All studies
CompletedInterventional

Narrative exposure therapy in early intervention in psychosis: a study providing an initial assessment of safety and acceptability of this psychological therapy for individuals with a first episode of psychosis who have experienced repeated trauma

This study explores a new talking therapy called Narrative Exposure Therapy (NET) for individuals who are experiencing psychosis for the first time and have also gone through tough, repeated traumatic events. Psychosis can involve hearing voices or feeling paranoid, and many people with it have past trauma. NET is a special therapy designed for complex trauma. Researchers want to see if NET is safe and acceptable for these individuals, and if healthcare staff can be easily trained to use it. The study will help decide if a larger trial should be done to see how effective NET is in helping people feel better and support their recovery.

At a glance

Status
Completed
Sponsor
University College London
Enrolment target
60
Start
21 Jul 2025
Estimated completion
31 May 2026

What is this study about?

Many people who experience psychosis, which can involve things like hearing voices or feeling very suspicious, have also lived through difficult or traumatic events in their past. Sometimes, these traumatic experiences are repeated, especially during childhood. Unfortunately, not dealing with these past traumas can make it harder for people to recover from psychosis, affecting their daily lives and overall well-being. It can also lead to more time spent in hospital, which is hard for them and their families.

Currently, services that help people with psychosis early on often don't focus much on past trauma, and many don't offer specific therapies to help with it. This study is looking at a therapy called Narrative Exposure Therapy (NET). NET is a unique type of talking therapy that was created to help people who have experienced many difficult, complex traumas. It's safe and approved for use in the NHS, and it helps people understand their past experiences, including both tough times and good moments, to make their trauma memories less upsetting.

This study is an important first step. We want to find out if NET is a good fit for people with new experiences of psychosis and past trauma. We'll also check if it's practical to train healthcare professionals in these services to deliver NET. The answers from this study will help us understand if we should do a bigger study to see how much NET can help people with psychosis and trauma in the long run. People with personal experience of psychosis and trauma have helped design this study to make sure it's helpful and relevant.

Key takeaways

  • New study exploring a specific therapy (NET) for psychosis and trauma.
  • Aimed at people receiving early support for psychosis (EIP services).
  • Focuses on individuals with past repeated traumatic experiences.
  • Investigating safety, acceptability, and therapist training for NET.
  • Participation involves questionnaires and potentially 15 therapy sessions.
  • People with lived experience have helped shape this research.

Who may be eligible?

You might be able to take part in this study if you are 18 years old or older and are currently receiving help from an Early Intervention in Psychosis (EIP) service. This means you are getting support for a new experience of psychosis.

Crucially, you would also need to have a history of experiencing multiple traumatic events that still affect you. This could involve having upsetting thoughts, flashbacks, nightmares, or other distressing experiences like voices that are linked to these past difficult events.

Your care coordinator at the EIP service would also need to confirm that you are stable enough to take part in the study. You will need to be able to understand and agree to take part in the research when you join.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 18 years old or older?
  2. Are you currently receiving support from an Early Intervention in Psychosis (EIP) service?
  3. Have you experienced multiple traumatic events in your past that still affect you?
  4. Do you have current distressing experiences like flashbacks, nightmares, or voices linked to past trauma?
  5. Has your EIP care coordinator said you are stable enough to take part?
Answer every question to see your result.

What does participation involve?

If you join this study, a computer will randomly decide whether you receive Narrative Exposure Therapy (NET) along with your usual care, or just your usual care. NET involves 15 weekly therapy sessions, each lasting about 90 minutes, which will take about 4 months in total. Everyone taking part will fill out questionnaires at the beginning, and then again after 4 months and 8 months. These questionnaires will ask about your experiences with trauma and psychosis, as well as your thoughts on NET and the study itself. You will receive ongoing support from your Early Intervention Service throughout the study.

Potential risks and benefits

Taking part means you'll need to spend some time completing questionnaires, which some people might find a bit tiring. These questions cover sensitive topics like past trauma and experiences of psychosis, and talking about these personal things might sometimes make you feel upset. Our research team includes experienced mental health professionals who will offer support during the study. If you are in the group receiving NET, talking about trauma could temporarily be distressing, but your therapist is specially trained to help people with trauma. You can stop taking part in the study at any time, and this won't affect the care you receive. If you are in the group that doesn't get NET during the study, you might feel a bit disappointed, but you will still get all your usual support, and you will be offered NET as a 'thank you' after you've finished the study after 8 months.

Locations (2)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Cambridge and Peterborough NHS Foundation Trust
    City only
    Cambridge, England
  • North London Mental Health Foundation Trust
    City only
    London, England

Common questions

What is psychosis?

Psychosis can mean having experiences like hearing voices others don't, or feeling very paranoid or suspicious, which can be upsetting.

What is Narrative Exposure Therapy (NET)?

NET is a type of talking therapy designed to help people process and make sense of difficult, repeated past traumatic experiences, making memories less upsetting.

Will I definitely get the new therapy?

No, a computer will randomly decide if you receive NET or continue with your usual care during the study. Everyone, however, will be offered NET after 8 months if they didn't receive it during the study.

What if I get upset during the study?

The research team includes experienced mental health professionals who will be there to support you if you feel distressed during assessments or therapy sessions.

How long will the study last for me?

Your involvement in the study will last for 8 months, during which you'll complete questionnaires at the start, 4 months, and 8 months.

How to find out more

Miriam Fornells-Ambrojo

Always speak to your GP or specialist before deciding to take part in a study.

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