Ingvild Haugen

Ph.d.-kandidat

E-post ingvhaug@student.sv.uio.no

Mobiltelefon 48212595

Brukernavn

Pressebilde Last ned visittkort

Stipendiat i forskningsprosjektet Trening av eksekutive funksjoner for pasienter med schizofreni. Mange mennesker med psykoselidelser strever også med kognitive vansker og eksekutive funksjoner har særlig sterk sammenheng med hverdagsfunksjon. Vi undersøker om Goal Management Training er en aktuell intervensjon for pasientgruppen.

Finansiering og samarbeid

Prosjektet finansieres gjennom ph.d-stipend fra Helse Sør-Øst, samt forskningsmidler fra Sykehuset Innlandet og Universitetet i Oslo. Fekjær psykiatriske senter har samarbeidet om rekrutteringen av deltakere.

Akademiske interesser

Interesser inkluderer behandling av alvorlig psykisk lidelse og et særskilt fokus på kognitiv trening.

Bakgrunn

Utdannet psykolog ved Universitetet i Oslo 2016. Har en todelt stilling ved Sykehuset Innlandet som stipendiat og psykolog ved psykosepost.

Forskningsteam

Prosjektleder og hovedveileder er professor Merete Glenne Øie. Bi-veiledere er Elisabeth Haug (ph.d) and førsteamanuensis II Jan Stubberud. Samarbeidspartnere inkluderer førsteamanuensis Torill Ueland ved NORMENT. Internasjonale samarbeidspartnere er blant annet professor Brian Levine, Rotman Research Institute, Baycrest Health Sciences.

