Evidence map›Paper›PMID 31177635›Full record

ArticleEarly intervention in psychiatry2020

Theatre improvisation training to promote social cognition: A novel recovery-oriented intervention for youths at clinical risk for psychosis.

Sunny X Tang, Kevin H Seelaus, Tyler M Moore, Jerome Taylor, Carol Moog, David O'Connor, Marla Burkholder, Christian G Kohler, Paul M Grant, Dvora Eliash and 3 more

Abstract readControlled Clinical Trial
In one paragraph

Article in Early intervention in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sunny X TangDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-4001-8120
Kevin H SeelausDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Tyler M MooreDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Jerome TaylorDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Carol MoogDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
David O'ConnorTheater Arts Program, University of Pennsylvania, Philadelphia, Pennsylvania.
Marla BurkholderDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Christian G KohlerDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Paul M GrantDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Dvora EliashDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Monica E CalkinsDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Raquel E GurDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Ruben C GurDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-9657-1996

Funding

SCHIZOPHRENIA: A NEUROPSYCHIATRIC PERSPECTIVET32MH019112 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RAQUEL E · 1990 to 2024
$6.2M
Developing CBT-informed social enactment training curricula for CHR youthsR34MH105248 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GRANT, PAUL M, GUR, RUBEN C. · 2014 to 2016
$720k
NIMH NIH HHS L30 MH111007NIMH NIH HHS R34 MH105248NIMH NIH HHS T32 MH019112
6 · The paper itself

Abstract

aimFew interventions address social cognition or functioning in individuals at clinical risk (CR) for psychosis. Theatre Improvisation Training to Promote Social Cognition (TIPS) is a manualized intervention based on drama therapy. We aim to describe TIPS, evaluate feasibility and acceptability, and present a preliminary investigation of outcomes in a quasi-experimental design.

methodsThirty-six CR participants (15-25 years) were ascertained from the Philadelphia Neurodevelopmental Cohort. Twenty-six completed the TIPS protocol: 18 weekly 2-hour group sessions led by a theatre director and actor-assistant. Participants engaged in collaborative acting and improvisation exercises. Baseline and follow-up assessments included the Clinical Assessment Interview for Negative Symptoms (CAINS), Structured Interview for Prodromal Syndromes, Global Assessment of Functioning (GAF) and Penn Computerized Neurocognitive Battery (CNB), which includes social cognitive tests. Acceptability was assessed using focus groups. Preliminary outcomes were compared to CR controls who were not enrolled in the study but completed follow-up assessments using the same methods.

resultsThere were no significant differences in baseline demographics, psychosis symptoms, or cognition between those who did and did not complete the protocol. Overall, TIPS was considered feasible and acceptable among CR. Preliminary outcomes suggest that TIPS may be effective in improving positive and negative psychosis-spectrum symptoms and GAF, but not performance on facial emotion processing.

conclusionsTIPS is a promising and acceptable intervention that may improve symptoms and functioning in CR while providing a framework for participants to develop more empowered and confident ways of relating to others. Larger randomized controlled trials investigating TIPS efficacy are warranted.

Indexed as

Social CognitionAdolescentAdultCohort StudiesFemaleHumansMaleProdromal SymptomsPsychodramaPsychotherapy, GroupPsychotic DisordersYoung Adultcognitionprodromal symptomspsychotic disordersschizophreniatherapeutics

Identifiers

PMID31177635
PMCPMC7446755

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.