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Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial
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| Zeitschriftentitel: | BJPsych Open |
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| Personen und Körperschaften: | , , , , , , |
| In: | BJPsych Open, 7, 2021, 6 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Royal College of Psychiatrists
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| Schlagwörter: |
| Zusammenfassung: | <jats:sec id="S2056472421010425_sec_a1"> <jats:title>Background</jats:title> <jats:p>Positive affect and anhedonia are important but challenging targets for mental health treatments. Previous research indicates the potential of a computerised cognitive training paradigm involving generation of positive mental imagery, termed positive mental imagery training (PMIT), to increase positive affect and reduce anhedonia.</jats:p> </jats:sec> <jats:sec id="S2056472421010425_sec_a2"> <jats:title>Aims</jats:title> <jats:p>Our main aim was to investigate the feasibility of PMIT as a positive affect-focused, transdiagnostic adjunct to treatment as usual for patients in in-patient mental health settings.</jats:p> </jats:sec> <jats:sec id="S2056472421010425_sec_a3" sec-type="methods"> <jats:title>Method</jats:title> <jats:p>We ran an open feasibility, randomised controlled trial with three parallel arms: treatment as usual; treatment as usual plus PMIT; and treatment as usual plus an active comparator, cognitive control training. Fifty-seven patients from two different in-patient mental health treatment clinics in Germany were randomised in a 1:1:1 ratio. PMIT and cognitive control training comprised an introductory session followed by eight 15-min training sessions over 2 weeks. Clinical outcomes such as positive affect (primary outcome measure) and anhedonia were assessed at pre- and post-training, and at a further 2-week follow-up.</jats:p> </jats:sec> <jats:sec id="S2056472421010425_sec_a4" sec-type="results"> <jats:title>Results</jats:title> <jats:p>Adherence was good and attrition was low. The patterns of results for the outcome data were not consistent with a specific effect of PMIT on positive affect, but were more consistent with a specific effect on anhedonia.</jats:p> </jats:sec> <jats:sec id="S2056472421010425_sec_a5" sec-type="conclusions"> <jats:title>Conclusions</jats:title> <jats:p>The results indicate feasibility and potential promise of a larger efficacy trial investigating PMIT as a treatment adjunct in in-patient mental health settings. Limitations include lack of researcher blinding, small sample size and lack of pre-specified feasibility outcomes. Anhedonia may be a more suitable primary outcome for a future larger trial.</jats:p> </jats:sec> |
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| ISSN: |
2056-4724
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| DOI: | 10.1192/bjo.2021.1042 |