Applying psychoeducational program on general health and communication skills in caregivers of patients with schizophrenia: A randomized controlled trial

Rezaei, Omid; Bayani, Azadeh; Mokhayeri, Yaser; Waye, Katherine M.; Sadat, Yousef; Haroni, Javad; Latifi, M.A.; Mohammadi, Rezvan Sadr; Ghaffari, Mohtasham; Noroozi, Mehdi; Alibeigi, Neda; Sayadnasiri, Mohammad; Fadai, Farbod; Ghahestany, Davood Arab; Dieji, Bahman; Ahounbar, Elahe; Etivand, M; Armoon, Bahram

doi:10.1016/j.ejpsy.2018.04.001

Cited by 8 publications

(22 citation statements)

References 31 publications

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“…The discussed study was a clinical trial on 90 family members of patients divided into an FPE intervention group and a control group. Their results showed that education, occupation, and relationship with the patient were factors contributing to the effect of the FPE course on the subjects (27). The present findings were similar to the results of that study.…”

Section: Discussionsupporting

confidence: 92%

“…By the end, 26 of these people remained in the study. The assessment of depression and anxiety in this group before and after the study did not reveal a significant change (27). In the present study, there was a significant reduction in anxiety and depression scores, even though the present study was also an interventional study without a control group, and therefore, these changes cannot be solely attributed to FPE.…”

Section: Discussioncontrasting

confidence: 65%

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The Effects of Family Psychoeducation Courses on Depression, Anxiety and Family Functioning in the Caregivers of Schizophrenic Patients

2021

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Background: Schizophrenia is one of the most serious psychiatric diseases that affects the patient’s family members in addition to the patient himself. This disease can lead to depression and anxiety in the family members of the patient and even affect their functioning. Objectives: The present study was conducted to investigate the effect of a short-term family psychoeducation course on the depression and anxiety family functioning in caregivers Methods: In this before-after clinical trial, 163 first-degree family members of patients with schizophrenia were invited to participate in a short-term FPE course. A total of 65 of this group attended the first training session. Prior to the first session, the beck depression inventory (BDI), the beck anxiety inventory (BAI), and the family assessment device (FAD) were completed for the participants based on a family functioning model. Six months after the end of the FPE course, the 36 subjects who had completed the initial questionnaires and fully attended the sessions were invited to complete the questionnaires again. A total of 31 subjects completed the questionnaires again at this stage. The data were analyzed by SPSS-20 software using Mann–Whitney and Wilcoxon rank tests. Results: The mean age of the participants in both stages of questionnaire completion was 48.64 ± 11.85 years. Among them, 16 (51.6%) were female, and 15 (48.4%) were male. Also, six (19.4%) subjects had an education above high school, and mothers were the most frequent participating family members with a frequency of 11 (35.5%). The anxiety and depression scores of these subjects were 10.8 ± 5.14 and 6.9 ± 2.45 at baseline, respectively. These scores decreased significantly after six months to 5.03 ± 2.48 and 4.40 ± 1.9, respectively. In addition, among family functioning, Role and Behavioral control was significantly improved (P-value < 0.05). Conclusions: The results of this study showed that depression and anxiety levels decreased in the family members of the examined patients six months after an FPE course. This effect can be further investigated through studies conducted with control groups. These findings suggest that the integration and institutionalization of FPE programs in the healthcare system are essential for improving the status of patient caregivers with severe psychiatric illnesses and their families.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 65%

The Effects of Family Psychoeducation Courses on Depression, Anxiety and Family Functioning in the Caregivers of Schizophrenic Patients

2021

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“…The intervention used for the control group or the other arm of the study varied in different studies. It was treatment as usual in 31 studies (18-21, 25, 27-29, 34-37, 39-43, 45, 46, 49-51, 53-58, 61, 62, 65-67, 70-75, 78, 79), active intervention in four studies (22, 23, 26, 31, 32, 59, 60), and both treatment as usual and active intervention in five studies (38, 44, 47, 48, 64, 68). Seven studies had no control group (13, 15-17, 33, 69, 76), and one study had both control and placebo groups (14).…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from 15 to 270 in the included studies. Diagnosis of participants was SMD in 13 studies (13, 17, 27-29, 33, 40, 41, 47, 48, 55, 57, 61, 62, 64, 65, 68, 76), schizophrenia in 23 studies (14-16, 18-20, 31-33, 35-39, 42-46, 53, 54, 58-60, 66, 67, 71, 74, 78), and bipolar disorder in 11 studies (21, 25, 26, 34, 49, 50, 56, 69, 70, 74, 75, 79). First episode psychosis was included in 3 studies (22, 23, 33, 51).…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen studies included no information on patients’ gender (16, 18-23, 25, 34, 35, 49, 50, 66, 69-71, 78, 79) From the 34 remaining studies, 27 included only male patients or the majority of patients were male (13-15, 17, 26-29, 31-33, 37-48, 55, 57, 58, 61, 62, 64, 65, 67, 68, 74, 76). The number of female patients was higher than or equal to male patients in seven studies (36, 51, 53, 54, 56, 59, 60, 72, 75).…”

Section: Resultsmentioning

confidence: 99%

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Family and Patient Psychoeducation for Severe Mental Disorder in Iran: A Review

Mottaghipour

Tabatabaee

2019

IJPS

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Objective: There are evidence-based practices in the field of family and patient psychoeducation for patients suffering from severe mental disorders. However, given the variation in resources and cultural contexts, implementation of these services, especially in low- and middle-income countries is faced with challenges. This study aimed to review articles on family and patient psychoeducation of severe mental disorders in Iran and to find the characteristics of the main components necessary for the implementation of such practices in clinical settings. Method: All published studies on family and patient psychoeducation for severe mental disorders (schizophrenia, schizoaffective, and bipolar disorder) conducted in Iran were searched up to May 2018; and key features and findings of each study were extracted and presented. Results: Forty-eight studies were included in this review, of which 27 were randomized controlled trials, and 20 were quasi-experimental. One study was an implementation and service development report. The main findings of these studies were a significant decrease in relapse rate and/or rehospitalization rate and a significant decrease of burden and distress of families. Conclusion: Despite a wide diversity in approaches, this review showed that different psychosocial interventions in which psychoeducation is one of their core and main components have promising results, demonstrating the significance of this intervention in Iranian mental health research. In our opinion, based on evidence, even with limited resources, it is no longer acceptable to deprioritize some forms of psychoeducation for patients and their families in clinical settings.

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The effect of a psychoeducational intervention on mental health and anxiety in family caregivers of inpatient patients with schizophrenia: a randomized controlled trial

Bademli

Lök²,

Çinkılıç³

2022

Curr Psychol

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Applying psychoeducational program on general health and communication skills in caregivers of patients with schizophrenia: A randomized controlled trial

Cited by 8 publications

References 31 publications

The Effects of Family Psychoeducation Courses on Depression, Anxiety and Family Functioning in the Caregivers of Schizophrenic Patients

The Effects of Family Psychoeducation Courses on Depression, Anxiety and Family Functioning in the Caregivers of Schizophrenic Patients

Family and Patient Psychoeducation for Severe Mental Disorder in Iran: A Review

The effect of a psychoeducational intervention on mental health and anxiety in family caregivers of inpatient patients with schizophrenia: a randomized controlled trial

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