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- Ensaio Clínico NCT07602712
Using Illusions to Boost Social Cognition (SOLLUSIONS)
Socio-cognitive Benefits of Exposure to Visual Illusions in Patients With Psychotic Disorders
This study aims to explore whether the observation of complex visual objects can help improve social cognition in people living with psychotic disorders. Social cognition refers to the ability to understand what others think, feel, or intend, and plays a key role in social relationships and daily interactions.
Main questions this study aims to answer:
- Does dyadic exposure to complex visual objects improve mental state attribution, as measured by the Faux Pas Test?
- Does the intervention enhance related domains of social cognition, including implicit intention inference (Hinting Task), interpretation of complex interactions (Movie for the Assessment of Social Cognition, MASC), and reduction of hostile attribution biases (Ambiguous Intentions Hostility Questionnaire, AIHQ)?
- Are improvements maintained after one month, and do patients who receive the intervention later (waitlist group) show the same benefits once exposed?
Visão geral do estudo
Status
Descrição detalhada
This study is a randomized, controlled, monocentric trial evaluating a novel sensory-motor rehabilitation approach for social cognition. The study is based on the hypothesis that perception is interpretative and viewpoint-dependent, and that realizing this through concrete experience could generalize to higher-level cognitive processes required for social understanding.
Participants will attend three visits and complete questionnaires and tasks that assess social understanding before and after the activity, and again one month later.
Two groups will take part: one completing the workshop shortly after inclusion, and one completing it after a delay, allowing comparison over time. Participants will be randomized in one condition.
This research does not involve medication. It consists of simple tasks such as observing and describing visual stimuli, followed by a facilitated discussion.
Neuropsychological tests and questionnaires will be used to measure changes over time.
Expected impact: By inducing concrete perspective-shifts, the intervention aims to improve mentalizing, reduce egocentric biases, and strengthen interpretation of social cues. This bottom-up sensory-motor approach may overcome limitations of classical cognitive remediation programs by promoting deep experiential learning rather than top-down instruction.
If effective, the method may support long-term social reintegration, psychosocial functioning, and inspire wider clinical applications due to its low cost, ease of deployment, and strong ecological engagement.
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
- Nome: Joy El KHOURY
- Número de telefone: +330437915534
- E-mail: joy.el-khoury@inserm.fr
Estude backup de contato
- Nome: Méline Devaluez, PhD
- E-mail: meline.devaluez@ch-le-vinatier.fr
Locais de estudo
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Bron, França, 69678
- CH le Vinatier
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Investigador principal:
- Frédéric HAESEBAERT, MD, PhD
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
Aceita Voluntários Saudáveis
Descrição
Inclusion Criteria:
- Aged 18 to 40 years
- Fluent French speaker
- Has provided written informed consent
- For individuals under guardianship (curatorship): inclusion is permitted if the curator is available to assist or advise when needed.
- Established diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, or brief psychotic disorder according to theDiagnostic and statistical manual of mental disorders (DSM-5-TR) criteria
- Presence of social cognition impairment, defined by:subjective complaint reported by the participant or identified by care teams regarding difficulties in social interaction and clinical confirmation of observable difficulties (e.g., social withdrawal, misinterpretation of others' intentions, inappropriate social behaviour)
- Membership or entitlement to a social security plan
Exclusion Criteria:
- Clinical state incompatible with participation in group-based activities (e.g., severe psychomotor agitation, severe behavioural disturbance)
- Concurrent participation in another social cognition remediation program
- Diagnosis of intellectual disability
- Insufficient comprehension of French for verbal interaction and test completion
- Significant change in psychotropic medication within the past month
- Uncorrectable visual impairment preventing participation
- Pregnant women
- Individuals under full guardianship (tutorship)
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: Immediate intervention
Participants receive the visual-perception session shortly after baseline assessment.
They complete neurocognitive and social cognition tests before exposure, immediately after, and again at one-month follow-up.
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A guided session of approximately 45 minutes. The core rehabilitation tool consists of multiple-perspective illusion boxes. Each participant stands on one side of the box and perceives a different shape than their partner. The session unfolds in 3 structured phases:
The session is followed by a short structured discussion with a psychologist focused on perspective-taking and interpretation of social cues. |
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Comparador Ativo: Delayed Intervention (Wait-list Control)
Participants complete the same assessments as Arm 1 but receive the intervention only after a waiting period.
This arm allows comparison between natural progression and workshop effects prior to exposure.
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A guided session of approximately 45 minutes.
The core rehabilitation tool consists of multiple-perspective illusion boxes.
Each participant stands on one side of the box and perceives a different shape than their partner.
The session unfolds in 3 structured phases: 1.
For each illusion : Participants observe objects silently and draw what they see.
2. Perspective confrontation + Card selection: Drawings and interpretation cards are exchanged and discussed.
3. Perspective switching : Participants swap positions to reveal the alternative visual interpretation.
The session is followed by a short structured discussion with a psychologist focused on perspective-taking and interpretation of social cues.
Delivered after a delay following baseline assessment.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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"Faux Pas" test total score
Prazo: Change from pre to post intervention (up to 3 hours)
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Change from pre to post intervention (up to 3 hours)
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
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Hinting Task
Prazo: Change from pre to post intervention (up to 3 hours)
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Change from pre to post intervention (up to 3 hours)
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MASC performance
Prazo: Change from pre intervention to follow-up session (up to a month and a half)
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Number of correct responses Score range 0 - 45 Minimum (0) : No correct mental state inference Maximum (45) : All mental states correctly inferred
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Change from pre intervention to follow-up session (up to a month and a half)
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
- Manifestações Neurológicas
- Doenças do Sistema Nervoso
- Espectro da Esquizofrenia e Outros Transtornos Psicóticos
- Transtornos Mentais, Desordem Mental
- Manifestações Neurocomportamentais
- Distúrbios Perceptivos
- Condições Patológicas, Sinais e Sintomas
- Sinais e sintomas
- Esquizofrenia
- Transtornos Psicóticos
- Ilusões
Outros números de identificação do estudo
- 2025-A02057-42
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Prazo de Compartilhamento de IPD
Critérios de acesso de compartilhamento IPD
Tipo de informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
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