Psychoeducation (brief) for people with serious mental illness

Xia, Jun; Zhao, Shuo; Jayaram, Mahesh

doi:10.1002/14651858.cd010823

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…Carers of a family member with psychotic disorders, particularly first-episode or recent-onset psychosis, are confronted by varying degrees of physical and psychosocial demands in association with unpredictable and abnormal behaviours of the patient and social stigma and discrimination regarding mental illness (Chien and Chan, 2013). Recent systematic reviews suggest that psycho-education programmes for patients with psychotic disorders can enhance their knowledge and insight into the illness and coping with their psychotic symptoms, thus improving prognosis (Xia, Merinder and Belgamwar, 2011;Xia, Zhao and Jayaram, 2013).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of manual-guided, problem-solving-based self-learning programme for family caregivers of people with recent-onset psychosis: A randomised controlled trial with 6-month follow-up

Chien

Yip

Liu

et al. 2016

International Journal of Nursing Studies

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What is already known about the topic Recent-onset psychosis is a distressing and disabling mental disorder for both young patients themselves and their first-time family caregivers. A few approaches to family intervention in psychosis such as psycho-education have resulted in a few positive patient outcomes, mainly mental state and relapse from illness, but comparatively few caregivers' health outcomes. Self-care, coping and problem-solving skills training, which is based on the stressvulnerability and stress-coping model, have been more frequently adopted in patients 3 with chronic illnesses, as well as their family carers. Nevertheless, more research should be conducted to prove its positive effects as an early intervention for people with recent-onset psychosis. What this paper adds Self-help, problem-solving-based manual-guided learning programme, or bibliotherapy (in addition to usual care), is more effective to improve family caregivers' and patients psychosocial health conditions in recent-onset psychosis over 6-month follow-up, when compared to usual family support services only. Methods:Following pre-test measurement, caregivers were assigned randomly to one of two study groups: a 5-month self-help, problem-solving-based manual-guided self-learning (or bibliotherapy) programme (in addition to usual care), or usual family support service only.Varieties of patient and caregiver health outcomes were assessed and compared at baseline and at 1-week and 6-month post-intervention. Results:One hundred and eleven (96%) caregivers completed the 6-month follow-up (two post-tests); 55 of them (95%) completed ≥4 modules and attended ≥2 review sessions (i.e., 75% of the intervention). The family participants' mean age was about 38 years and over 64% of them were female and patient's parent or spouse. Multivariate analyses of variance indicated that the manual-guided self-learning group reported significantly greater improvements than the usual care group in family burden [F(1,110) Conclusions: Problem-solving-based, manual-guided self-learning programme for family caregivers of adults with recent-onset psychosis can be an effective self-help programme and provide medium-term benefits to patients' and caregivers' mental health and duration of patients' re-hospitalisations.Keywords: bibliotherapy, family intervention, problem-solving, randomised controlled trial, recent-onset psychosis, self-learning. 6What is already known about the topic  Recent-onset psychosis is a distressing and disabling mental disorder for both young patients themselves and their first-time family caregivers. A few approaches to family intervention in psychosis such as psycho-education have resulted in a few positive patient outcomes, mainly mental state and relapse from illness, but comparatively few caregivers' health outcomes. Self-care, coping and problem-solving skills training, which is based on the stressvulnerability and stress-coping model, have been more frequently adopted in patients with chronic illnesses, as well as their f...

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Section: Introductionmentioning

confidence: 99%

The effectiveness of manual-guided, problem-solving-based self-learning programme for family caregivers of people with recent-onset psychosis: A randomised controlled trial with 6-month follow-up

Chien

Yip

Liu

et al. 2016

International Journal of Nursing Studies

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“…Psychoeducation refers to the education of a person with a mental disorder regarding its symptomatology, causes, treatments available, and the prognosis (Xia, Zhao, & Jayaram, ). Psychoeducation is not simply ‘providing information’, but rather an empowerment training for individuals whose target is to promote the awareness, inform on treatment modalities available, coping strategies and appropriate behavior and attitude change to enhance effective response to the chronic condition (Zhao, Sampson, Xia, & Jayaram, ).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of life skills education and psychoeducation on emotional and behavioral problems among adolescents in institutional care in Kenya: a longitudinal study