Emneord: Psychotic Disorders, Cognition, Executive function

Dyresen, Agnete; Stubberud, Jan Egil; Fjermestad, Krister Westlye; Haugen, Ingvild & Øie, Merete Glenne (2023). Executive control training for adolescents with ADHD: Study protocol for a randomized controlled trial. Contemporary Clinical Trials. ISSN 1551-7144. 136. doi: 10.1016/j.cct.2023.107404. Fulltekst i vitenarkiv Vis sammendrag
Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental conditions diagnosed during childhood and adolescence. In addition to the commonly observed symptoms of inattention, hyperactivity, and impulsivity, individuals with ADHD often experience impairments in executive functions (EFs). Goal management training (GMT) is a cognitive remediation intervention targeting EFs, with empirical support from studies with adult populations, including ADHD. The objective of the upcoming trial is to assess the effectiveness of GMT for adolescents with ADHD. Methods: This pre-registered protocol outlines a multi-centre randomised controlled trial (RCT) comparing GMT to treatment as usual (TAU) to improve EFs. We aim to recruit 120 participants, aged 12 to 18 years, recently diagnosed with ADHD. Participants will be randomly allocated to the group-based GMT intervention in addition to TAU, or the TAU condition, through block randomisation with site stratification. GMT will be delivered in groups of four to six participants, with weekly two-hour sessions for seven weeks, complemented by separate parent and teacher sessions. TAU is standard community mental health treatment. The primary outcome measure will be parent-reported EF assessed with the Behaviour Rating Inventory of Executive Function 2 (BRIEF-2). Secondary outcomes will include ADHD symptom measures, social functioning, quality of life, and neuropsychological tests (attention span, inhibition, working memory, and visuo-motor speed). The outcome assessments will be conducted at baseline, 12 weeks, 12 months, and 24 months post-treatment. Conclusion: The study findings will contribute to determine the effectiveness of a non-pharmacological ADHD treatment, including outcome trajectories up to 24 months post-treatment.
Sargénius, Hanna Lovise; Andersson, Stein; Haugen, Ingvild; Hypher, Ruth Elizabeth; Brandt, Anne Elisabeth & Finnanger, Torun Gangaune [Vis alle 9 forfattere av denne artikkelen] (2023). Cognitive rehabilitation in paediatric acquired brain injury—A 2-year follow-up of a randomised controlled trial. Frontiers in Neurology. ISSN 1664-2295. 14. doi: 10.3389/fneur.2023.1173480. Fulltekst i vitenarkiv Vis sammendrag
Background: Goal management training (GMT), a metacognitive rehabilitation method that has been demonstrated to improve executive function (EF) in adults with acquired brain injury (ABI), could potentially be effective for children in the chronic phase of ABI. In a previously published randomised controlled trial (RCT), the efficacy of a paediatric adaptation of GMT (pGMT) compared to a psychoeducative control intervention (paediatric Brain Health Workshop, pBHW) was investigated. Comparable improvements in EF in both groups were found at 6-month follow-up. However, a specific effect of pGMT could not be conclusively proven. The present study reports 2-year follow-up data (T4; T1: baseline, T2: post-intervention, T3: 6-month follow-up, and T4: 2-year follow-up) from this original RCT. Methods: A total of 38 children and adolescents and also their parents completed questionnaires tapping into daily life EF. Explorative analyses were conducted comparing the 2-year follow-up data (T4) with the baseline (T1) and 6-month follow-up data (T3) for T4-participants in the two intervention groups (pGMT; n = 21, pBHW; n = 17), and we also assessed T4-participants vs. non-responders (n = 38) in the RCT. Primary outcome measures were the Behavioural Regulation Index (BRI) and the Metacognition Index (MI) derived from the Behaviour Rating Inventory of Executive Function (BRIEF) parent report. Results: No difference between intervention groups was found (BRI, F = 2.25, p = 0.143, MI, F = 1.6, p = 0.213), and no time*group interaction (BRI, F = 0.07, p = 0.976, MI, F = 0.137, p = 0.937) could be seen at the 2-year follow-up. Nevertheless, both pGMT and the pBHW groups improved daily EF as measured by parental reports over time from the baseline to T4 (p = 0.034). T4 participants and non-responders shared similar baseline characteristics. Conclusion: Our results extend the findings from the 6-month follow-up previously published. Both pGMT and pBHW groups sustained their improvements in daily life EFs from the baseline, but additional effectiveness of pGMT relative to pBHW was not found.
Haugen, Ingvild; Ueland, Torill; Stubberud, Jan Egil; Brunborg, Cathrine; Wykes, Til & Øie, Merete Glenne [Vis alle 7 forfattere av denne artikkelen] (2022). Moderators of metacognitive strategy training for executive functioning in early schizophrenia and psychosis risk. Schizophrenia Research: Cognition. ISSN 2215-0013. 31. doi: 10.1016/j.scog.2022.100275. Fulltekst i vitenarkiv
Haugen, Ingvild; Stubberud, Jan Egil; Haug, Elisabeth; McGurk, Susan R.; Hovik, Kjell Tore & Ueland, Torill [Vis alle 7 forfattere av denne artikkelen] (2022). A randomized controlled trial of Goal Management Training for executive functioning in schizophrenia spectrum disorders or psychosis risk syndromes . BMC Psychiatry. ISSN 1471-244X. 22(1). doi: 10.1186/s12888-022-04197-3. Fulltekst i vitenarkiv Vis sammendrag
Background Executive functioning is essential to daily life and severely impaired in schizophrenia and psychosis risk syndromes. Goal Management Training (GMT) is a theoretically founded, empirically supported, metacognitive strategy training program designed to improve executive functioning. Methods A randomized controlled parallel group trial compared GMT with treatment as usual among 81 participants (GMT, n = 39 versus Wait List Controls, n = 42) recruited from an early intervention for psychosis setting. Computer generated random allocation was performed by someone independent from the study team and raters post-intervention were unaware of allocation. The primary objective was to assess the impact of GMT administered in small groups for 5 weeks on executive functioning. The secondary objective was to explore the potential of the intervention in influencing daily life functioning and clinical symptoms. Results GMT improved self-reported executive functioning, measured with the Behavior Rating Inventory of Executive Function – Adult version (BRIEF-A), significantly more than treatment as usual. A linear mixed model for repeated measures, including all partial data according to the principle of intention to treat, showed a significant group x time interaction effect assessed immediately after intervention (post-test) and 6 months after intervention (follow-up), F = 8.40, p .005, r .37. Improvement occurred in both groups in objective executive functioning as measured by neuropsychological tests, functional capacity, daily life functioning and symptoms of psychosis rated by clinicians. Self-reported clinical symptoms measured with the Symptoms Check List (SCL-10) improved significantly more after GMT than after treatment as usual, F = 5.78, p .019, r .29. Two participants withdrew due to strenuous testing and one due to adverse effects. Conclusions GMT had clinically reliable and lasting effects on subjective executive function. The intervention is a valuable addition to available treatment with considerable gains at low cost. Trial registration Registered at clinicaltrials.gov NCT03048695 09/02/2017.
Haugen, Ingvild; Stubberud, Jan; Ueland, Torill; Haug, Elisabeth & Øie, Merete Glenne (2021). Executive dysfunction in schizophrenia: Predictors of the discrepancy between subjective and objective measures . Schizophrenia Research: Cognition. ISSN 2215-0013. 26. doi: 10.1016/j.scog.2021.100201. Fulltekst i vitenarkiv Vis sammendrag
This study aimed to investigate what characterizes individuals with schizophrenia who experience more or less subjective executive dysfunction in everyday life compared to objective executive performance on neuropsychological tests. Sixty-six participants with broad schizophrenia spectrum disorders completed a comprehensive assessment of executive function. Discrepancies between performance on neuropsychological tests (objective) and an extensive self-report questionnaire (subjective) of central executive functions (inhibition, shifting and working memory) were calculated. Higher level of self-efficacy was the best predictor of experiencing fewer subjective cognitive complaints compared to objective performance, followed by higher levels of disorganized symptoms. Depressive symptoms did not predict discrepancy between subjective and objective executive function. Higher estimated IQ predicted greater subjective working memory difficulties in everyday life despite better objective performance. Results may aid clinicians in the assessment and remediation of cognitive impairment. Low self-efficacy may identify individuals who are not able to utilize their potential executive functions in daily life. Interventions aimed at fostering self-efficacy ought to be included in cognitive remediation for these individuals. Disorganized symptoms could prove useful in identifying individuals who are in need of cognitive remediation for executive dysfunction, despite that they overestimate their skills. These individuals may benefit from efforts to increase insight into cognitive dysfunction. Keywords: Cognition; Cognitive impairment; Executive function; Psychosis; Schizophrenia; Self-efficacy; Subjective assessment. © 2021 The Authors.
Haugen, Ingvild & Kunst, Jonas R. (2017). A two-way process? A qualitative and quantitative investigation of majority members’ acculturation. International Journal of Intercultural Relations. ISSN 0147-1767. 60, s. 67–82. doi: 10.1016/j.ijintrel.2017.07.004. Fulltekst i vitenarkiv

