Beneficial factors in family discussion groups of a psychiatric day clinic: perceptions by the therapeutic team and the families of the therapeutic process

Lemmens, Gilbert; Wauters, Saskia; Heireman, Magda; Eisler, Ivan; Lietaer, Germain; Sabbe, Bernard

doi:10.1111/1467-6427.00234

Cited by 26 publications

(29 citation statements)

References 30 publications

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“…As indicated by Lemmens, Eisler, Dierick, Lietaer, and Demyttenaere (), Lemmens et al. (), and Hellemans et al. (), group cohesion and support, a sense of belonging, and group homogeneity seem to be central elements of the group dynamics.…”

Section: Discussionmentioning

confidence: 89%

The Effects of a Multiple Family Therapy on Adolescents with Eating Disorders: An Outcome Study

Gelin

Fuso²,

Hendrick

et al. 2014

Family Process

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Multiple Family Therapy (MFT) has gained increasing popularity in the treatment of eating disorders and many programs have been developed over the past decade. Still, there is little evidence in the literature on the effectiveness on MFT for treating eating disorders. The present study examines the effects of a particular model of Multiple Family Therapy on eating disorder symptoms, quality of life, and percentage of Expected Body Weight (%EBW) in adolescents with eating disorders (ED). Eighty-two adolescents with ED, aged between 11 and 19 years, were assessed before and after treatment using the Eating Disorders Inventory 2 (EDI-2), the Outcome Questionnaire 45 (OQ-45) and %EBW. Results showed a significant increase in %EBW between the beginning and end of treatment, with a large effect size. 52.4% of patients achieved an EBW above 85%. Symptoms relative to all EDI dimensions (except for bulimia) significantly decreased during treatment. The three dimensions related to quality of life assessment also improved over the course of MFT. At the end of treatment, 70.7% of patients had a total OQ-45 score below clinical significance. This study suggests that Multiple Family Therapy may benefit adolescents with eating disorders, with improvement on several outcome measures (%EBW, ED symptoms, and quality of life). However, the lack of a comparison group entails caution when drawing conclusions.

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Section: Discussionmentioning

confidence: 89%

The Effects of a Multiple Family Therapy on Adolescents with Eating Disorders: An Outcome Study

Gelin

Fuso²,

Hendrick

et al. 2014

Family Process

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show abstract

“…Three studies on psychiatric day patients and inpatients suffering from major depression , analysed families’ reports of helpful and unhelpful experiences of MFT using the Interpretive Phenomenological Analysis (IPA) (Hellemans et al ., ), content analysis (Lemmens et al ., ), and self‐report questionnaires (Lemmens et al ., ). Results revealed the prominence of therapeutic factors that reflected the unique structural and process aspects of MFT (rather than specific interventions or exercises), such as group cohesion and support, experiences of communality, as well as learning by observation of and identification with other families.…”

Section: Mft Interaction Patterns and Therapeutic Processesmentioning

confidence: 99%

The evidence base for Multiple Family Therapy in psychiatric disorders: a review (part 1)

Gelin

Cook‐Darzens

Hendrick

2017

Journal of Family Therapy

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This article provides an updated and comprehensive overview of the empirical literature regarding Multiple Family Therapy (MFT)'s applications to major psychiatric disorders. It shows that MFT's strongest evidence base is for schizophrenia and chronic psychoses, making its psychoeducational model one of the best available practices for these disorders. There is also a growing body of evidence regarding the usefulness of MFT for mood disorders (particularly in children), eating disorders and alcohol‐substance abuse, but more controlled research is needed for these conditions. Other disorders such as anxiety disorders, autism and attention deficit hyperactivity disorder have been studied in a more anecdotal fashion and require more rigorous investigations. Future research efforts should focus on: (1) the specific advantage of MFT over other active treatment modalities, (2) the comparative efficacy of various MFT models for a given population, and (3) MFT's change processes. Practitioner points McFarlane's psychoeducational MFT model is considered best practice for schizophrenia and other psychoses (and possibly mood disorders), facilitated by its manual‐based approach The Maudsley model is a valuable treatment for adolescent anorexia nervosa. Family therapists who are less ED‐focused in their interventions can also use more generic MFT models MFT practitioners should attempt to operationalize their MFT model and include an evaluation component in their therapeutic implementation

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“…In one study reviewed, Lemmens et al (2003) (Bae and Kung, 2000), and identification with the experience of their counterparts in other families (Bishop et al, 2002). In fact, the notion of mutual support groups and other approaches to family intervention is multi-faceted and complex (Pharoah et al, 2001).…”

Section: Qualitative Exploratory Studiesmentioning

confidence: 99%

The effectiveness and active ingredients of mutual support groups for family caregivers of people with psychotic disorders: A literature review

Chien

Norman

2009

International Journal of Nursing Studies

102

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Objectives: To explore the literature through a systematic search to assess the effectiveness of mutual support groups for family caregivers of people with schizophrenia and other psychotic disorders.Methods: This review of the research literature was based on the procedures suggested by the National Health Service Centre for Reviews and Dissemination (2001) Report Number 4 in the UK. A combined free-text and thesaurus approach was used to search relevant research studies within electronic databases, including Medline, Embase, CINAHL, OVID full-text, PsycINFO, the Cochrane Library, the British Nursing Index, the NHS National Research register, and System for Info on Grey literature for the period 1980-2007. Reference lists of all retrieved literature were also searched to identify studies that may have been missed. Twenty-five research studies were selected for inclusion in the analysis on the basis that they were either family-led or professional-facilitated support group programmes for family caregivers of people with schizophrenia or other psychotic disorders.Results: The review identified that most studies on this group programme used qualitative, exploratory cross-sectional surveys and quasi-experimental study designs (n= 19); six were experimental studies or randomised controlled trials. There were only a few small-scale, singlecentre controlled trials with the findings supporting the significant positive effects of mutual support groups on families' and patients' psychosocial well-being. A number of nonexperimental studies conducted in Western countries reported benefits of group participation up to one year, such as increased knowledge about the illness, reduced burden and distress, and enhanced coping ability and social support. However, many of these studies lacked rigorous control and did not use standardised and valid instruments as outcome measures or schedule follow-up to examine the long-term effects of support groups on families and/or patients. This is the Pre-Published Version.2 Conclusions: With increasing recognition of benefits from mutual support, this review highlights the dearth of evidence for the effects and active ingredients of mutual support groups.Mutual support may have significant impacts on long-term psychosocial and nursing interventions for both patients with severe mental illness and their families in community mental health care. Further research is recommended to investigate the therapeutic components and effects of mutual support groups for family caregivers of people with schizophrenia and psychotic disorders across cultures.

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Beneficial factors in family discussion groups of a psychiatric day clinic: perceptions by the therapeutic team and the families of the therapeutic process

Cited by 26 publications

References 30 publications

The Effects of a Multiple Family Therapy on Adolescents with Eating Disorders: An Outcome Study

The Effects of a Multiple Family Therapy on Adolescents with Eating Disorders: An Outcome Study

The evidence base for Multiple Family Therapy in psychiatric disorders: a review (part 1)

The effectiveness and active ingredients of mutual support groups for family caregivers of people with psychotic disorders: A literature review

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