A study on the effects of family education in reducing relapsing symptoms in schizophrenic patients (original) (raw)
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Objective: Educating families and caregivers of schizophrenic patients on controlling and managing the disorder, has found particular importance in clinical psychology. The present study aims to examine the effect of Psychoeducational interventions on illness management in families of schizophrenic patients. Methods: The present study is a quasi-experimental research with pretest-posttest design, and two control groups. The study sample consisted of 30 families with a schizophrenic member. The families were selected from referrals to a psychiatric center in Tehran (during a period of 40 days) who met the inclusion criteria, and were randomly placed into three groups: an experimental group, a control group with placebo, and a control group without placebo (10 persons in each group). A researcher-made questionnaire was used to collect data. The experimental group received trainings (a training package) and attended a group discussion on schizophrenia. The placebo group attended similar meetings, but without educational content and group discussion, and the second control group were only assessed in the pretest and posttest. After finishing the training sessions, and following an interval of 3 months, the posttest was conducted for each group. The study data were analyzed using univariate analysis of variance (ANOVA). All statistics were carried out using SPSS software, version 11. Results: According to the results, the experimental group had significantly higher gain scores (α≤0.05) than the two control groups, on the following variables: an increase in the adaptability of the patient in daily functioning, from the viewpoint of both a clinical psychologist and the patient’s family, an increase in the family’s knowledge of the illness, and a reduction in the adverse effects of the illness on the family’s feeling and attitude. Conclusion: The present study showed that family education is effective in increasing patients’ adaptability and patients’ family knowledge, and in reducing the adverse effects of the illness.
Iranian journal of nursing and midwifery research, 2014
Family psycho-education is one of the most effective interventions for preventing relapse in patients with schizophrenia. We evaluated the efficacy of a needs-assessment-based educational program in comparison with a current program (textbook based) in the treatment of schizophrenia. Patients with schizophrenia and their families (N = 60) were allocated to needs-assessment-based education (treatment) and textbook-based (control) programs; both included 10 sessions of education within about 6 months. Symptoms were assessed by the Positive and Negative Syndrome Scale (PANSS) prior to intervention and every 3 months for a total of 18 months. A 25% decrease or increase in total PANSS score was considered as response or relapse, respectively. Forty-two cases completed the study. The total PANSS score was significantly decreased in both groups with more reduction in the treatment group. Positive and negative scale scores were reduced in the treatment group, but not significantly in the co...
Jundishapur Journal of Chronic Disease Care
Background: Familial psycho-education is a training model dedicated to providing essential information and educating families with a psychiatric patient to work with mental health professionals as part of a treatment plan for their ill family members. Objectives: Our aim of this study was to investigate the effectiveness of the family psychological didactic program as an adjunctive treatment to medication in hospitalized patients with schizophrenia to reduce negative and positive symptoms. Methods: In this clinical trial, we included 49 Iranian inpatients with a diagnosis of schizophrenia hospitalized at Shiraz Psychiatric Hospital from September 2016 to May 2017. They were randomly assigned to experimental (n = 24) and control (n = 25) groups. All groups were prescribed their usual pharmacological treatments. Additionally, in the experimental group, a psychological education intervention was planned for their families. This intervention consisted of six 90-minute sessions that last...