Se alle arbeider i Cristin

Haugen, Ingvild (2023). Subjective and Objective Executive Function in People With Early Schizophrenia or Psychosis Risk: A Clinical Trial of Goal Management Training. Doktoravhandling, Universitetet i Oslo. ISSN 1504-3991. Vis sammendrag
Background Executive function is a cognitive domain important for daily life function. People with schizophrenia spectrum disorders or with a risk of developing these disorders, often experience challenges with executive function. The present study evaluates Goal Management Training (GMT), a metacognitive strategy training specifically targeting executive function, delivered in early detection and intervention for psychosis clinics. Evidence supporting this type of cognitive remediation as an early intervention for psychosis is limited. Since this is the first study of GMT for early psychosis, knowledge of who benefited the most was investigated. Methods A randomized, controlled trial with masked raters was conducted at Innlandet Hospital in Norway comparing the effects of GMT (N =81; GMT n = 39) to treatment as usual (TAU n = 42), among people with early schizophrenia spectrum disorders or psychosis risk syndromes. Outcomes were improved objective executive function (performance on neuropsychological tasks) and subjective (self-reported) executive function from baseline (0 weeks), to after intervention (5 weeks) and follow-up (30 weeks/ six months). In addition, effects on functional capacity, daily life function and clinical symptoms was explored. The severity of objective executive dysfunction and the discrepancy between objective and subjective executive function, were explored as potential obstacles to successful remediation using GMT. Symptoms of psychosis, depression, and self-efficacy were explored as potential predictors of the discrepancy between subjective and objective executive function in schizophrenia spectrum disorders. Results GMT led to significant and clinically reliable improvement in self-reported executive function for participants in everyday situations. Self-reported symptoms of anxiety and depression significantly improved more after GMT than TAU. Objective executive function, functional capacity and daily life function improved in both treatment groups. Participants with both subjective and objective executive dysfunction, and participants with mostly subjective executive complaints, experienced the largest improvement in subjective executive function after GMT. Participants with mostly objective executive dysfunction showed little improved subjective executive function after GMT. In participants with a schizophrenia spectrum disorder, a pattern of mostly objective executive function unaccompanied by subjective complaints was associated with having more disorganized symptoms of psychosis, but also better self-efficacy. Conclusions The first trial of GMT in people recently diagnosed with schizophrenia spectrum disorders or psychosis risk syndromes found clinically reliable improvement in subjective executive function in everyday situations lasting at least six months after treatment. Avhandlingen er tilgjengelig i DUO vitenarkiv hos UiO: https://www.duo.uio.no/handle/10852/100405
Haugen, Ingvild; Haug, Elisabeth; Stubberud, Jan Egil; Ueland, Torill & Øie, Merete Glenne (2018). Goal Management Training of executive functions for patients with schizophrenia or high risk of schizophrenia.
Haugen, Ingvild & Kunst, Jonas R. (2017). Corrigendum to A two-way process? A qualitative and quantitative investigation of majority members’ acculturation (International Journal of Intercultural Relations (2017) 60 (67–82) (S0147176716304643) (10.1016/j.ijintrel.2017.07.004)). International Journal of Intercultural Relations. ISSN 0147-1767. 61. doi: 10.1016/j.ijintrel.2017.11.001.
Haugen, Ingvild (2023). Subjective and objective executive function in people with early schizophrenia or psychosis risk: A clinical trial of Goal Management Training . Universitetet i Oslo. ISSN 1504-3991.