- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05288049
Treating Early Stages With an Intervention Targeting Cognitive Reserve (TESORO)
Treating Early Stages Of seveRe Mental disOrders With an Intervention Targeting Cognitive Reserve
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Carla Torrent, PhD
- Phone Number: 4189 +34932275400
- Email: ctorrent@clinic.cat
Study Contact Backup
- Name: Elena de la Serna, PhD
- Phone Number: +34932275400
Study Locations
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-
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Barcelona, Spain, 08036
- Recruiting
- Hospital Clinic
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Contact:
- Carla Torrent, PhD
- Email: ctorrent@clinic.cat
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Contact:
- Elena de la Serna, PhD
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Principal Investigator:
- Eduard Vieta, MD
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Sub-Investigator:
- Josefina Castro-Fornieles, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- - Inclusion criteria for the Off-SZBP will be: Subjects between 12 and 25 years with a parent (mother or father) diagnosed with bipolar disorder or schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria.
- Inclusion criteria for patients with a first affective (mania or depression with or without psychotic symptoms and hypomania) or non-affective episode (first psychotic episode) will be:
- Patients between 12 and 45 years with a first affective or non-affective episode within the last 5 years.
- Diagnosis of bipolar disorder, schizophrenia, schizoaffective disorders and other psychoses according to DSM-5 criteria based on a semi-structured clinical interview.
- Patients in full or partial clinical remission at the moment of assessment, defined as scores ≤ 10 in Young Mania Rating Scale (YMRS) (Young, 1978) and ≤ 14 scores in the Hamilton Depression Rating Scale (Hamilton, 1960).
- Scores lower or equal to 3 during the previous two months in symptoms P1 (delusions), G9 (unusual thought content), P3 (hallucinations), P2 (conceptual disorganization), G5 (mannerisms and posturing), N1 (blunted affect), N4 (social withdrawal) and N6 (spontaneity and flow of conversation) on the scale for positive and negative schizophrenia syndrome (PANSS).
- Inclusion criteria for Community Control:s (CC) Children, adolescents and young adults between 12 and 45 years old without history of psychotic disorder or bipolar disorder in first degree relatives.
Exclusion criteria, common to all participants, will be:
- Estimated Intelligence quotient < 70.
- Any medical condition that could affect neuropsychological performance (such as neurological diseases) or history of head trauma with loss of consciousness.
- To have participated in any structured psychosocial intervention within the past 6 months.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention aiming to enhance cognitive reserve (CR)
The psychological intervention to enhance cognitive reserve (CR) will be conducted in a group format (6-8 individuals).
Each session will last approximately 60 minutes.
The full psychological intervention will have 12 sessions (1 per week) and will last three months.
Moreover, to remind the participants of the contents of the intervention, a follow-up session will be held every two months between the last session of the psychological intervention and the 12-month assessment.
Most of the tasks of the psychological intervention will use pen and paper with audiovisual support.
However, some sessions will use mobile apps and virtual reality.
Virtual reality will be implemented for each patient in the sessions focusing on mindfulness training.
The contents of the sessions are adapted to the different ages of the attendees.
Groups with adolescents and those with young adults will be run separately.
|
The CR enhancement protocol consists of 12 weekly sessions in a group format with audiovisual and technological devices support.
All sessions are held separately for parents and children, adolescents and young adults.
All material is adapted to different ranges of age.
This same protocol will be adapted for patients with a first affective or non-affective episode.
Two sessions are about to promote healthy lifestyle by implementing healthy habits, two more sessions about training and practice mindfulness with virtual reality devices, two sessions about improving leisure-time activities, focused on promoting of intellectual and/or cultural activities as leisure time as well as physical exercise, the rest of sessions are about to promote vocational and educational activities, metacognition, social skills, problem-solving techniques and how to detect and act on warning signs, a brief psychoeducative session about the main early warning signs of general psychopathology.
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Active Comparator: Support therapy
The support control group will have weekly meetings with assistants to talk about the difficulties they had during the week, without receiving a specific intervention.
After the 12-month assessment, subjects in the support group will be offered the intervention although this will be out of the scope of this study.
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The support control group will have weekly meetings with assistants to talk about the difficulties they had during the week, without receiving a specific intervention.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
cognitive reserve
Time Frame: 12 months
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the enhancing of cognitive reserve by means of the Cognitive Reserve Assessment Scale (CRASH scale).
The CRASh scale is an interviewer-administered instrument which consists of 23 items to assess three domains related with the cognitive reserve: education, occupation and leisure and intellectual activities.
This last domain will have evaluated taking into account the different life stages (childhood/adolescence, adulthood and current situation).
The scale provides a total score and different scores for each specific domain.
The maximum total score is 60 points.
Each domain scores is calculated by adding all items of the domain.
The higher scores, the higher CR level.
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12 months
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HCLinic
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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