behavioral: TAU; 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.

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: Hôpital le Vinatier
• Investigators: Principal Investigator: Lucie-Orianne PLAZAT, M.D, Centre Hospitalier le Vinatier

Study record dates

Study Major Dates

• Study Start (Actual): June 22, 2020
• Primary Completion (Actual): October 17, 2023
• Study Completion (Actual): October 17, 2023

Study Registration Dates

• First Submitted: June 16, 2020
• First Submitted That Met QC Criteria: June 16, 2020
• First Posted (Actual): June 18, 2020

Study Record Updates

• Last Update Posted (Actual): July 31, 2025
• Last Update Submitted That Met QC Criteria: July 30, 2025
• Last Verified: July 1, 2025

More Information

Terms related to this study

• Keywords: self-esteem; severe mental disorders; body-esteem; body-representation; socio-professional insertion
• Additional Relevant MeSH Terms: Bipolar and Related Disorders; Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Mood Disorders; Schizophrenia; Anxiety Disorders; Depressive Disorder; Bipolar Disorder; Personality Disorders
• Other Study ID Numbers: 2020-A00777-32

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No