[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100649616":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":41,"responsibleParty":58,"collaborators":26,"id":62,"slug":63,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":26,"eligibilityCriteria":68,"healthyVolunteers":64,"sex":69,"minAge":70,"maxAge":26,"enrollmentInfo":71,"targetDuration":26,"studyType":74,"phases":75,"briefSummary":77,"conditions":78,"keywords":81,"overallStatus":87,"whyStopped":26,"lastUpdateSubmitDate":88,"lastUpdatePostDateStruct":89,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":97},{"fullName":5,"class":6},"University Hospital, Geneva","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"NECT","EXPERIMENTAL","Treatment as usual plus 12 weekly 90-minute NECT group sessions combining psychoeducation, cognitive restructuring, and narrative exercises to reduce self-stigma and support recovery.",[13],"Behavioral: Narrative Enhancement Cognitive Therapy",{"label":15,"type":16,"description":17,"interventionNames":18},"Control Group","ACTIVE_COMPARATOR","Treatment as usual plus 12 weekly group sessions without specific psychotherapeutic or psychoeducational content targeting self-stigma or recovery",[19],"Behavioral: Control Group Sessions",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Narrative Enhancement Cognitive Therapy","NECT is a manualized group intervention comprising 12 weekly 90-minute sessions delivered to groups of approximately eight participants. It combines psychoeducation about stigma and self-stigma, cognitive restructuring of internalized negative beliefs, and narrative exercises that help participants develop a more integrated identity beyond mental illness. Sessions are co-facilitated by a trained mental health professional and a peer practitioner. Individual make-up sessions may be offered for missed sessions.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Control Group Sessions","Twelve weekly group sessions in which participants discuss topics such as their weekly activities, without specific psychotherapeutic or psychoeducational content targeting self-stigma or recovery. Treatment as usual continues throughout.",[15],[32,37],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},"Louise Penzenstadéer, MD","CONTACT","+41223725750","louise.penzenstadler@hug.ch",{"name":38,"role":34,"phone":39,"phoneExt":26,"email":40},"Hélène Richard-Lépouriel, MD","+41223054511","helene.richard-lepouriel@hug.ch",[42],{"facility":43,"status":26,"city":44,"state":45,"zip":46,"country":47,"countryCode":48,"cosmosGeoPoint":49,"geoPoint":54,"contacts":55},"Geneva University Hospital","Geneva","Canton of Geneva","1205","Switzerland","CH",{"type":50,"coordinates":51},"Point",[52,53],6.14569,46.20222,{"lat":53,"lon":52},[56],{"name":57,"role":34,"phone":35,"phoneExt":26,"email":36},"Louise Penzenstadler, MD",{"type":59,"investigatorFullName":60,"investigatorTitle":61,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"SPONSOR_INVESTIGATOR","Louise Penzenstadler","Principal investigator","100649616","promoting-recovery-by-overcoming-self-stigma-in-mental-health-disorders-with-a-narrative-enhancement-and-cognitive-therapy-nect-group-intervention-100649616",false,"NCT07735481","Promoting Recovery by Overcoming Self-stigma in Mental Health Disorders With a Narrative Enhancement and Cognitive Therapy (NECT) Group Intervention","Promoting Recovery by Overcoming Self-stigma in Mental Health Disorders With a Narrative Enhancement and Cognitive Therapy (NECT) Group Intervention - A Randomized Controlled Trial and Qualitative Study","Inclusion Criteria:\n\n* Written informed consent\n* DSM-5 psychiatric diagnosis within F10-F48, F60-F69, or F90, including substance use disorders\n* Receiving outpatient or day-hospital treatment\n* Diagnosed or in treatment for at least 12 months\n* Clinically stable for at least 3 months, with stable pharmacological treatment during this period\n* Clinical Global Impressions-Severity score below 6\n\nExclusion Criteria:\n\n* Participation in another program likely to affect social functioning or self-stigma, such as social cognitive remediation or social skills training\n* Acute psychiatric episode with a Clinical Global Impressions-Severity score above 6\n* Medical emergency or immediate life-threatening situation at inclusion\n* Unable to provide informed consent\n* Comorbid intellectual disability\n* Receiving care under constraint or deprived of liberty by judicial order Insufficient ability to speak and read French","ALL","18 Years",{"count":72,"type":73},106,"ESTIMATED","INTERVENTIONAL",[76],"NA","This study will evaluate whether Narrative Enhancement and Cognitive Therapy (NECT) can promote recovery among adults living with severe mental health disorders, including substance use disorders. NECT is a structured group intervention that combines education about stigma, cognitive techniques to challenge internalized negative beliefs, and narrative exercises that help participants develop a broader identity beyond their diagnosis.\n\nApproximately 106 adults receiving outpatient or day-hospital psychiatric care at Geneva University Hospitals will be randomly assigned to receive either usual care plus 12 weekly NECT sessions or usual care plus 12 comparison group sessions that do not specifically address self-stigma or recovery. The study will examine whether NECT improves recovery after the intervention and whether any benefits are maintained over time.",[79,80],"Mental Disorders","Substance Use Disorders",[82,83,84,85,86],"Narrative Enhancement and Cognitive Therapy","Self stigma","Recovery","Substance use disorders","Transdiagnostic group intervention","NOT_YET_RECRUITING","2026-08-03",{"date":90,"type":91},"2026-08-05","ACTUAL",{"date":93,"type":73},"2026-10-01",{"date":95,"type":73},"2029-09-30",{"name":60,"class":6},1]