[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100559669":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":18,"centralContacts":25,"locations":31,"responsibleParty":45,"collaborators":18,"id":49,"slug":50,"hasResults":51,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":55,"eligibilityCriteria":56,"healthyVolunteers":51,"sex":57,"minAge":58,"maxAge":18,"enrollmentInfo":59,"targetDuration":18,"studyType":62,"phases":63,"briefSummary":65,"conditions":66,"keywords":70,"overallStatus":34,"whyStopped":18,"lastUpdateSubmitDate":77,"lastUpdatePostDateStruct":78,"startDateStruct":81,"completionDateStruct":83,"leadSponsor":85,"locationsCount":86},{"fullName":5,"class":6},"Universita di Verona","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Narrative Enhancement and Cognitive Therapy (NECT)","EXPERIMENTAL","Patients assigned to the experimental gropu will receive the Narrative Enhancement and Cognitive Therapy (NECT), a structured psychological intervention aimed at reducing self-stigma in individuals with severe mental illness. It was developed in early 2000s in the USA by Philip Yanos, David Roe and Paul Lysaker. Patients in the experimental group will also receive routine treatment typically provided within their usual care settings.",[13],"Behavioral: Narrative Enhancement Cognitive Therapy (NECT)",{"label":15,"type":16,"description":17,"interventionNames":18},"Control group","NO_INTERVENTION","Patients in the control group will continue to receive the routine treatment typically provided within their usual care settings, which usually includes pharmacological treatment + outpatient visits (for monitoring pharmacological treatment and symptom management) + (if needed) other psychosocial treatments (e.g., individual or group therapy, family psychoeducation, cognitive rehabilitation, job placements\u002Fsupported employment).",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":18},"BEHAVIORAL","Narrative Enhancement Cognitive Therapy (NECT)","The Narrative Enhancement and Cognitive Therapy (NECT) consists of 20 group sessions divided into five parts: orientation (2 sessions), psychoeducation on stigma (3 sessions), cognitive restructuring (7 sessions), narrative enhancement (7 sessions), and a concluding reflection (1 session). The program helps participants challenge self-stigmatizing beliefs, develop coping skills, and create a new, positive narrative about themselves. Each session lasts about an hour, with a structured format of introduction, main discussion, and conclusion, encouraging active participation and reflection on personal experiences. The intervention ultimately fosters self-efficacy, control, and hope for the future.",[9],[26],{"name":27,"role":28,"phone":29,"phoneExt":18,"email":30},"Antonio Lasalvia, MD, PhD","CONTACT","045 828 3901","antonio.lasalvia@univr.it",[32],{"facility":33,"status":34,"city":35,"state":18,"zip":36,"country":37,"countryCode":38,"cosmosGeoPoint":39,"geoPoint":44,"contacts":18},"Azienda Ospedaliera Universitaria Integrata (AOUI) Verona","RECRUITING","Verona","37134","Italy","IT",{"type":40,"coordinates":41},"Point",[42,43],10.9938,45.43854,{"lat":43,"lon":42},{"type":46,"investigatorFullName":47,"investigatorTitle":48,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"PRINCIPAL_INVESTIGATOR","Antonio Lasalvia","Associate Professor of Psychiatry at the Department of Neurosciences, Biomedicine, and Movement Sciences","100559669","a-group-based-treatment-for-self-stigma-in-people-with-mental-disorders-in-north-east-italy-100559669",false,"NCT06567145","A Group-based Treatment for Self-stigma in People With Mental Disorders in North-east Italy","Assessing the Effectiveness and Feasibility of Group-based Treatment for Self-stigma in People With Mental Disorders: a Pragmatic Multisite Randomized Controlled Trial in Routine Mental Health Services in North-east Italy","NECT-ITA","Inclusion Criteria:\n\n1. Participants must be 18 years or older.\n2. Individuals must have a diagnosis of schizophrenia, schizoaffective disorder, schizoid disorder, schizophreniform disorder, bipolar I or II disorder, or major depressive disorder, according to DSM-5 criteria.\n3. Participants must be outpatients with clinical stability for at least 3 months, with no changes in pharmacological treatment during this period.\n4. Participants must have sufficient knowledge of written and spoken Italian.\n5. Participants must score above 1 on the ISMI (Internalized Stigma of Mental Illness) scale, indicating at least moderate levels of self-stigma.\n\nExclusion Criteria:\n\n1. Individuals unable to provide informed consent are excluded.\n2. Participants with intellectual disabilities are excluded.\n3. Individuals with primary diagnosis of personality disorder or substance dependence condition are excluded.\n4. Participants engaged in other programs that could influence self-stigma (e.g., social cognitive rehabilitation, social skills training) during the study are excluded.","ALL","18 Years",{"count":60,"type":61},416,"ESTIMATED","INTERVENTIONAL",[64],"NA","Self-stigma refers to the internalization of negative stereotypes by individuals with mental disorders, leading to beliefs that they are dangerous, aggressive, or incapable of working. This phenomenon has harmful effects on various aspects of life, such as adherence to treatment, self-esteem, quality of life, and can increase feelings of despair and suicide risk. To address these issues, the Narrative Enhancement and Cognitive Therapy (NECT) was developed. NECT is a group-based intervention consisting of 20 sessions designed to reduce self-stigma in individuals with mental disorders.\n\nThis study aims to evaluate the efficacy and feasibility of NECT in 416 patients from 26 mental health centers in Northeast Italy. It is structured as a pragmatic, multicenter, randomized controlled trial with two parallel arms. The study will assess the impact of NECT on several psychological dimensions, including levels of self-stigma, self-esteem, hope, empowerment, perception of recovery, mental well-being, and stigma-related stress. The findings of this research are expected to contribute to the understanding of effective treatments for patients with mental disorders, particularly those burdened by high levels of self-stigma, and to improve their recovery outcomes.",[67,68,69],"Stigma","Mental Disorders","Self-stigma",[71,72,73,74,75,76],"stigma","narrative enhancement cognitive therapy","narrative therapy","cognitive therapy","mental disorders","self-stigma","2024-11-21",{"date":79,"type":80},"2024-11-26","ACTUAL",{"date":82,"type":80},"2024-10-01",{"date":84,"type":61},"2025-10-01",{"name":5,"class":6},1]