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1.
BMC Psychiatry ; 18(1): 384, 2018 12 11.
Artículo en Inglés | MEDLINE | ID: mdl-30537937

RESUMEN

BACKGROUND: People with a psychotic disorder have an increased risk of becoming the victim of a crime. To prevent victimization a body-oriented resilience therapy using kickboxing exercises was developed. This study aims to explore the feasibility of the therapy, to improve the therapy protocol and to explore suitable outcomes for a RCT. METHODS: Twenty-four adults with a psychotic disorder received 20 weekly group sessions in which potential risk factors for victimization and strategies for dealing with them were addressed. Sessions were evaluated weekly. During pre and post assessment participants completed questionnaires on, among other, victimization, aggression regulation and social functioning. RESULTS: The short recruitment period indicates the interest in such an intervention and the willingness of clients to participate. Mean attendance was 85.3 and 88% of the participants completed fifteen or more sessions. The therapy protocol was assessed as adequate and exercises as relevant with some small improvements to be made. The victimization and aggression regulation questionnaires were found to be suitable outcome measurements for a subsequent RCT. CONCLUSION: The results support the feasibility of the BEATVIC therapy. Participants subjectively evaluated the intervention as helpful in their attempt to gain more self-esteem and assertiveness. With some minor changes in the protocol the effects of BEATVIC can be tested in a RCT. TRIAL REGISTRATION: The trial registration number (TRN) is 35949 (date submitted 09/11/2018). Retrospectively registered.


Asunto(s)
Víctimas de Crimen/psicología , Terapia por Ejercicio , Trastornos Psicóticos , Resiliencia Psicológica , Autocontrol/psicología , Ajuste Social , Adulto , Terapia por Ejercicio/métodos , Terapia por Ejercicio/psicología , Estudios de Factibilidad , Femenino , Humanos , Masculino , Países Bajos , Trastornos Psicóticos/psicología , Trastornos Psicóticos/terapia , Estudios Retrospectivos
2.
BMC Psychiatry ; 16: 227, 2016 07 08.
Artículo en Inglés | MEDLINE | ID: mdl-27393604

RESUMEN

BACKGROUND: Individuals with a psychotic disorder are at an increased risk of becoming victim of a crime or other forms of aggression. Research has revealed several possible risk factors (e.g. impaired social cognition, aggression regulation problems, assertiveness, self-stigma, self-esteem) for victimization in patients with a psychotic disorder. To address these risk factors and prevent victimization, we developed a body-oriented resilience training with elements of kickboxing: BEATVIC. The present study aims to evaluate the effectiveness of the intervention. METHODS/DESIGN: Seven mental health institutions in the Netherlands will participate in this study. Participants will be randomly assigned to either the BEATVIC training or the control condition: social activation. Follow-ups are at 6, 18 and 30 months. Short term effects on risk factors for victimization will be examined, since these are direct targets of the intervention and are thought to be mediators of victimization, the primary outcome of the intervention. The effect on victimization will be investigated at follow-up. In a subgroup of patients, fMRI scans will be made before and after the intervention period in order to assess potential neural changes associated with the effects of the training. DISCUSSION: This study is the first to examine the effectiveness of an intervention targeted at victimization in psychosis. Methodological issues of the study are addressed in the discussion of this paper. TRIAL REGISTRATION: Current Controlled Trials: ISRCTN21423535 . Retrospectively registered 30-03-2016.


Asunto(s)
Víctimas de Crimen/psicología , Trastornos Psicóticos/psicología , Resiliencia Psicológica , Autoimagen , Conducta Social , Acoso Escolar , Protocolos Clínicos , Crimen , Humanos , Modelos Psicológicos , Países Bajos , Trastornos Psicóticos/terapia , Proyectos de Investigación
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