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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 |
|---|---|
| Personen und Körperschaften: | , , , , , , |
| In: | BJPsych Open, 7, 2021, 6 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Royal College of Psychiatrists
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| Schlagwörter: |
| author_facet |
Westermann, Katharina Woud, Marcella L. Cwik, Jan C. Graz, Christian Nyhuis, Peter W. Margraf, Jürgen Blackwell, Simon E. Westermann, Katharina Woud, Marcella L. Cwik, Jan C. Graz, Christian Nyhuis, Peter W. Margraf, Jürgen Blackwell, Simon E. |
|---|---|
| author |
Westermann, Katharina Woud, Marcella L. Cwik, Jan C. Graz, Christian Nyhuis, Peter W. Margraf, Jürgen Blackwell, Simon E. |
| spellingShingle |
Westermann, Katharina Woud, Marcella L. Cwik, Jan C. Graz, Christian Nyhuis, Peter W. Margraf, Jürgen Blackwell, Simon E. BJPsych Open Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial Psychiatry and Mental health |
| author_sort |
westermann, katharina |
| spelling |
Westermann, Katharina Woud, Marcella L. Cwik, Jan C. Graz, Christian Nyhuis, Peter W. Margraf, Jürgen Blackwell, Simon E. 2056-4724 Royal College of Psychiatrists Psychiatry and Mental health http://dx.doi.org/10.1192/bjo.2021.1042 <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> Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial BJPsych Open |
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| title |
Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_unstemmed |
Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_full |
Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_fullStr |
Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_full_unstemmed |
Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_short |
Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_sort |
feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| topic |
Psychiatry and Mental health |
| url |
http://dx.doi.org/10.1192/bjo.2021.1042 |
| publishDate |
2021 |
| physical |
|
| description |
<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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| author | Westermann, Katharina, Woud, Marcella L., Cwik, Jan C., Graz, Christian, Nyhuis, Peter W., Margraf, Jürgen, Blackwell, Simon E. |
| author_facet | Westermann, Katharina, Woud, Marcella L., Cwik, Jan C., Graz, Christian, Nyhuis, Peter W., Margraf, Jürgen, Blackwell, Simon E., Westermann, Katharina, Woud, Marcella L., Cwik, Jan C., Graz, Christian, Nyhuis, Peter W., Margraf, Jürgen, Blackwell, Simon E. |
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| description | <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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| spelling | Westermann, Katharina Woud, Marcella L. Cwik, Jan C. Graz, Christian Nyhuis, Peter W. Margraf, Jürgen Blackwell, Simon E. 2056-4724 Royal College of Psychiatrists Psychiatry and Mental health http://dx.doi.org/10.1192/bjo.2021.1042 <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> Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial BJPsych Open |
| spellingShingle | Westermann, Katharina, Woud, Marcella L., Cwik, Jan C., Graz, Christian, Nyhuis, Peter W., Margraf, Jürgen, Blackwell, Simon E., BJPsych Open, Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial, Psychiatry and Mental health |
| title | Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_full | Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_fullStr | Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_full_unstemmed | Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_short | Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_sort | feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| title_unstemmed | Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial |
| topic | Psychiatry and Mental health |
| url | http://dx.doi.org/10.1192/bjo.2021.1042 |