Effects of a psychoeducation program on disease burden, depression, and anxiety levels in relatives of psychotic patients in a community mental health center

Delibaş, Dursun Hakan; Erdoğan, Esin

doi:10.1111/ppc.12880

Cited by 2 publications

(4 citation statements)

References 34 publications

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“…Indeed, ZBI scores showed significant improvement from baseline to post-intervention, with a medium effect size. This is in accordance with previous pilot studies reporting a significant decrease in family burden immediately following a FPE program (60,62). Similarly, two randomized controlled trials of FPE programs reported that skillbased FPE was associated with lower levels of family burden albeit at 6 and 12 months following the intervention (63,64).…”

Section: Discussionsupporting

confidence: 93%

“…Caregivers may implement them gradually after the FPE which could explain why beneficial effects are observed only after a delay. In psychiatry, although previous studies of short, knowledge based FPE programs have reported a significant reduction of caregivers’ depression immediately after the intervention ( 60 ) or at 6 months ( 61 ), unfortunately, we are not aware of any previous studies investigating the effect of a short, skill-based FPE program on caregivers’ depression. Further studies investigating the impact of skill-based FPE on caregivers’ depression are needed and should explore caregivers’ outcomes at various time points after FPE.…”

Section: Discussionmentioning

confidence: 92%

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Leo program, a short multi-family skill-based psychoeducational program for caregivers of relatives living with a severe mental disorder: a retrospective pilot study

Lespine,

de Martène,

Zeltner

et al. 2024

Front. Psychiatry

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BackgroundCaring for a relative with a severe mental disorder (SMD) is associated with high levels of burden and poor physical and mental health. There is a dire need for family psychoeducational programs that can be provided as early as possible. This manuscript describes the pilot testing of “Leo” a motivational-based psychoeducational program for caregivers of individuals with a SMD. The Leo program aims to provide caregivers with skills to best support their relative and to adopt self-care behaviors.MethodsWe retrospectively analyzed medical records of caregivers who enrolled in a short, multi-family, skill-based psychoeducational program, consisting of eight 3-hour sessions over 8 weeks. Outcomes of interest included: i) adherence to the program, ii) satisfaction and perceived usefulness, and iii) pre-post changes in self-reported levels of depression (CES-D), burden (ZBI), and skills (10 Likert-scaled items). A network analysis was used to investigate the relationships between pre-post changes in self-evaluated skills and pre-post changes in burden and depression levels.ResultsOver the 91 enrolled participants, 87 (95.6%) completed the program attending at least 5/8 sessions, 80.5% attending all sessions. Seventy-six caregivers fulfilled the questionnaires at baseline and after the program, and were included in the analysis. Although there was no evidence for significant change in self-reported depression levels (Cohen’s d=0.19, p=0.210), burden scores and all evaluated skills were improved post-intervention, with medium to strong effect size (Cohen’s ds from 0.47 to 0.87; p<0.001). Network output indicated that increased self-evaluated competence in 5 skills were associated with a global improvement in caregivers’ burden and/or depression scores. Post-intervention, 89.7% of caregivers were “very satisfied” and 82.1% found the program “extremely useful”.ConclusionThis pilot retrospective study shows high levels of satisfaction, perceived usefulness, and adherence to “Leo”, a short, multi-family, skill-based psychoeducational program with promising results in improving caregivers’ burden, self-evaluated competence in coping with caregiving demands and in self-care behaviors. This study provides preliminary insights into the mechanisms by which family psychoeducation might alleviate burden of care. A larger-scaled, controlled, randomized study with follow-up assessments is warranted to determine how burden, depression, and skills, as well as their inter-relationships, evolve over time.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 92%

Leo program, a short multi-family skill-based psychoeducational program for caregivers of relatives living with a severe mental disorder: a retrospective pilot study

Lespine,

de Martène,

Zeltner

et al. 2024

Front. Psychiatry

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“…The reduction of stigma and increased interest in mental health within the community have led to the development of strategies for promoting mental health [ 2 - 5 ]. One study reported that a psychoeducation program on mental health reduced caregiver burden, anxiety, and depression [ 6 ]. Additionally, community activity programs such as music classes, exercising, and gardening have been tried in community centers [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4][5] One study reported that a psychoeducation program on mental health reduced caregiver burden, anxiety, and depression. 6 Additionally, community activity programs such as music classes, exercising, and gardening have been tried in community centers. 7 These programs appeared to be partially effective in reducing anxiety and depression in young adults.…”

Section: Introductionmentioning

confidence: 99%

Subjective Experience on Virtual Reality-Assisted Mental Health Promotion Program

Ko,

Lim,

Park

et al. 2024

Psychiatry Investig

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Objective Mental health promotion programs using virtual reality (VR) technology have been developed in various forms. This study aimed to investigate the subjective experience of a VR-assisted mental health promotion program for the community population, which was provided in the form of VR experience on a bus to increase accessibility.Methods Ninety-six people participated in this study. The relationship between the subjective experience and mental health states such as depression, anxiety, perceived stress, and quality of life was explored. The subjective experience on depression and stress before and after VR program treatment was compared using the Wilcoxon signed-rank test. The satisfaction with the VR-assisted mental health promotion program was examined after using the VR program.Results The VR-assisted mental health promotion program on a bus significantly improved subjective symptoms such as depression (p=0.036) and perceived stress (p=0.010) among all the participants. Among the high-risk group, this VR program significantly relieved subjective depressive feeling score (p=0.033), and subjective stressful feeling score (p=0.035). In contrast, there were no significant changes in subjective depressive feelings (p=0.182) and subjective stressful feelings (p=0.058) among the healthy group. Seventy-two percent of the participants reported a high level of satisfaction, scoring 80 points or more.Conclusion The findings of this study suggest that the VR-assisted mental health promotion program may effectively improve the subjective depressive and stressful feelings. The use of VR programs on buses to increase of accessibility for the community could be a useful approach for promoting mental health among the population.

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Effects of a psychoeducation program on disease burden, depression, and anxiety levels in relatives of psychotic patients in a community mental health center

Cited by 2 publications

References 34 publications

Leo program, a short multi-family skill-based psychoeducational program for caregivers of relatives living with a severe mental disorder: a retrospective pilot study

Leo program, a short multi-family skill-based psychoeducational program for caregivers of relatives living with a severe mental disorder: a retrospective pilot study

Subjective Experience on Virtual Reality-Assisted Mental Health Promotion Program

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