Psychoeducational Group Intervention for Adolescents With Psychosis and Their Families: A Two-Year Follow-Up

Calvo, Ana; Moreno, Miguel; Ruiz-Sancho, Ana; Rapado-Castro, Marta; Moreno, Carmen; Sánchez-Gutiérrez, Teresa; Arango, Celso; Mayoral, María

doi:10.1016/j.jaac.2015.09.018

Cited by 23 publications

(31 citation statements)

References 22 publications

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“…This study only examined male service users which could have contributed to heterogeneity and limited generalizability of their findings to females. Moreover, Zhang et al (1994) looked at first admission (mean age 24) whereas two of the remaining two studies (Rund et al, 1994; Calvo et al, 2015) focused on very early onset samples (under 18's). Although the targeted populations differed, there seems to be insufficient grounds for its removal, given that Zhang et al (1994) quality, as assessed by the EPHPP, was not particularly weak.…”

Section: Resultsmentioning

confidence: 99%

Do Family Interventions Improve Outcomes in Early Psychosis? A Systematic Review and Meta-Analysis

2017

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Family interventions for psychosis (FIp) are effective in reducing service user relapse and carer distress in people with schizophrenia-spectrum conditions. Several treatment and best practice guidelines recommend FIp for all people with schizophrenia. However, outcome findings in relation to early psychosis groups have been inconsistent. The current paper reports a systematic review and meta-analyses of articles that evaluated FIp in early psychosis with a clearly defined comparison group. A combination of electronic database searches (using PsychINFO, Medline, and CENTRAL), citation searches and hand searches of key journals and reviews was conducted. Peer-reviewed articles published in English from database inception to June 2016 were included. Methodological quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool (EPHPP). Seventeen papers from 14 studies met inclusion criteria for review, the overall quality of which was moderate. Meta-analytic synthesis showed that FIp improved service user functioning and reduced the likelihood of relapse by the end of treatment. Psychotic symptoms were significantly reduced in the FIp group at follow up, but this was not evident at end of treatment. In terms of FIp target mechanisms, carers receiving FIp were more likely to shift from high to low expressed emotion and less likely to report patient focused criticism or engage in conflict communication than carers randomized to standard care. Carer burden and well-being were improved by the end of treatment but gains were not sustained at follow up. FIp had no impact on carer emotional over-involvement. The findings indicate that FIp is an effective intervention for early psychosis service users and their relatives. However, further research is required to establish which key therapeutic components of FIp are most effective for whom, in addition to understanding the mechanisms by which FIp might affect positive change.

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Section: Resultsmentioning

confidence: 99%

Do Family Interventions Improve Outcomes in Early Psychosis? A Systematic Review and Meta-Analysis

2017

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“…Family intervention for caregivers refers to any psychosocial intervention involving caregivers (and service users) in an individual or group format to receive didactic teaching, skills practice and support. The interventions are designed to relieve caregivers’ levels of distress and empower them to cope more effectively with the day‐to‐day caregiving challenges they encounter (Chien et al, ). Different professionals may adopt different strategies of family intervention, ranging from family psychoeducation to family therapy.…”

Section: Introductionmentioning

confidence: 99%

Family intervention for caregivers of people with recent‐onset psychosis: A systematic review and meta‐analysis

Fai

Chien

Bressington

2017

Early Intervention Psych

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“…We found an improvement in negative symptoms and a reduction in the number of visits to the emergency department in the group of adolescents with psychosis who participated in psychoeducational (PE) treatment compared to the nonstructured (NS) group at the end of the intervention [2]. Participants in the PE group also had a decreased number of visits to the emergency department at two-year follow-up relative to participants in the NS group [3].…”

Section: Introductionmentioning

confidence: 85%

“…Continued beneficial effects in clinical and functional outcomes have previously been reported for participants in a nine-month problem solving based psychoeducational group intervention (PE) for adolescents with psychosis and their families (i.e., the PIENSA program [1]), at the end [2] and two years after the intervention [3], relative to a nonstructured group intervention (NS). We found an improvement in negative symptoms and a reduction in the number of visits to the emergency department in the group of adolescents with psychosis who participated in psychoeducational (PE) treatment compared to the nonstructured (NS) group at the end of the intervention [2].…”

Section: Introductionmentioning

confidence: 99%

Role of Executive Function in Response to a Problem Solving Based Psychoeducational Intervention in Adolescents with Psychosis: The PIENSA Trial Revisited

Rapado-Castro

Moreno

Ruiz-Sancho³

et al. 2019

JCM

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An improvement in negative symptoms and a reduction in the number of visits to the emergency department have been reported in a problem solving based psychoeducational group intervention (PE) for adolescents with psychosis relative to a nonstructured group (NS). One of the factors that may play a role on the response to PE treatment is executive function (EF), a crucial cognitive domain for problem-solving performance. We aimed to examine the role of EF in response to PE treatment versus an NS group. We examined the associations between changes in cognition and in clinical/functional variables within each treatment group using Spearman-ranked and partial correlation analyses. A total of 22 individuals (mean age: 16.3) were randomized to PE (N = 10) and NS (N = 12). We found an association between improvements in EF performance and a reduction in positive symptoms (rs = –0.756, p = 0.030 for semantic fluency), reduction in negative symptoms (r = 0.758, p = 0.029 for semantic; rs = –0,733, p = 0.025 for verbal fluency), and reduction in the number of visits to the emergency department (r = –0,743, p = 0.035 for semantic fluency) in the PE group. No associations were found in the NS group. Our results suggest that EF may play a role in the specific improvements observed in the PE group. This may have implications in the development of new areas of clinical intervention focusing on the role of cognitive functioning in response to psychosocial treatments in psychosis.

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Psychoeducational Group Intervention for Adolescents With Psychosis and Their Families: A Two-Year Follow-Up

Cited by 23 publications

References 22 publications

Do Family Interventions Improve Outcomes in Early Psychosis? A Systematic Review and Meta-Analysis

Do Family Interventions Improve Outcomes in Early Psychosis? A Systematic Review and Meta-Analysis

Family intervention for caregivers of people with recent‐onset psychosis: A systematic review and meta‐analysis

Role of Executive Function in Response to a Problem Solving Based Psychoeducational Intervention in Adolescents with Psychosis: The PIENSA Trial Revisited

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