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NCT07188597

Culturally Adapted Cognitive Behavior Therapy for Individuals At Risk of First Episode Psychosis

Recruiting now NA Last updated 13 April 2026
What this trial tests

NA trial testing Cognitive Behavior Therapy for those at risk of first episode psychosis in Individuals at Risk of First Episode Psychosis in 90 participants. Currently enrolling.

Timeline
1 January 2025
Primary endpoint
30 June 2026
30 December 2026

Quick facts

Lead sponsorPakistan Institute of Living and Learning
PhaseNA
StatusRecruiting now
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment90
Start date1 January 2025
Primary completion30 June 2026
Estimated completion30 December 2026
Sites2 locations across Pakistan

Drugs / interventions tested

Conditions studied

Sponsor

Pakistan Institute of Living and Learning

Who can join

Adults 16 to 35, any sex, with Individuals at Risk of First Episode Psychosis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Young people constitute nearly half of Pakistan's population and are highly vulnerable to risk factors for mental illness, including poverty, inequality, abuse, and violence. Estimates suggest that 19-34% of children and adolescents experience emotional or behavioural disorders, though this is likely underestimated. In recent years, research has focused on those at imminent risk of developing serious conditions such as first episode psychosis. The concept of an At-Risk Mental State (ARMS) has highlighted the urgent need for interventions that address current symptoms, improve functioning, and reduce transition to psychosis. Up to 80% of young people with ARMS have another diagnosable condition, and almost half show poor psychosocial outcomes even six years after initial help-seeking. Evidence demonstrates that early identification and treatment can delay or prevent psychosis, including severe and enduring illnesses like schizophrenia. Cognitive Behaviour Therapy (CBT) is among the most effective evidence-based approaches for this group. However, existing evidence comes largely from high-income countries, raising concerns about cultural applicability in low-resource settings. This study will culturally adapt and field test a manualised CBT intervention for young people at risk of first episode psychosis. To our knowledge, this is the first such study in a low-income country. Findings will inform scalable, culturally relevant interventions for Pakistan and similar contexts.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Trials by the same sponsor.

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