Effect of psycho-educational program on families’ perception of burden and attitudes toward mental illness among caregivers of patients with schizophrenia

Ahmed, Hanem Ahmed Abd Elkhalek; Ghaith, Rehab Fathy Abdel Hady

doi:10.4103/enj.enj_25_18

Cited by 6 publications

(7 citation statements)

References 23 publications

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“…Our results suggest that psychoeducation can boost the positive attitudes of family members towards mental disorders, with the OMI score remarkably increased at the end of and even 1 month after the intervention compared with the pre-test scores. The findings of this study highlight the effectiveness of the psychoeducation intervention in reducing the negative attitudes of families towards bipolar disorder, which is consistent with the results of previous studies (Ahmed & Ghaith, 2018;Corrigan, 2016;Domínguez-Martinez et al, 2017;Kolostoumpis et al, 2015;Rahmani et al, 2016;Shiraishi et al, 2019;Sin et al, 2015).…”

Section: Discussionsupporting

confidence: 91%

“…Ahmed and Ghaith conducted a quasi‐experimental study on 50 primary caregivers of schizophrenia patients and concluded that a psychological education program for family members of schizophrenia patients significantly reduced the burden of caregivers and improved caregivers' attitudes towards mental illness (Ahmed & Ghaith, 2018). In a quasi‐experimental study of 230 relatives of patients with severe psychiatric disorders, Domínguez and colleagues concluded that family education reduced negative emotional attitudes and improved perception of the disorder, regardless of gender or relative age (Domínguez‐Martinez et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…The therapist, based on the condition and their own style, can educate either one family or several families as a group (Rahmani et al, 2016; Sin et al, 2015). In fact, psychoeducation can improve families' level of understanding by providing information on the nature of mental disorders, their etiology and treatment methods, outcomes, prognosis, progression, relapse, ways of dealing with the patient, communication and problem‐solving methods, and stigma coping strategies, thereby mitigating the consequences of internalized stigma in family members and encouraging them to participate in care provision and the treatment process (Ahmed & Ghaith, 2018; Domínguez‐Martinez et al, 2017; Shiraishi et al, 2019). Psychoeducation has different models, including the knowledge model, the family group‐therapy supportive model, family behavioral management, etc.…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of psychoeducation in improving attitudes towards psychological disorders and internalized stigma in the family members of bipolar patients: A quasi‐experimental study

et al. 2022

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Family members of bipolar patients experience stigma following being labeled by others, which can disrupt their routine lives and result in social isolation. This study aims to evaluate the effectiveness of psychoeducation in improving the attitudes of bipolar patients' family members towards psychological disorders and internalized stigma. The present study is a quasi‐experimental study with a pre‐ and post‐test follow‐up design, in which 74 individuals were selected by convenience sampling among families who had a member with a bipolar disorder who was referred to the largest psychiatric hospital in Iran in 2021. The participants were randomly divided into the experimental and control groups (n = 37 per group). The members of the experimental group then underwent eight 90‐min sessions of psychoeducation. The control group also received psychoeducation at the end of the study. The results of analysis of covariance showed that psychoeducation reduced internalized stigma in the family members of bipolar patients and increased their positive attitudes towards psychological disorders compared with the control group (p < .01). On this basis, psychoeducation can be useful to reduce the internalized stigma of family members of bipolar patients and to increase their positive attitudes towards psychological disorders.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effectiveness of psychoeducation in improving attitudes towards psychological disorders and internalized stigma in the family members of bipolar patients: A quasi‐experimental study

et al. 2022

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“…Some researchers stated that the lack of knowledge and awareness about mental illness as well as the stigma imposed by the society on caregivers leads to a negative attitude toward mental illness and eventually ignoring the ill member (Elkhalek Ahmed & Hady Ghaith, 2018; Ostman & Kjellin, 2002; Shah-Veysi et al, 2007; Yin et al, 2014). Psycho-education can reduce the negative attitude of family caregivers by providing useful and practical information about mental illness and its treatment.…”

