Is It Ever Too Late to Learn? Information Provision to Relatives of Long-term Schizophrenia Sufferers

Sidley, Gary L.; Smith, Jo; Howells, Kevin

doi:10.1017/s0141347300014002

Cited by 17 publications

(5 citation statements)

References 10 publications

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“…They had also been less depressed. In another study psychoeducation had seemed to strengthen caregivers' trust in their abilities to influence the course of their families members' illnesses, ultimately alleviating the burden [17]. Halford and Hayes [18] demonstrated that providing patients with social skills training and delivering psychoeducation to members of their families improve the quality of relationships between them, decreasing the burden severity and diminishing the risk of relapse.…”

Section: The Development Of the Notion Of Family Burdenmentioning

confidence: 99%

The affective disorder-related burden imposed on the family environment: an overview

Borowiecka-Kluza¹,

Miernik-Jaeschke²,

Jaeschke³

et al. 2013

Psychiatr Pol

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The family burden (FB) has been defined as a multidimensional impact imposed by an illness on caregivers. FB can be divided into objective (i.e. related to measurable problems) and subjective one (i.e. related to caregivers' emotions arising in response to objective difficulties). FB is known to be related to disturbances in the functioning of the family system, higher level of stress, and the presence of financial problems. Some gender-dependent differences in the characteristics of FB have been found. As Since a family member's illness can be not only a ballast, but also a potential source of satisfaction, it has been found that the level of caregiving-related satisfaction is a significant predictor of FB severity. FB dynamics does not seem to be parallel to the course of illness. Problem-focused and task-focused coping strategies are known to be related to lower values of FB. There is evidence suggesting that in families of patients with BD depressive episodes trigger substantially higher severity of FB, as compared to manic episodes. Data on FB related to major depressive disorder (MDD) are scarce. Assertive community treatment strategies are the main option of reducing FB in the context of affective disorders, yet data on their effectiveness are inconclusive.

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Section: The Development Of the Notion Of Family Burdenmentioning

confidence: 99%

The affective disorder-related burden imposed on the family environment: an overview

Borowiecka-Kluza¹,

Miernik-Jaeschke²,

Jaeschke³

et al. 2013

Psychiatr Pol

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“…Recently developed models of family intervention vary considerably in terms of duration of treatment. Many short-term educational or psychotherapeutic programs have been developed for families; these programs have demonstrated beneficial effects for relatives, including decreases in family burden and distress and improved self-efficacy (Abramowitz & Coursey, 1989; Birchwood, Smith, & Cochrane, 1992; Glynn, Pugh, & Rose, 1993; Mills & Hansen, 1991; Sidley, Smith, & Howells, 1991; Smith & Birchwood, 1987; Solomon, Draine, Mannion, & Meisel, 1996a). However, lack of evidence supporting the efficacy of these programs for improving relapse and rehospitalization rates of patients with schizophrenia has tempered enthusiasm for short-term approaches (e.g., Glick et al, 1985; Solomon, Draine, Mannion, & Meisel, 1996b; Vaughn et al, 1992), although at least one study (Goldstein, Rodnick, Evans, May, & Steinberg, 1978) has reported beneficial effects of a 6-week family intervention program for patients who had experienced either a first or second schizophrenic episode.…”

Section: Obsessive–compulsive Disordermentioning

confidence: 99%

Empirically supported couple and family interventions for marital distress and adult mental health problems.

Baucom¹,

Shoham²,

Mueser³

et al. 1998

Journal of Consulting and Clinical Psychology

494

411

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This article evaluates the efficacy, effectiveness, and clinical significance of empirically supported couple and family interventions for treating marital distress and individual adult disorders, including anxiety disorders, depression, sexual dysfunctions, alcoholism and problem drinking, and schizophrenia. In addition to consideration of different theoretical approaches to treating these disorders, different ways of including a partner or family in treatment are highlighted: (a) partner-family-assisted interventions, (b) disorder-specific partner-family interventions, and (c)more general couple-family therapy. Findings across diagnostic groups and issues involved in applying efficacy criteria to these populations are discussed.Since the 1970s, there has been a major shift in knowledge regarding the effectiveness of couple-based and family-based interventions for treating adult mental health problems. During this period, various theoretical perspectives have been articulated, specific manual-based intervention strategies have been developed, and controlled treatment outcome investigations have explored a number of specific issues of importance. The current article examines the empirical status of these couple-and family-based interventions for treating (a) marital distress and (b) adult individual diagnosable disorders. More explicitly, the primary goal of this article is to use the criteria put forth by Chambless and Hollon (1998) to evaluate the efficacy, clinical significance, and effectiveness of various interventions that involve a couple or family format.The criteria provide a unifying framework for evaluating the wide variety of psychological interventions. As we reviewed the literature on couple-and family-based interventions, we became aware that there were a number of decisions that had to be made with regard to the application of these criteria. Given that other reviewers may have interpreted and applied the Chambless and Hollon (1998) guidelines in a different manner, we begin this We thank Emily Sartor for her assistance in the preparation of this article.Correspondence concerning this article should be addressed to Donald H. Baucom, Davie Hall CB 3270, Psychology Department, University of North Carolina, Chapel Hill, North Carolina 27599-3270. Electronic mail may be sent via Internet to don_baucom@unc.edu.review by articulating how we have applied them so that the reader can better understand the bases of our conclusions.One of the major decisions that affects the empirical status of an intervention involves what investigations to include in reviewing the literature. In determining the efficacy status of a treatment, we restricted our consideration to published investigations. Attempts to obtain a comprehensive set of findings from conference presentations, unpublished dissertations, and so forth necessarily result in an incomplete and potentially skewed set of data. At times, unpublished findings are cited if mey help to make a certain point or clarify issues, but they are not considered in dete...

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“…Most short-term family interventions (2 to 10 hours of participant involvement) tend to improve relatives' knowledge of the illness and sense of mastery in coping with it, and to decrease experience of burden [8][9][10][11][12][13][14][15][16]. However, the lack of evidence supporting the effectiveness of these programs for improving the long-term course of schizophrenia, including relapse and rehospitalization, has tempered enthusiasm for these approaches [16][17][18].…”

Section: Family-based Interventionsmentioning

confidence: 99%

The challenge of psychiatric rehabilitation in schizophrenia

Glynn

2001

Curr Psychiatry Rep

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Many persons with schizophrenia continue to struggle with psychiatric symptoms and poor social adjustment, even when prescribed appropriate doses of antipsychotic medications. Psychiatric rehabilitation involves using psychosocial interventions to minimize symptoms and relapse while maximizing social functioning in schizophrenia. In this article, the scope of psychiatric rehabilitation is first defined and then the rationale for psychiatric rehabilitation is presented. The challenges to implementation of psychiatric rehabilitation strategies are next articulated. Finally, brief reviews of the four most empirically validated psychiatric rehabilitation techniques are presented.

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Is It Ever Too Late to Learn? Information Provision to Relatives of Long-term Schizophrenia Sufferers

Cited by 17 publications

References 10 publications

The affective disorder-related burden imposed on the family environment: an overview

The affective disorder-related burden imposed on the family environment: an overview

Empirically supported couple and family interventions for marital distress and adult mental health problems.

The challenge of psychiatric rehabilitation in schizophrenia

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