TY - JOUR
T1 - BEATVIC, a body-oriented resilience therapy for individuals with psychosis
T2 - Short term results of a multi-center RCT
AU - van der Stouwe, Elisabeth C.D.
AU - de Vries, Bertine
AU - Steenhuis, Laura A.
AU - Waarheid, Clement O.
AU - Jans, Remon
AU - de Jong, Steven
AU - Aleman, André
AU - Pijnenborg, Gerdina H.M.
AU - Van Busschbach, Jooske T.
N1 - Funding Information:
This work was supported by the Netherlands Organization for Scientific Research (NWO) as part of the research program Violence against psychiatric patients (‘Geweld tegen psychatrisch patienten’), grant number 432-12-807. The funding source had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors express their gratitude to all patients who have participated in this study. We gratefully acknowledge the participating Mental Health Institutions: GGZ Drenthe, GGZ Friesland, University Medical Center Groningen, Lentis, Dimence and Arkin. We are indebted to the body-oriented therapists and the experts by experience Clement Waarheid, Stef Poel, Paco van der Reijden, Bryan Yorks, Erik Izaks, Jakob de Boer, Stefan Henstra, Linda de Jong, Michiel Wegh, Nienke Bonnema, Alexander Middeljans and Eelke Mollenbrok, and to Annerieke de Vos, Saskia Nijman, Nynke Boonstra, Aaltsje Malda, Boudien van der Pol, Erna van ‘t Hag, Stynke Castelein, Annelieke van der Waal, Marianne Dorst, Martijn Kikkert, for their help in setting up the trial, and to Julia Oldenhuis, Eline Swager, Esther Zeeman and other research assistants for their help collecting the data.
Publisher Copyright:
© 2022 van der Stouwe et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2022/12
Y1 - 2022/12
N2 - Background: Individuals with a psychotic disorder are at an increased risk of victimization, but evidenced-based interventions are lacking.Aims: A body-oriented resilience therapy (‘BEATVIC’) aimed at preventing victimization was developed and its effectiveness was assessed in a multicenter randomized controlled trial.Methods: 105 people with a psychotic disorder were recruited from six mental health centers. Participants were randomly allocated to 20 BEATVIC group sessions (n = 53) or befriending group sessions (n = 52). Short term effects on risk factors for victimization (e.g. social cognitive deficits, inadequate interpersonal behavior, low self-esteem, internalized stigma, aggression regulation problems), physical fitness and secondary outcomes were expected. At six-month follow-up, the effect on victimization (either a 50% reduction or an absence of victimization incidents) was examined.Results: Intervention-dropout was 28.30% for BEATVIC and 39.62% for befriending. In both conditions the majority of participants (60.5% BEATVIC vs 62.9% befriending) showed a reduction or absence of victimization incidents at six months follow-up, which was not significantly different according to condition. Multilevel analyses revealed no main effect of time and no significant time x group interaction on other outcome measures. Per protocol analyses (participants attending ≥75% of the sessions) did not change these results.Conclusions: Although a reduction or absence of victimization was found at short term follow-up for the majority of participants, BEATVIC was not more effective than the active control condition. No short-term additional effects on risk factors of victimization were found. Analysis of the data at 2-year follow-up is warranted to investigate possible effects in the long-term.
AB - Background: Individuals with a psychotic disorder are at an increased risk of victimization, but evidenced-based interventions are lacking.Aims: A body-oriented resilience therapy (‘BEATVIC’) aimed at preventing victimization was developed and its effectiveness was assessed in a multicenter randomized controlled trial.Methods: 105 people with a psychotic disorder were recruited from six mental health centers. Participants were randomly allocated to 20 BEATVIC group sessions (n = 53) or befriending group sessions (n = 52). Short term effects on risk factors for victimization (e.g. social cognitive deficits, inadequate interpersonal behavior, low self-esteem, internalized stigma, aggression regulation problems), physical fitness and secondary outcomes were expected. At six-month follow-up, the effect on victimization (either a 50% reduction or an absence of victimization incidents) was examined.Results: Intervention-dropout was 28.30% for BEATVIC and 39.62% for befriending. In both conditions the majority of participants (60.5% BEATVIC vs 62.9% befriending) showed a reduction or absence of victimization incidents at six months follow-up, which was not significantly different according to condition. Multilevel analyses revealed no main effect of time and no significant time x group interaction on other outcome measures. Per protocol analyses (participants attending ≥75% of the sessions) did not change these results.Conclusions: Although a reduction or absence of victimization was found at short term follow-up for the majority of participants, BEATVIC was not more effective than the active control condition. No short-term additional effects on risk factors of victimization were found. Analysis of the data at 2-year follow-up is warranted to investigate possible effects in the long-term.
U2 - 10.1371/journal.pone.0279185
DO - 10.1371/journal.pone.0279185
M3 - Article
C2 - 36542671
AN - SCOPUS:85144594234
SN - 1932-6203
VL - 17
JO - PLoS ONE
JF - PLoS ONE
IS - 12
M1 - e0279185
ER -