Section: Discussionmentioning

confidence: 99%

“…As the literature indicates, stigma is one of the most important issues and challenges that family caregivers of people with mental disorders face (Ae-Ngibise et al, 2015;Pittman et al, 2010;Steel et al, 2014;Yin et al, 2014), and also is one of the main reasons of avoiding asking for help by patients and their caregivers (Farzand & Baysen, 2018). Some researchers stated that the lack of knowledge and awareness about mental illness as well as the stigma imposed by the society on caregivers leads to a negative attitude toward mental illness and eventually ignoring the ill member (Elkhalek Ahmed & Hady Ghaith, 2018;Ostman & Kjellin, 2002;Shah-Veysi et al, 2007;Yin et al, 2014). Psycho-education can reduce the negative attitude of family caregivers by providing useful and practical information about mental illness and its treatment.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Psycho-education on the Affiliate Stigma in Family Caregivers of People with Bipolar Disorder

Bahrami

Khalifi

2022

SAGE Open Nursing

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Introduction Paying attention to stigma among caregivers to provide proper care for patients is necessary, and promoting awareness (about mental illness and mental health) to taking care of the caregivers’ health, is crucial. Objective This study aimed to investigate the effect of psycho-education on the affiliate stigma in family caregivers of people with bipolar disorder. Method This study is a quasi-experimental research with an experimental and control groups. 64 family caregivers of people with bipolar disorder participated in this study (32 in each group). Data was collected using the demographic questionnaire and Affiliate Stigma Scale before and after intervention (with 4 weeks gap). The experimental group received a psycho-education program for four weeks. The control group carried on their normal routine lifestyle. Results The mean scores of the affiliate stigma of both control and experimental groups before the intervention did not show a statistically significant difference ( P = .36), however after the intervention the results were statistically significant and increased in the experimental group ( P < .001). Conclusion According to the findings of this study psycho-education is an effective intervention that can reduce the affiliate stigma among family caregivers of people with bipolar disorder and it can be considered as one of the de-stigmatization strategies for them.

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Psychosocial family interventions for relatives of people living with psychotic disorders in the Arab world: systematic review

et al. 2020

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Background: Family interventions in schizophrenia are evidence based and have been adapted to different cultural settings to improve their effectiveness and acceptability. The Arab world has a unique set of socio-cultural norms and values that cannot be ignored when developing or implementing such interventions. There is a lack of research on the feasibility of delivering family interventions for schizophrenia in the Arab region. The aim of this review is to synthesise the available evidence about culturally-adapted psychosocial family interventions in the Arab world. The review identifies the content and characteristics of these interventions, determines the strategies used to adapt them to Arab culture successfully, assesses the feasibility and acceptability of the interventions, and evaluates the effectiveness of these interventions for service users and their families. Method: Five electronic databases were searched including MEDLINE, CINAHL, Cochrane Library, PsycINFO and EMBASE for articles written in Arabic and English from inception to August 2019. Data were extracted and synthesised narratively. Results: Six studies were retrieved from the search: three randomised control studies, two non-randomised studies and one qualitative study. There is limited evidence about culturally-adapted family interventions in the Arab region. However, the cultural adaptation process was comprehensive, and the implementation was reported to be feasible and acceptable. The methodological quality of the included studies was generally poor, so there is a risk of underestimating the effect size of the interventions due to lack of rigour and the presence of bias. Conclusion: The present review provides the foundation for future work regarding family interventions in the Arab world, and confirms the feasibility of implementing such interventions with some modifications. Furthermore, the data suggests that any family-oriented intervention for schizophrenia is likely to be better than standard care in improving the outcome for patients and their families.

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Effect of psycho-educational program on families’ perception of burden and attitudes toward mental illness among caregivers of patients with schizophrenia

Cited by 6 publications

References 23 publications

The effectiveness of psychoeducation in improving attitudes towards psychological disorders and internalized stigma in the family members of bipolar patients: A quasi‐experimental study

The effectiveness of psychoeducation in improving attitudes towards psychological disorders and internalized stigma in the family members of bipolar patients: A quasi‐experimental study

The Effect of Psycho-education on the Affiliate Stigma in Family Caregivers of People with Bipolar Disorder

Psychosocial family interventions for relatives of people living with psychotic disorders in the Arab world: systematic review

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