Twenty-five intervention studies were meta-analytically examined regarding the effect of including relatives in schizophrenia treatment. The studies investigated family intervention programs to educate relatives and help them cope better with the patient's illness. The patient's relapse'rate, measured by either a significant worsening of symptoms or rehospitalization in the first years after hospitalization, served as the main study criterion. The main result of the meta-analysis was that the relapse rate can be reduced by 20 percent if relatives of schizo-phrenia patients are included in the treatment If family interventions continued for longer than 3 months, the effect was particularly marked. Furthermore, different types of comprehensive family interventions have similar results. The bifocal approach, which offers psy-chosocial support to relatives and schizophrenia patients in addition to medical treatment, was clearly superior to the medication-only standard treatment. The effects of family interventions and comprehensive patient interventions were comparable, but the combination did not yield significantly better results than did a treatment approach, which focused on either the patient or the family. This meta-analysis indicates that psychoeducational interventions are essential to schizo-phrenia treatment
Journal of Health, Medicine and Nursing, 2019
Introduction: Schizophrenia is a disturbing and stressful disorder for both the patient and his caregiver. Psychoeducational intervention is believed to efficiently meet the informational needs of families to improve their quality of life when caring for a family member with schizophrenia, thereby reducing the patient's relapse from the disorder. Aim: The study aimed to determine the effect of the psycho-educational intervention on burden and quality of life among caregivers of schizophrenic patients. Methods: A quasi-experimental research design [pretest-posttest] was used in the current study, The subjects consisted of 50 caregivers of hospitalized schizophrenic patients, who were selected according to the inclusion criteria. The study was carried out at the in-patient psychiatric department of the Mansoura University Hospital. The instruments used for data collection were, Sociodemographic and Clinical Data Structured Interview Schedule, The Zarit Burden Interview and Quality of life scale. Results: There was a statistically significant difference in mean scores of the burden and quality of life between pre and post the intervention. Conclusion: Burden and quality of life of caregivers of patients with schizophrenia improved significantly after the psycho-educational intervention. Recommendation: Caregivers of schizophrenic patients should be counseled and encouraged to participate in psycho-educational programs to understand unnecessary behavioral changes and to to improve their burden and quality of life.
Australian and New Zealand Journal of Psychiatry, 1987
In the aftermath of deinstitutionalisation and the move to community management of schizophrenia, relatives play an increasing role in the management of the illness. Families often complain of being misinformed and ill equipped to aid in the treatment. A supportive/ educational intervention for relatives is described and evaluated. Seven parents with a schizophrenic offspring participated in a descriptive pilot study employing a pre-post-treatment design. To test the hypotheses that treatment would impact on participants' distress, burden, family conflict, isolation and knowledge of schizophrenia, before and after measures were taken on self-report indices utilising these features. Generalisation effects on family coping were assessed via tri-weekly telephone interviews for the duration of the study. The intervention included information and sharing sessions. There was a substantial reduction in distress symptoms, anxiety, depression, burden and the amount of family conflict; there was an increase in the duration of home visits, out of home excursions and knowledge of schizophrenia. Most of the subjects' needs were met by the intervention. These gains were achieved with a high level of consumer acceptance. It was concluded that this kind of education has an important role in psychosocial intervention with relatives of the mentally ill.
International journal of nursing didactics, 2019
Background: There is considerable evidence that family psycho-education when combined with pharmacological intervention for patients with schizophrenia increases family understanding of the illness, reduces burden of care& strength coping strategies and in turn enhance quality of their patients' life and outcomes. Aim of the study: is to investigate effectiveness of psych education intervention for family caregivers of schizophrenics on their burden and coping process and their patients' quality of life Design: An intervention quasi-experimental research design with pre-post assessment was utilized in this study. Setting: the study was conducted at the outpatient clinics of Gamal Abou ElAzayem psychiatric Hospital in 10 th of Ramadan city, Egypt. Subjects: 69 schizophrenic patients and their caregivers. Tools: The data were collected using an interview questionnaire forms that included 1) Socio-demographic characteristics for caregivers and their schizophrenic patients, 2) The Caregiver Burden Scale .3) The Coping Process Scale, and 4) The Lehman Quality of Life Interview Scale Results: The results showed that the caregivers of schizophrenic patients suffer considerable burdens with low QOL among their patients. Caregivers' burden and coping are more related to patients' personal and disease characteristics at the pre and post intervention phases. Conclusion: The implementation of the psycho educational intervention was effective in decreasing caregivers' burden, and in improving their problem-focused and emotion-focused coping which led to significant improvements in patients' QOL, Recommendation: The study recommends continuity of such psycho-education intervention on a long term basis to confirm its effectiveness along with providing mental health counselling, and developing support for family caregivers of schizophrenics.