Mutiso

Tele

Musyimi

et al. 2017

Child Adoles Ment Health

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Background This study aimed to test the effectiveness of life skills education (LSE) and psychoeducation in the reduction of Youth Self Report (YSR) scores on institutionalized children using structured activities supported by trained facilitators. LSE involved participation of children in life skills activities to support development of key psychosocial competencies and interpersonal skills. Methods The study included 630 children from three institutions. Of these, 171 were in the Intervention Group 1 (life skills education and psychoeducation), 162 were in the Intervention Group 2 (psychoeducation only), and 297 children were in the control group. A researcher‐developed socio‐demographic questionnaire and the YSR were used. Baseline assessments were conducted before the interventions and again at 3, 6, and 9 months. Differences between the two intervention groups and the control group were investigated using least squares linear regression. Results There was a statistically significant reduction in scores in internalizing, externalizing, and total problem scores in both intervention arms (p < .05) compared with the control arm at 3 months. At 6 months, no significant differences were found between the intervention Group 1 and control group for internalizing score (p = .594); however, there were significant differences in both intervention groups for both externalizing and total problem scores (p < .05). At 9 months, significant differences were observed between control and both intervention groups for externalizing scores; total problems for Intervention Group 1. Conclusions A combination of Life Skills Education and psychoeducation is effective in reducing emotional and behavioral problems in institutionalized children.

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“…In consonance with these positive results, the MPGP participants could continuously and significantly improve their mindfulness performance (FFMQ scores) from postintervention to the 6-month follow-up. These findings may fill in the knowledge gap suggested by recent systematic reviews that the CPGPs might show significant short- to medium-term effects in mainly symptom control or improving mental state and relapse prevention in schizophrenia and its spectrum disorders 2,8,39…”

Section: Discussionmentioning

confidence: 68%

A randomized controlled trial of a mindfulness-based intervention program for people with schizophrenia: 6-month follow-up

Wang¹,

Chien²,

Yip³

et al. 2016

NDT

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Mindfulness-based interventions have been increasingly evidenced to be effective in different mental illnesses but limited in schizophrenia. This single-blind, multisite randomized controlled trial tested the effects of a mindfulness-based psychoeducation group program (MPGP in addition to usual care) versus a conventional psychoeducation group program (CPGP) versus treatment-as-usual (TAU) alone, in schizophrenia spectrum disorders over a 6-month follow-up. In each of the two study sites (outpatient clinics), 69 outpatients with schizophrenia or its subtypes (N=138) were randomly allocated to one of the three study groups (n=46) after baseline measurements and underwent 6 months of intervention. Primary outcomes including patients’ mental state and rehospitalization rate and other secondary outcomes were assessed at entry and at 1 week and 6 months. One hundred and thirty-one (95%) participants completed the interventions assigned and one to two post-tests. Multivariate analyses of variance (followed by univariate contrast tests) indicated that the MPGP participants reported greater reductions in their psychotic symptoms (P=0.003) and length/duration of rehospitalizations (P=0.005) at 6-month follow-up. Patients in the MPGP group also reported greater improvements in their insight into illness/treatment (P=0.0008) and level of functioning (P=0.002) than the CPGP and TAU alone at the 1-week and 6-month follow-up. Overall, the findings suggest that MPGP can be useful in improving the short- to medium-term clinical outcomes of outpatients with schizophrenia spectrum disorders, not only in terms of their mental state and risk of relapse but also their insight into illness/treatment and psychosocial functioning.

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Psychoeducation (brief) for people with serious mental illness

Cited by 7 publications

References 28 publications

The effectiveness of manual-guided, problem-solving-based self-learning programme for family caregivers of people with recent-onset psychosis: A randomised controlled trial with 6-month follow-up

The effectiveness of manual-guided, problem-solving-based self-learning programme for family caregivers of people with recent-onset psychosis: A randomised controlled trial with 6-month follow-up

Effectiveness of life skills education and psychoeducation on emotional and behavioral problems among adolescents in institutional care in Kenya: a longitudinal study

A randomized controlled trial of a mindfulness-based intervention program for people with schizophrenia: 6-month follow-up

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