Supportive Psychotherapy as Adjunct to Risperidone for Cognitive Function and Inflammation in Schizophrenia
NCT07477301 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 46
Last updated 2026-03-17
Summary
This study examined whether adding structured supportive psychotherapy to risperidone treatment is more effective than risperidone alone in improving cognitive function and reducing inflammation in patients with schizophrenia.
Forty-six male patients with schizophrenia were randomly assigned to two groups: the intervention group (n=23) received risperidone 4 mg/day plus 12 sessions of structured supportive psychotherapy over 6 weeks. The control group (n=23) received risperidone 4 mg/day alone for 6 weeks.
Cognitive function was measured using the Montreal Cognitive Assessment - Indonesian version (MoCA-Ina) and inflammation was measured using serum high-sensitivity C-reactive protein (hs-CRP) levels, both assessed at baseline (Week 0) and after treatment (Week 6).
NOTE: This trial was retrospectively registered. The study was conducted from December 2024 to February 2025 and received ethical clearance (No. 1009/UN4.6.4.5.31/PP36/2024) from the Biomedical Research Ethics Committee, Faculty of Medicine, Universitas Hasanuddin, prior to study initiation. Registration was performed after study completion due to the investigator's initial unawareness of prospective registration requirements. No outcome measures, study design, or statistical analysis plan were modified following data collection.
Conditions
- Schizophrenia
- Cognitive Dysfunction
- Inflamation
Interventions
- BEHAVIORAL
-
Structured Supportive Psychotherapy
Structured supportive psychotherapy using the Supportive Psychotherapy Module for Schizophrenia (Suhuyanli et al.), nationally validated in the Indonesian population. Consisting of 12 structured sessions delivered twice weekly over 6 weeks (15-30 minutes per session), organized into initial (sessions 1-3), middle (sessions 4-9), and termination phases (sessions 10-12). Sessions were delivered by three trained psychiatrists supervised by a consultant in medical psychotherapy. To minimize expectation bias, the intervention was described to all participants as "standard supportive counseling."
- DRUG
-
Risperidone 2 mg
Risperidone 4 mg/day (2 mg tablet twice daily, oral administration) for 6 weeks. Administered to both the intervention group (in combination with supportive psychotherapy) and the control group (as monotherapy).
Sponsors & Collaborators
-
Hasanuddin University
lead OTHER
Principal Investigators
-
Agus Durman, MD · Department of Psychiatry, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, Indonesia
-
Indrawaty Suhuyanli, MD · Department of Psychiatry, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, Indonesia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 45 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-12-01
- Primary Completion
- 2025-02-28
- Completion
- 2025-02-28
Countries
- Indonesia
Study Locations
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