Evaluating the effectiveness of a culturally adapted behavioral family psycho-educational program for Egyptian patients with schizophrenia

Abstract

Although a growing body of evidence supports the effectiveness of behavioral family therapies for patients with schizophrenia, few studies have been carried out on the effectiveness of such programs for Egyptian patients. The current study translated and culturally adapted the Behavioral Family Psycho-Education Program (BFPEP) and conducted a preliminary efficacy evaluation for outpatients suffering from schizophrenia. Thirty patients received 14 sessions of culturally adapted Program (CA-BFPEP) and 30 received treatment as usual; all were followed up for 6 months. Pre- and post-intervention assessment included primary outcome measures that assessed the clinical, social, quality of life and attitude towards medications. The CA-BFPEP group demonstrated significant treatment effects as they had greater reductions in psychotic symptoms (PANSS), improvement of social function (SFQ), quality of life (QoL), and attitude towards medications (DAI), compared to patients in the control group. These results demonstrate the feasibility of implementing family therapy interventions in different cultural settings with relatively minor modifications. These promising findings invite further efforts to maximize the benefits of family therapy interventions internationally and to encourage mental health policy makers to integrate this mode of therapy in routine care management plans for patients with schizophrenia.

Effectiveness of Social Inclusion Interventions for Anxiety and Depression among Adolescents: A Systematic Review

“…Low ratings were largely driven by the use of less rigorous (before versus after) study designs, and poor reporting of masking in RCTs. Only four studies [60][61][62][63] scored medium using our assessment tool, with the remaining eight [64][65][66][67][68][69][70][71] scoring low. Low ratings were largely due to studies employing before versus after designs [64,[66][67][68]70,71].…”

Effectiveness of Social Inclusion Interventions for Anxiety and Depression among Adolescents: A Systematic Review

“…Low ratings were largely driven by the use of less rigorous (before versus after) study designs, and poor reporting of masking in RCTs. Only four studies [60][61][62][63] scored medium using our assessment tool, with the remaining eight [64][65][66][67][68][69][70][71] scoring low. Low ratings were largely due to studies employing before versus after designs [64,[66][67][68]70,71].…”

Effectiveness of interventions for improving social inclusion outcomes for people with disabilities in low‐ and middle‐income countries: A systematic review

“…Five studies [Juneja et al, 2012 ; Karaman et al, 2020 ; Manohar et al, 2019 ; McConachie et al, 2000 ; Rahman et al, 2016 ] scored medium using our assessment tool. We found five studies [Amaresha et al, 2018 ; Esmaili et al, 2019 ; Pajareya & Nopmaneejumruslers, 2011 ; Rami et al, 2018 ; Yildiz et al, 2004 ] that scored high confidence in the findings. There is diversity within low ratings as we employed the weakest link in the chain principle to assess confidence in study findings (Supporting Information: Appendix 3 ).…”

“…We found five studies [Amaresha et al, 2018;Esmaili et al, 2019;Pajareya & Nopmaneejumruslers, 2011;Rami et al, 2018;Yildiz et al, 2004] that scored high confidence in the findings. There is diversity within low ratings as we employed the weakest link in the chain principle to assess confidence in study findings (Supporting Information: Appendix 3).…”

A systematic review of randomized controlled trials of psychoeducation interventions for patients diagnosed with schizophrenia

“…It has been reported that the PEIs showed a positive effect in terms of reducing the feeling of stigma for the PDwS (Ngoc et al, 2016). Moreover, three from reviewed studies (Barrio & Yamada, 2010; Ngoc et al, 2016; Rami et al, 2018) reported a significant improvement in their quality of life for the intervention group. This type of PEIs helps PDwS to focus on the factors that can help them develop strategies to improve their quality of life (Khalil et al, 2018).…”

Effectiveness of Social Inclusion Interventions for Anxiety and Depression among Adolescents: A Systematic Review

