|
|||||
|
|
“Michael's Game,” a card game for the treatment of psychotic symptoms |
|
| Authors: | Yasser Khazaal Jérôme Favrod Silke AzoulaySophie Claude Finot Maria BernabottoStéphane Raffard Joël LibbrechtKaren Dieben David LevoyerValentino Pomini |
| Institution: | a Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland b La Source, Health Campus of the University of Applied Sciences of Western Switzerland, Lausanne, Switzerland c Community Psychiatry Service, Department of Psychiatry, University Hospital Centre and University of Lausanne, Switzerland d Institute for Psychotherapy, Department of Psychiatry, University Hospital Centre and University of Lausanne, Switzerland e Jura Bernois Psychiatric Services - Bienne Seeland, Biel, Switzerland f Esperance Centre, Var, Toulon, France g Adult Psychiatric Services, Montpellier University Hospital, Montpellier, France h Marronniers Centre, Tournai, Belgium i University Adult Psychiatric Centre, Guillaume Régnier Hospital, Rennes, France j Malévoz Psychiatric Hospital, Monthey, Switzerland |
| Abstract: | Objective“Michael's Game” is a card game which aims at familiarizing healthcare professionals and patients with cognitive therapy of psychotic symptoms. The present study tests the feasibility and the impact of the intervention in naturalistic settings.Methods135 patients were recruited in 11 centres. They were assessed pre- and post-tests with the Beck Cognitive Insight Scale (BCIS) and the Peters Delusion Inventory-21 items (PDI-21).ResultsData about 107 patients were included in the entire analyses. Significant improvements were observed on BCIS subscales as well as a reduction of severity of conviction and preoccupation scores on the PDI-21. The intervention has a moderate effect on the PDI-21 preoccupation and conviction as well as the BCIS subscales. Patients who benefit the most from the program are patients who have a low degree of self-reflectiveness and patients who are concomitantly preoccupied by their symptoms.ConclusionThe present study supports the feasibility and effectiveness of “Michael's Game” in naturalistic settings.Practical implicationsThe game seems to be a useful tool for patients with psychotic disorders. |
| Keywords: | Cognitive therapy Behavioural therapy Psychosis Schizophrenia Delusions Insight |
| 本文献已被 ScienceDirect 等数据库收录！ | |