Brief interactive psychoeducation for caregivers of patients with early phase psychosis in Yogyakarta, Indonesia

Marchira, Carla Raymondalexas; Supriyanto, Irwan; Subandi, Subandi; Good, Mary Jo DelVecchio; Good, Byron J.

doi:10.1111/eip.12506

Cited by 19 publications

(11 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 100 patients with early psychosis and their caregivers were recruited as part of an intervention study (Marchira, 2012 ). The inclusion criteria were that patients should: (1) be suffering the first episode of any psychotic disorder, with diagnosis established by at least two psychiatrists according to International Statistical Classification of Diseases and Related Health Problems-10th Revision (ICD-10) criteria, (2) be aged 15–30 years old, with caregiver's aged 18–70 years old, (3) have given informed consent.…”

Section: Methodsmentioning

confidence: 99%

“…The data for the analyses reported here were collected from October 2010 to March 2012 during in-depth interviews with caregivers. Data from these interviews were analyzed and coded to allow quantitative analysis (Marchira, 2012 ). The protocol of this study was approved by the Ethical Committee of the Faculty of Medicine Gadjah Mada University, Jogjakarta.…”

Section: Methodsmentioning

confidence: 99%

“…The analysis reported here is based on a study of the effectiveness of family psychoeducation in increasing caregivers’ knowledge of schizophrenia and the care they provide for a family member, conducted in Jogjakarta, Indonesia (Marchira, 2012 ). In this paper, we report on findings of DUP in this population and examine the influence of explanatory models and help seeking processes of caregivers on DUP in a first episode of psychotic disorder.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The association between duration of untreated psychosis in first psychotic episode patients and help seeking behaviors in Jogjakarta, Indonesia

Marchira

Supriyanto

Subandi

et al. 2015

International Journal of Culture and Mental Health

Self Cite

View full text Add to dashboard Cite

Help seeking is predictor of prognosis in the first episode of psychotic disorders. Caregivers play a key role in deciding from whom to seek help. In Indonesia, caregivers often seek help from alternative healers first and health professionals later, which is believed to result in delayed psychiatric treatment and risk for poor prognosis. This study measured the duration of untreated psychosis (DUP) in a sample of 100 persons being treated for a first episode of psychosis in Yogyakarta, Indonesia. We attempted to measure and determine associations among caregivers’ explanatory models, help seeking behaviors and DUP in this sample. The data were then statistically analyzed. The DUP for this population was very short. Most caregivers were parents or spouses (72 and 12%, respectively) and at the time of being interviewed described medical explanatory models for the psychotic symptoms (60%). A majority described having visited traditional/alternative healers prior to their visit to health professionals (67%). Despite this, the DUP was not significantly different for these two groups. Thus, first resort to traditional/alternative healers did not predict prolonged DUP. Further study with a larger sample is needed to better understand the relationship between care seeking, use of alternative healers and DUP in Indonesia.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The association between duration of untreated psychosis in first psychotic episode patients and help seeking behaviors in Jogjakarta, Indonesia

Marchira

Supriyanto

Subandi

et al. 2015

International Journal of Culture and Mental Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…This number varied widely depending on whether the family residence was urban (27%), semi-urban (41%), or rural (55%); it also varied by education level of caregiver. In a more recent first-episode study (that included a psychoeducation intervention), Marchira et al (2019) reported that 60% of caregivers expressed medical explanatory models (after entering treatment), and 64% indicated they had sought care from a nonmedical healer prior to contact with a psychiatrist.…”

Section: Survey Datamentioning

confidence: 99%

Cultural explanations of psychotic illness and care-seeking of family caregivers in Java, Indonesia

Subandi

Praptomojati

Marchira

et al. 2020

Transcult Psychiatry

Self Cite

View full text Add to dashboard Cite

The cultural understanding of illness among caregivers of first-episode psychotic persons is a crucial issue. Not only does it influence caregivers’ care-seeking behavior and length of time until receiving medical treatment (known as the ‘duration of untreated psychosis’ or DUP), but it also predicts the outcome of the illness. This article aims to explore cultural understanding and care-seeking behavior among caregivers of psychotic patients in Java, Indonesia. Data for this article have been taken from two studies conducted by our research group in Yogyakarta, Indonesia. Methods of data collection include surveys, case studies, ethnographic fieldwork, and in-depth interviews. Results of analyses, within and across studies, indicate that caregivers have employed diverse cultural explanatory models in order to understand psychotic illness. Local cultural beliefs, including possession and forms of black magic, were among the most common initial concepts held by family members in relation to psychosis. This echoes broader cultural beliefs in Java. However, it was not uncommon for caregivers to also understand illness in psychological terms (such as frustration, disappointment, and stress) and attached medical explanations. Caregivers’ understanding of illness also changed over time following the changing course of the illness. Both models of illness and the rapidity of care-seeking are also related to the acuteness of onset. This article concludes that it is important for mental health providers, as well as those designing systems of care, to understand the diversity and changing nature of caregivers’ cultural understanding of psychotic illness.

show abstract

“…RAMI ET AL., 2018;MARCHIRA ET AL., 2018;MARCHIRA ET AL.,2019). Todos abordaram pacientes considerados crônicos, não se limitando aos no primeiro episódio de psicoses.…”

unclassified

Psicoses, Família E Arte: Meios Para Psicoeducação De Familiares Pela Arte

Santos¹,

Nogueira²,

Meis³

2021

Psicologia: Trabalho E Sociedade, Cultura E Saúde 2

View full text Add to dashboard Cite

Direitos para esta edição cedidos à Atena Editora pelos autores. Open access publication by Atena Editora Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

show abstract

Brief interactive psychoeducation for caregivers of patients with early phase psychosis in Yogyakarta, Indonesia

Abstract: This study demonstrated that brief psychoeducation with caregivers of patients with early phase psychosis was feasible in our setting, significantly improved caregivers' knowledge, and resulted in improved regularity of contact with health providers and compliance with pharmacotherapy.

Cited by 19 publications

References 28 publications

The association between duration of untreated psychosis in first psychotic episode patients and help seeking behaviors in Jogjakarta, Indonesia

The association between duration of untreated psychosis in first psychotic episode patients and help seeking behaviors in Jogjakarta, Indonesia

Cultural explanations of psychotic illness and care-seeking of family caregivers in Java, Indonesia

Psicoses, Família E Arte: Meios Para Psicoeducação De Familiares Pela Arte

Contact Info

Product

Resources

About