“…Low ratings were largely driven by the use of less rigorous (before versus after) study designs, and poor reporting of masking in RCTs. Only four studies [60][61][62][63] scored medium using our assessment tool, with the remaining eight [64][65][66][67][68][69][70][71] scoring low. Low ratings were largely due to studies employing before versus after designs [64,[66][67][68]70,71].…”

Effectiveness of interventions for improving social inclusion outcomes for people with disabilities in low‐ and middle‐income countries: A systematic review

“…Five studies [Juneja et al, 2012 ; Karaman et al, 2020 ; Manohar et al, 2019 ; McConachie et al, 2000 ; Rahman et al, 2016 ] scored medium using our assessment tool. We found five studies [Amaresha et al, 2018 ; Esmaili et al, 2019 ; Pajareya & Nopmaneejumruslers, 2011 ; Rami et al, 2018 ; Yildiz et al, 2004 ] that scored high confidence in the findings. There is diversity within low ratings as we employed the weakest link in the chain principle to assess confidence in study findings (Supporting Information: Appendix 3 ).…”

“…We found five studies [Amaresha et al, 2018;Esmaili et al, 2019;Pajareya & Nopmaneejumruslers, 2011;Rami et al, 2018;Yildiz et al, 2004] that scored high confidence in the findings. There is diversity within low ratings as we employed the weakest link in the chain principle to assess confidence in study findings (Supporting Information: Appendix 3).…”

A systematic review of randomized controlled trials of psychoeducation interventions for patients diagnosed with schizophrenia

“…It has been reported that the PEIs showed a positive effect in terms of reducing the feeling of stigma for the PDwS (Ngoc et al, 2016). Moreover, three from reviewed studies (Barrio & Yamada, 2010; Ngoc et al, 2016; Rami et al, 2018) reported a significant improvement in their quality of life for the intervention group. This type of PEIs helps PDwS to focus on the factors that can help them develop strategies to improve their quality of life (Khalil et al, 2018).…”

Effectiveness of Social Inclusion Interventions for Anxiety and Depression among Adolescents: A Systematic Review

“…Low ratings were largely driven by the use of less rigorous (before versus after) study designs, and poor reporting of masking in RCTs. Only four studies [60][61][62][63] scored medium using our assessment tool, with the remaining eight [64][65][66][67][68][69][70][71] scoring low. Low ratings were largely due to studies employing before versus after designs [64,[66][67][68]70,71].…”

Effectiveness of interventions for improving social inclusion outcomes for people with disabilities in low‐ and middle‐income countries: A systematic review

“…Five studies [Juneja et al, 2012 ; Karaman et al, 2020 ; Manohar et al, 2019 ; McConachie et al, 2000 ; Rahman et al, 2016 ] scored medium using our assessment tool. We found five studies [Amaresha et al, 2018 ; Esmaili et al, 2019 ; Pajareya & Nopmaneejumruslers, 2011 ; Rami et al, 2018 ; Yildiz et al, 2004 ] that scored high confidence in the findings. There is diversity within low ratings as we employed the weakest link in the chain principle to assess confidence in study findings (Supporting Information: Appendix 3 ).…”

“…We found five studies [Amaresha et al, 2018;Esmaili et al, 2019;Pajareya & Nopmaneejumruslers, 2011;Rami et al, 2018;Yildiz et al, 2004] that scored high confidence in the findings. There is diversity within low ratings as we employed the weakest link in the chain principle to assess confidence in study findings (Supporting Information: Appendix 3).…”

A systematic review of randomized controlled trials of psychoeducation interventions for patients diagnosed with schizophrenia

“…It has been reported that the PEIs showed a positive effect in terms of reducing the feeling of stigma for the PDwS (Ngoc et al, 2016). Moreover, three from reviewed studies (Barrio & Yamada, 2010; Ngoc et al, 2016; Rami et al, 2018) reported a significant improvement in their quality of life for the intervention group. This type of PEIs helps PDwS to focus on the factors that can help them develop strategies to improve their quality of life (Khalil et al, 2018).…”