Psychoeducational training for schizophrenic patients: background, procedure and empirical findings

Lee

Occupation Therapy Intl

2007

'TRIP' (Transforming Relapse and Instilling Prosperity) is a ward-based illness management programme that aims to decrease treatment non-compliance and relapse rate by improving the insight and health of acute psychiatric patients with schizophrenia. Eighty-one stable male acute psychiatric patients with schizophrenia were randomized to receive the TRIP programme (n = 44) or the comparison group of traditional ward occupational therapy (WOT) programme (n = 37). Participants' insights and health were assessed by the Unawareness of Mental Disorder Scale and the Hong Kong version of the Short Form-36 (SF-36) health survey, respectively. Each group was then followed up for a 12-month period. One-way analysis of covariance (ANCOVA) showed that participants in the TRIP programme had significantly better insight and health than a comparison group during post-study measurement. Participants in the TRIP programme had significantly fewer re-admissions in the 12-month follow-up period than those who attended the WOT programme. In summary the TRIP programme, as led by an occupational therapist, was effective in improving insight, awareness of health and in having a lower re-admission rate than a traditional occupational therapy programme.

Section: Discussionmentioning

confidence: 99%

“…Although previous literature has demonstrated the effectiveness of illness management and its outcomes, its applications are mainly in community-based individuals (Hornung et al, 1996;MacPherson et al, 1996;Marvin et al, 2000). Only a few studies have reported its application to inpatient status.…”

Section: Illness Managementmentioning

confidence: 99%

TRIP: a psycho‐educational programme in Hong Kong for people with schizophrenia

Lee

Occupation Therapy Intl

2007

“…On the other hand, it was aimed at training patients to deal more independently with their neuroleptic medication and at enabling them to be integrated more actively into relapse prevention as a whole. The design of the training is outlined in detail elsewhere [7,14,17]. An additional cognitive therapy approach (15 sessions) was aimed at improving problem-solving skills by providing structured planning of coping behavior following the procedure proposed by D'Zurilla and Goldfried [18].…”

Section: Therapeutic Interventionmentioning

confidence: 99%

The Influence of Familial Loading on the Course of Schizophrenic Symptoms and the Success of Psychoeducational Therapy

Feldmann

Hornung²,

Buchkremer

et al. 2001

Psychopathology

Self Cite

This prospective study examines the influence of familial loading on the course of schizophrenic illness and the extent to which this is modifiable by psychoeducational training as a form of psychotherapy. 182 schizophrenic patients enrolled in the study were allocated at random into four different treatment groups and one control group. 40% of the patients had mentally ill relatives, 20% with some form of schizophrenia. Patients attending the treatment group and those in the control group were examined before and immediately after psychoeducational training and at 2-year and 5-year follow-ups. Control group patients with mentally ill relatives displayed a significant increase in psychopathological symptoms and rehospitalization rate compared to those without. The psychoeducational training arrested or even improved the increase in psychopathological symptoms in patients with mentally ill relatives. Familial loading contributes substantially to a high rehospitalization rate and a poor outcome in schizophrenic patients. Psychoeducational interventions are an appropriate means of arresting this unfavorable development.

“…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%

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

et al. 2008

-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.