Impact of brief psychosocial intervention on key relatives of patients with schizophrenia: A randomized controlled trial

Kumar, Rajneesh; Nischal, Anil; Dalal, Pronob Kumar; Varma, Saurabh; Agarwal, Monika; Kar, Sujita Kumar; Gupta, Bandna

doi:10.4103/psychiatry.indianjpsychiatry_138_19

Cited by 13 publications

(14 citation statements)

References 35 publications

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“…Despite the fact that patient–caregiver dyads may experience similar challenges, they also have their own unique needs and responses that should be acknowledged and supported by mental healthcare providers. Psychosocial interventions with individual- and dyadic-oriented approaches can help facilitate patients and caregivers to open dialogues about their desires, set realistic expectations, enhance reciprocity of sentiment, and appreciate efforts made for one another’s situations, which, in turn, results in improvement in HRQoL for patients and their caregivers [ 34 ]. Furthermore, recovery-oriented mental health practice should be highly recommended at a political level by implementing tailored interventions engaging both patients and caregivers as a dyad.…”

Section: Discussionmentioning

confidence: 99%

Association between Mutuality and Health-Related Quality of Life in Patient–Caregiver Dyads Living with Schizophrenia

Hsiao

Tsai

2021

IJERPH

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Background: Although caregivers are a crucial support in the recovery of patients with schizophrenia, little is known about how mutuality is related to health-related quality of life within the dyadic (patient and caregiver) context. This study aimed to investigate the dyadic relationship between mutuality and health-related quality of life in patients with schizophrenia and caregivers. Methods: A cross-sectional, correlational study was conducted with a sample of 133 dyads of patients with schizophrenia and caregivers. Structured questionnaires were used to collect data. Data were analyzed using descriptive statistics, paired sample t-tests, Pearson’s product-moment correlations, and the Actor–Partner Interdependence Model. Results: Mutuality of patients was significantly higher than that of caregivers. Compared with caregivers, patients had significantly lower total scores for health-related quality of life. Patients’ and caregivers’ mutuality was related to their own health-related quality of life (actor effect) and their partners’ health-related quality of life (partner effect). Conclusion: Mutuality plays a critical role in health-related quality of life in dyads of patients with schizophrenia and caregivers. Viewing a dyad as a unit of nursing care reveals a promising approach for developing recovery-oriented modalities targeted at stimulating mutuality that may enhance health-related quality of life for both patients and caregivers.

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Section: Discussionmentioning

confidence: 99%

Association between Mutuality and Health-Related Quality of Life in Patient–Caregiver Dyads Living with Schizophrenia

Hsiao

Tsai

2021

IJERPH

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“…In total, 11 papers assessing family interventions were identified, of which four reported on quantitative studies [84][85][86][87] , three of which were RCTs 84,85,87 , and one described a programme development and implementation 86 . One study was qualitative in design 88 , and the remaining six employed mixed methods [89][90][91][92][93][94] .…”

Section: Family Interventionsmentioning

confidence: 99%

“…Of the mixed methods papers, two reported on the EOLAS (Eolas is the Irish word for knowledge) family information programme study 90,91 , and two on the REACT (Relatives' Education And Coping Toolkit) RCT 92,93 . Two studies were conducted in the UK 89,92,93 , and one each in India 84 , Iran 86 , Ireland 90,91 Spain and Portugal 85 , the US 87 and Vietnam 94 . The mean Kmet score for quantitative papers was 75 and ranged from 100 92,93 (one study) to 45 90 .…”

Section: Family Interventionsmentioning

confidence: 99%

“…A number also included cognitive behavioral strategies 85,87,89,92,93 . The interventions were typically delivered in secondary or tertiary community care settings, mostly outpatient or community clinics [84][85][86][87][89][90][91] . One of the UK interventions was virtual 92,93 ; the Jordanian family intervention was carried out in the family home 88 ; and one paper described an intervention delivered at the local community level to residents of a rural commune in Vietnam 94 .…”

Section: Family Interventionsmentioning

confidence: 99%

“…For the latter, it was concluded that the greatest adaptation should be in its "ethos of delivery", and that this would rely on the family therapists' cultural competency and skills. Similarly, the inclusion of group therapy sessions facilitated by a proactive moderator within a brief psychosocial family intervention in In-dia was considered a useful cultural adaptation 84 .…”

Section: Contextmentioning

confidence: 99%

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Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

et al. 2022

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People living with severe mental illness (SMI) are one of the most marginalized groups in society. Interventions which aim to improve their social and economic participation are of crucial importance to clinicians, policy‐makers and people with SMI themselves. We conducted a systematic review of the literature on social interventions for people with SMI published since 2016 and collated our findings through narrative synthesis. We found an encouragingly large amount of research in this field, and 72 papers met our inclusion criteria. Over half reported on the effectiveness of interventions delivered at the service level (supported accommodation, education or employment), while the remainder targeted individuals directly (community participation, family interventions, peer‐led/supported interventions, social skills training). We identified good evidence for the Housing First model of supported accommodation, for the Individual Placement and Support model of supported employment, and for family psychoeducation, with the caveat that a range of models are nonetheless required to meet the varied housing, employment and family‐related needs of individuals. Our findings also highlighted the importance of contextual factors and the need to make local adaptations when “importing” interventions from elsewhere. We found that augmentation strategies to enhance the effectiveness of social interventions (particularly supported employment and social skills training) by addressing cognitive impairments did not lead to transferable “real life” skills despite improvements in cognitive function. We also identified an emerging evidence base for peer‐led/supported interventions, recovery colleges and other interventions to support community participation. We concluded that social interventions have considerable benefits but are arguably the most complex in the mental health field, and require multi‐level stakeholder commitment and investment for successful implementation.

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Psychosocial Interventions to Support Community Living: Rehabilitation, Recovery, and Rights

Herrman

Harvey

Amering

et al. 2023

Tasman’s Psychiatry

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Impact of brief psychosocial intervention on key relatives of patients with schizophrenia: A randomized controlled trial

Cited by 13 publications

References 35 publications

Association between Mutuality and Health-Related Quality of Life in Patient–Caregiver Dyads Living with Schizophrenia

Association between Mutuality and Health-Related Quality of Life in Patient–Caregiver Dyads Living with Schizophrenia

Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

Psychosocial Interventions to Support Community Living: Rehabilitation, Recovery, and Rights

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