A comparison of short-term psychoeducational and support groups for relatives coping with chronic schizophrenia

Kane, Catherine; E, DiMartino; Jimenez, Maureen

doi:10.1016/0883-9417(90)90024-f

Cited by 24 publications

(17 citation statements)

References 13 publications

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“…Two other studies comparing process‐related variables (Birchwood, Smith, & Cochrane, ; Kane, DiMartino, & Jimenez, ) highlighted the importance of giving information to relatives. Birchwood et al.…”

Section: Comparative Studies Of Process‐related Variablesmentioning

confidence: 99%

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What do We Know about Family Interventions for Psychosis at the Process Level? A Systematic Review

Grácio¹,

Gonçalves-Pereira²,

Leff

2015

Family Process

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The evidence regarding effectiveness of family interventions for psychosis (FIP) is strong and consistent. However, there is a gap in the research on the process of these interventions, and little is known about their active ingredients. This review aims to identify the active ingredients of FIP. We conducted a systematic literature review, focusing on qualitative research, and analyzed 22 papers in total. We found a single study comprehensively exploring the process of FIP. All other studies focused on particular aspects of process-related variables. The key elements of FIP seem to be the so-called "common therapeutic factors", followed by education about the illness and coping skills training. This review supports the value of a stepped model of intervention according to the needs of the families. However, the evidence reviewed also reveals a gap in the research findings based on the limited research available. FIP are complex, psychosocial interventions with multiple components, and more intensive, qualitative research is needed to establish linkages between process and outcome.

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Section: Comparative Studies Of Process‐related Variablesmentioning

confidence: 99%

“…Kane et al. () found that, in a short program, psychoeducational techniques had a greater effect on satisfaction and the relatives’ emotional state, as compared with support‐oriented strategies.…”

Section: Comparative Studies Of Process‐related Variablesmentioning

confidence: 99%

What do We Know about Family Interventions for Psychosis at the Process Level? A Systematic Review

Grácio¹,

Gonçalves-Pereira²,

Leff

2015

Family Process

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“…The five quasi-experimental studies (Kane, DiMartino and Jimenez, 1990;McCreadie et al, 1991;Winefield and Harvey, 1995;Pickett-Schenk and Heller, 1998;Chou et al, 2002) were conducted in different countries (i.e., the U.S., U.K., Australia, and Taiwan) and compared the effects between mutual support groups and routine psychiatric care or another type of multiple family group intervention (i.e., psycho-education and professional-led education) for family members of people with schizophrenia or other severe mental illnesses.…”

Section: Quasi-experimental Studies Using a Non-equivalent Comparisonmentioning

confidence: 99%

“…A few significantly positive family-related outcomes of mutual support groups in three of the five studies reviewed included an increase in knowledge about the illness after intervention (Kane et al, 1990;Chou et al, 2002), family and peer support and positive attitudes toward the patient over a 2-month follow-up (Winefield and Harvey, 1995), and a reduction of depression and burden over a 1-month follow-up (Chou et al, 2002).…”

Section: Quasi-experimental Studies Using a Non-equivalent Comparisonmentioning

confidence: 99%

The effectiveness and active ingredients of mutual support groups for family caregivers of people with psychotic disorders: A literature review

Chien

Norman

2009

International Journal of Nursing Studies

101

102

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Objectives: To explore the literature through a systematic search to assess the effectiveness of mutual support groups for family caregivers of people with schizophrenia and other psychotic disorders.Methods: This review of the research literature was based on the procedures suggested by the National Health Service Centre for Reviews and Dissemination (2001) Report Number 4 in the UK. A combined free-text and thesaurus approach was used to search relevant research studies within electronic databases, including Medline, Embase, CINAHL, OVID full-text, PsycINFO, the Cochrane Library, the British Nursing Index, the NHS National Research register, and System for Info on Grey literature for the period 1980-2007. Reference lists of all retrieved literature were also searched to identify studies that may have been missed. Twenty-five research studies were selected for inclusion in the analysis on the basis that they were either family-led or professional-facilitated support group programmes for family caregivers of people with schizophrenia or other psychotic disorders.Results: The review identified that most studies on this group programme used qualitative, exploratory cross-sectional surveys and quasi-experimental study designs (n= 19); six were experimental studies or randomised controlled trials. There were only a few small-scale, singlecentre controlled trials with the findings supporting the significant positive effects of mutual support groups on families' and patients' psychosocial well-being. A number of nonexperimental studies conducted in Western countries reported benefits of group participation up to one year, such as increased knowledge about the illness, reduced burden and distress, and enhanced coping ability and social support. However, many of these studies lacked rigorous control and did not use standardised and valid instruments as outcome measures or schedule follow-up to examine the long-term effects of support groups on families and/or patients. This is the Pre-Published Version.2 Conclusions: With increasing recognition of benefits from mutual support, this review highlights the dearth of evidence for the effects and active ingredients of mutual support groups.Mutual support may have significant impacts on long-term psychosocial and nursing interventions for both patients with severe mental illness and their families in community mental health care. Further research is recommended to investigate the therapeutic components and effects of mutual support groups for family caregivers of people with schizophrenia and psychotic disorders across cultures.

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“…This disruptive atmosphere is usually directly influencing the health status and emotional well‐being of caregivers (subjective burden) (Schene 1990, 1998). Series of studies have shown that family burden could be effectively modified by specific interventions in the caregivers, such as psychoeducation, group therapy or self‐help groups (Leff et al . 1985, Hogarty et al .…”

Section: Introductionmentioning

confidence: 99%

Is psychosocial rehabilitation of schizophrenic patients preventing family burden? A comparative study

Koukia

Madianos

2005

Psychiatric Ment Health Nurs

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This study examined the dimensions of perceived burden by caregivers-relatives of patients suffering from schizophrenia and participating in a rehabilitation programme (group A) compared to a group of patients and their corresponding caregivers who were maintained in regular treatment procedure (group B). Subjective and objective burden perceived by caregivers group A patients attending a rehabilitation programme, was found to be lower compared to that of group B of caregivers of patients in regular maintenance treatment. Low level of functioning of patients was correlated with higher degree of family burden and the more psychological distress of the caregiver. The patient's compliance with medication and psychosocial functioning as well as the participation in a rehabilitation programme, the diagnostic subtypes and the mean daily hours spent with the patient were found to predict the presence of burden of caregiver. It seems that the various socio-therapeutic activities of rehabilitation improve patient's levels of psychosocial functioning, and alleviate the serious psychosocial and emotional problems of caregivers caused by their relative's chronic and severe illness.

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A comparison of short-term psychoeducational and support groups for relatives coping with chronic schizophrenia

Cited by 24 publications

References 13 publications

What do We Know about Family Interventions for Psychosis at the Process Level? A Systematic Review

What do We Know about Family Interventions for Psychosis at the Process Level? A Systematic Review

The effectiveness and active ingredients of mutual support groups for family caregivers of people with psychotic disorders: A literature review

Is psychosocial rehabilitation of schizophrenic patients preventing family burden? A comparative study

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