Emilia Fló, Álvaro Cabana, Juan C Valle-Lisboa
EEG signatures of elementary composition: Disentangling genuine composition and expectancy processes
Brain and language
psychiatric inpatients often limited access psychotherapeutic education skills managing anxiety common transdiagnostic concern severe acute mental illness covid19related restrictions limited access therapy groups inpatient psychiatric units appbased interventions may improve access evidence supporting feasibility use acceptability effectiveness psychiatric inpatient settings limited mindshift cbt free app based cognitive behavioral therapy principles evidence alleviating anxiety symptoms outpatient setting aimed recruit 24 participants acute general psychiatric inpatient ward 1month randomized control study assessing feasibility acceptability providing patients severe acute mental illness access mindshift cbt app help managing anxiety symptoms recruitment data collection analysis interpretation completed collaboratively clinician peer researchers inpatients randomized two conditions treatment usual tau versus tau plus use mindshift cbt app 6 days collected demographic quantitative data acceptability usability intervention symptoms depression anxiety psychological distress measured pre poststudy surveys preliminary signals efficacy conducted individual semistructured interviews participants mindshift cbt app group end trial period interpreted using standardized protocol thematic analysis 4 weeks 33 inpatients referred study 24 consented participate 20 randomized 11 completed study 9 randomized participants complete study 7 withdrawn discharged transferred prior study completion similar distribution among conditions among enrolled patients 65 1320 admitted psychotic disorder patient admitted primarily anxiety disorder average length stay 20 days sd 44 range 321 35 720 patients involuntarily admitted hospital small sample sizes limited accurate interpretation efficacy data themes emerging qualitative interviews included acceptability usability app patient agency associated voluntary participation research admitted hospital study benefitted collaboration peer clinician researchers due rapid patient turnover acute inpatient setting additional flexibility recruitment enrollment needed determine efficacy using appbased psychotherapy acute psychiatric ward despite limited sample size study suggests similar interventions may feasible acceptable acutely unwell inpatients study needed compare efficacy psychotherapeutic apps existing standards care setting clinicaltrialsgov nct04841603 httpsclinicaltrialsgovct2shownct04841603