Patient and relative education in community psychiatry: a randomized controlled trial regarding its effectiveness

Merinder, Lars; Viuff, Anne Grethe; Laugesen, Helle; Clemmensen, Karin; Misfelt, S; Espensen, B.

doi:10.1007/s001270050146

Cited by 99 publications

(100 citation statements)

References 39 publications

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“…Most studies of psychoeducation for patients only have demonstrated that knowledge and adherence can be improved by means of educational interventions 9 . Studies using more didactic formats have influenced improvements in general understanding of schizophrenia and treatment [10][11][12] . Evidence exists that even comparatively brief interventions can achieve significant improvements in patients with chronic psychiatric disorders 10,[12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

“…Studies using more didactic formats have influenced improvements in general understanding of schizophrenia and treatment [10][11][12] . Evidence exists that even comparatively brief interventions can achieve significant improvements in patients with chronic psychiatric disorders 10,[12][13][14] . A recently published meta-analysis conducted by Lincoln, Wilhelm & Nestoriuc 15 suggests, however, that psychoeducation for patients only can not be considered effective.…”

Section: Introductionmentioning

confidence: 99%

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Group psychoeducation for forensic and dangerous non-forensic long-term patients with schizophrenia: A pilot study

et al. 2008

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-Background and Objectives:The effectiveness of patient psychoeducation has only rarely been studied among forensic populations. This paper examines the outcomes of an eight-time psychoeducational group comprised of schizophrenic patients in a forensic hospital setting in Finland.Methods: The intervention group contained forensic or dangerous non-forensic longterm patients with schizophrenia. Treatment outcomes were compared between the intervention group (n = 7) and a matched treatment-as-usual control group (n = 8). The group provided information about schizophrenia and its treatment and cognitive-behavioural elements were used to enhance patients' learning and coping. The results were obtained from a knowledge of schizophrenia, awareness of mental disorder, attitudes toward psychiatric treatment and medication, and depression.Results: The results of this pilot study suggest that even severely ill patients were able to gain improved knowledge about their illness, and psychoeducation also had positive impact on their awareness of the illness. The results showed no significant changes in attitudes toward psychiatric treatment or medication, or depressive symptoms. No significant changes in any measures were found in the control group.Conclusions: Despite our positive results further research with larger samples is needed to discover the effectiveness of patient education as a component of the comprehensive treatment of forensic patients with schizophrenia.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Group psychoeducation for forensic and dangerous non-forensic long-term patients with schizophrenia: A pilot study

et al. 2008

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“…66 Results revealed a statistically significant increase in knowledge of schizophrenia and aspects of satisfaction in both relative and patient programs at postintervention. Further, the educational interventions were found to be useful in improving communication skills regarding treatment and more existential issues.…”

Section: Other Nonpharmacological Therapeutic Strategiesmentioning

confidence: 93%

Support management in schizophrenia: a systematic review of current literature

Pompili¹,

Montebovi²,

Forte³

et al. 2012

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Background: Schizophrenia is generally considered a chronic disorder characterized by psychotic symptoms and relatively stable neurocognitive and interpersonal deficits. Antipsychotic medication has proven beneficial in reducing psychotic symptoms, but is often not enough to treat cognitive or functional impairments. Residual cognitive impairments are barriers to a patient's full recovery from schizophrenia. Rehabilitation is an alternative and important approach which may be useful, and encompasses a variety of treatments including social skills training and psychoeducational and cognitive behavioral treatments. Objective: To investigate the efficacy of psychosocial treatments in schizophrenia, evaluating its effects in the short and long term, comparing psychosocial treatments with pharmacotherapy, and assessing the effects of treatment and the main indications for use in patients with schizophrenia. Methods: A careful MEDLINE ® , Excerpta Medica, PsycLIT ® , PsycINFO ® , and IndexMedicus search was performed to identify all papers and book chapters in English for the period 1970-2012. Results:Findings from the studies included in this qualitative analysis suggest that social skills therapy, cognitive behavioral therapy, family intervention therapy, cognitive remediation therapy, and other nonpharmacological therapeutic strategies may be beneficial for patients with significant functional and symptomatic impairments. Conclusion: Schizophrenic patients treated with nonpharmacological techniques have more rapid remission and relapse less frequently than patients treated only pharmacologically.

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“…The relevance of cultural factors to both diagnosis and treatment suggests potential benefits of identifying personal and cultural factors and integrating that understanding into the provision of care, including psychoeducation and other interventions to address culturally related stigma and shame. Such an approach has been recommended by experts (Mezzich et al 2009;Yamada and Brekke 2008) and organizations, including the APA (DSM-5 Cultural Formulation Interview; American Psychiatric Association 2013a), The Joint Commission (2010,2011), and the Office of Minority Health of the U.S. Department of Health and Human Services (2014).…”

Section: Rationalementioning

confidence: 99%

The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults

Association¹

2015

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Patient and relative education in community psychiatry: a randomized controlled trial regarding its effectiveness

Abstract: A short patient and relative education programme seems to be able to influence knowledge and some aspects of satisfaction, but does not seem to be sufficient to influence important variables such as relapse, compliance, psychopathology, insight or psychosocial functioning.

Cited by 99 publications

References 39 publications

Group psychoeducation for forensic and dangerous non-forensic long-term patients with schizophrenia: A pilot study

Group psychoeducation for forensic and dangerous non-forensic long-term patients with schizophrenia: A pilot study

Support management in schizophrenia: a systematic review of current literature

The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults

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