Effects of Family Psychoeducation on Expressed Emotion and Burden of Care in First-Episode Psychosis: A Prospective Observational Study

González‐Blanch, César; Martín-Muñoz, Vanessa; Pardo-García, Gema; Martínez-Garcia, Obdulia; Álvarez‐Jiménez, Mario; Rodríguez-Sánchez, José Manuel; Vázquez‐Barquero, José Luís; Crespo‐Facorro, Benedicto

doi:10.1017/s1138741600003942

Cited by 33 publications

(20 citation statements)

References 27 publications

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“…Research indicates that brief psychoeducational interventions may not be sufficient to enhance family processes in first-episode patients (González-Blanch et al, 2010). Family interventions that include communication and problem-solving training have been associated with better family communication among individuals with schizophrenia (Doane, Goldstein, Miklowitz, & Falloon, 1986) and bipolar illness (Simoneau, Miklowitz, Richards, a Saleem, & George, 1999).…”

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confidence: 99%

A randomized trial of family focused therapy with populations at clinical high risk for psychosis: Effects on interactional behavior.

O’Brien¹,

Miklowitz²,

Candan³

et al. 2014

Journal of Consulting and Clinical Psychology

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Objective This study investigated whether family focused therapy (FFT-CHR), an 18-session intervention that consisted of psychoeducation and training in communication and problem solving, brought about greater improvements in family communication than enhanced care (EC), a 3-session psychoeducational intervention, among individuals at clinical high risk for developing psychosis. Method This study was conducted within a randomized controlled trial across 8 sites. We examined 10-min problem-solving discussions at baseline and 6-month reassessment among 66 adolescents and young adults and their parents. Trained coders who were blind to treatment and time of assessment achieved high levels of interrater reliability when evaluating family discussions on categories of calm–constructive and critical– conflictual behavior. Results Individuals at high risk and their family members who participated in FFT-CHR demonstrated greater improvement from baseline to 6-month reassessment in constructive communication and decreases in conflictual behaviors during family interactions than those in EC. Participants in FFT-CHR showed greater increases from baseline to 6 months in active listening and calm communication and greater decreases in irritability and anger, complaints and criticism, and off-task comments compared to participants in EC. These changes occurred equally in high-risk participants and their family members. Conclusions A 6-month family skills training treatment can bring about significant improvement in family communication among individuals at high risk for psychosis and their parents. Future studies should examine the association between enhancements in family communication and reduced risk for the onset of psychosis among individuals at high risk.

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confidence: 99%

A randomized trial of family focused therapy with populations at clinical high risk for psychosis: Effects on interactional behavior.

O’Brien¹,

Miklowitz²,

Candan³

et al. 2014

Journal of Consulting and Clinical Psychology

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“…More recently Nasr and Kausar (2009) found that a family psycho-educational intervention significantly reduced caregiver's levels of burden in Pakistan. On the contrary Gonzalez-Blanch et al (2010) found no effect from a brief family intervention on either burden or EE in Spain. Tsang et al (2003) found that much of the burden associated with caring for a schizophrenic relative pertained to social stigma with its consequences resulting in social isolation.…”

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confidence: 77%

The effect of a brief family intervention on primary carer's functioning and their schizophrenic relatives levels of psychopathology in India

Devaramane¹,

Pai

Vella

2011

Asian Journal of Psychiatry

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This study examined the short term effects of a brief familial intervention on schizophrenic the patient's levels of psychopathology and their primary caregiver's functioning in India. Caregiver functioning was measured by the caregiver's levels of burden and coping along with the patient's perceived level of expressed emotion (EE). The participants were 18 schizophrenic patients and their related primary carer from a medical facility in India. The patients' levels of psychopathology and EE were assessed at baseline and at completion of the study with the Positive and Negative Syndrome Scale (PANSS; Kay et al., 1987) and the Family Emotional Involvement And Criticism Scale (FEICS; Shields et al., 1992), respectively. The primary caregiver's levels of burden and coping were also measured at baseline and upon completion of the study by the Burden Assessment Scale (BAS; Thara et al., 1998) and the Family Crisis Oriented Personal Evaluation Scale (F-COPES; McCubbin et al., 1981), respectively. The brief intervention was comprised of 3 one hour sessions aimed at educating the primary caregiver and patient about schizophrenia; along with improving their communication, problem solving skills and expression of emotions. A significant improvement was found between baseline and the final 3-month follow-up on measures of psychopathology for the patients, as well as family functioning for both the caregivers and patients. The implications of the findings are discussed, along with future research directions.

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“…La evaluación del taller muestra que la intervención contribuye al afrontamiento de la crisis y su principal aporte es la promoción y/o mantención de estrategias, por parte de los padres, que se correlacionan con la adhesión a tratamiento. No obstante, considerando otros estudios sobre carga familiar y emoción expresada por parte de la familia 10 , los grupos psico-educativos breves pueden no ser suficientes para afrontar la crisis asociada a la experiencia. …”

Section: Discussionunclassified

Evaluación del efecto de talleres orientados a padres cuyos hijos presentan primeros episodios psicóticos

2012

Rev. chil. neuro-psiquiatr.

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Effects of Family Psychoeducation on Expressed Emotion and Burden of Care in First-Episode Psychosis: A Prospective Observational Study

Cited by 33 publications

References 27 publications

A randomized trial of family focused therapy with populations at clinical high risk for psychosis: Effects on interactional behavior.

A randomized trial of family focused therapy with populations at clinical high risk for psychosis: Effects on interactional behavior.

The effect of a brief family intervention on primary carer's functioning and their schizophrenic relatives levels of psychopathology in India

Evaluación del efecto de talleres orientados a padres cuyos hijos presentan primeros episodios psicóticos

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