Universität zu Köln

Westermann, Katharina, Woud, Marcella L., Cwik, Jan C., Graz, Christian, Nyhuis, Peter W., Margraf, Jurgen and Blackwell, Simon E. (2021). Feasibility of computerised positive mental imagery training as a treatment adjunct in in-patient mental health settings: randomised controlled trial. BJPsych Open, 7 (6). CAMBRIDGE: CAMBRIDGE UNIV PRESS. ISSN 2056-4724

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Abstract

Background 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. Aims 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. Method 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. Results 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. Conclusions 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Westermann, Katharina UNSPECIFIED UNSPECIFIED UNSPECIFIED Woud, Marcella L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cwik, Jan C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Graz, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Nyhuis, Peter W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Margraf, Jurgen UNSPECIFIED UNSPECIFIED UNSPECIFIED Blackwell, Simon E. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-581788
DOI:	10.1192/bjo.2021.1042
Journal or Publication Title:	BJPsych Open
Volume:	7
Number:	6
Date:	2021
Publisher:	CAMBRIDGE UNIV PRESS
Place of Publication:	CAMBRIDGE
ISSN:	2056-4724
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COGNITIVE BIAS MODIFICATION; GENERALIZED ANXIETY DISORDER; MAJOR DEPRESSIVE DISORDER; PSYCHOMETRIC EVALUATION; MODIFYING INTERPRETATION; QUICK INVENTORY; INTERVENTION; ANHEDONIA; ADULTS Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58178