Family intervention for schizophrenia

Pharoah, Fiona; Mari, Jair J.; Rathbone, John; Wong, Winson

doi:10.1002/14651858.cd000088.pub3

Cited by 355 publications

(233 citation statements)

References 148 publications

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“…Overall, the evidence for the efficacy of family interventions is strong, with more than 50 controlled trials that have assessed service user outcomes (Cuijpers, 1999;Pilling et al 2002;NICE Schizophrenia Update, 2009;Pharoah et al 2010Pharoah et al , 2009). Family interventions can be cost effective (Mihalopoulos et al 2004).…”

Section: Family Interventionsmentioning

confidence: 99%

Family interventions in early psychosis: specificity and effectiveness

Onwumere

Bebbington

Kuipers

2011

Epidemiol Psychiatr Sci

103

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The first episode of psychosis frequently occurs during adolescence and early adulthood, and is associated with high levels of trauma, affective disturbance and suicide. The social networks of service users often decrease significantly following the first onset, although many will remain in close contact with some family members particularly during the early phases. However, the negative impact of psychosis on families and their relationship with the identified service user are well documented. Family intervention is a recommended and evidence-based treatment in later psychosis. In this paper, we review the literature on family interventions in early psychosis in the context of new evidence for its efficacy and its routine incorporation in early intervention services for psychosis.

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Section: Family Interventionsmentioning

confidence: 99%

Family interventions in early psychosis: specificity and effectiveness

Onwumere

Bebbington

Kuipers

2011

Epidemiol Psychiatr Sci

103

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“…Moreover, the inclusion of families in these services is recommended in the guidelines established by the National Board of Health and Welfare (Socialstyrelsen, 2011). These guidelines are built on existing evidence for psycho-educational methods that foster the patient's recovery and reduce the emotional climate in the family (Pharoah, Mari, Rathbone, & Wong, 2010;Pharoah, Rathbone, Mari, & Streiner, 2003). Such psycho-educational methods may also reduce family burden (Macleod, Elliot, & Brown, 2011).…”

Section: Introductionmentioning

confidence: 99%

Professional views of supporting relatives of mental health clients with severe mental illness

Hjärthag

Persson

Ingvarsdotter

et al. 2017

Int J Soc Psychiatry

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Background: Supporting families where one person suffers from long-term severe mental illness (SMI) is essential, but seems hard to reach. The aim of this study was to examine professionals' views of supporting relatives of persons with SMI. Material: Individual interviews mirroring personal narratives and group interviews reflecting group-processed answers were conducted among 23 professionals and analyzed thematically. Results: Three themes emerged: (a) information and group interaction reduces stigma and increases well-being, (b) professionals need to feel secure and confident about how the support structure works and (c) collaboration is difficult but required on several levels. Conclusion: Trusting relationships with families were considered important, although seldom achieved; professionals wished to feel secure in their role toward relatives of a person with SMI; and professionals wanted to feel confident when working together with other services to support families.

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“…Research consistently shows that family involvement in the care of adults with serious mental illness (SMI) is associated with better outcomes, including reductions in clinical symptoms and relapse rates and improved treatment adherence and consumer functioning [1][2][3][4][5]. Previous research also shows that, in spite of this evidence, few family members of adults have contact with their relatives' treatment teams, in part because of barriers at the family and consumer level that may inhibit family involvement [6][7].…”

Section: Introductionmentioning

confidence: 99%

Relationship between symptoms and family relationships in Veterans with serious mental illness

et al. 2016

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Abstract-Little is known about how the symptoms experienced by individuals with serious mental illness (SMI) affect family relationships. This study assessed the association between symptoms and patient perceptions of family relationships. The sample of 226 outpatient Veterans diagnosed with SMI, whose relatives had low contact rates with treatment staff, was enrolled in a study that used shared decision making to consider family involvement in care. We analyzed baseline data using multiple regressions to understand the unique effect that positive, negative, and depressive symptoms have on perceptions of family relationships, including general functioning, problem solving, communication, support, satisfaction, conflict, and distress. Greater depressive and disorganized symptoms were significant, unique predictors of perceptions of poorer communication and problem solving, while higher levels of expressive negative symptoms-blunted affect, lack of spontaneity, and motor retardation-were unique predictors of better communication and problem solving. More depressive symptoms also significantly predicted perceptions of greater family conflict and distress. While we cannot assume causation, these associations underscore the important role of depression and expressive negative symptoms in adopting a family-centered approach in the care of persons with SMI.Clinical Trial Registration: ClinicalTrials.gov: "The effectiveness of FMPO in improving the quality of care for persons with severe mental illness"; NCT00466323; https://clinicaltrials.gov/ct2/show/NCT00466323

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Family intervention for schizophrenia

Cited by 355 publications

References 148 publications

Family interventions in early psychosis: specificity and effectiveness

Family interventions in early psychosis: specificity and effectiveness

Professional views of supporting relatives of mental health clients with severe mental illness

Relationship between symptoms and family relationships in Veterans with serious mental illness

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