Impact of a culturally adapted behavioural family psychoeducational programme in patients with schizophrenia in Egypt

Khalil, Ahmed; ELNahas, Gihan; Ramy, Hisham; Aziz, Karim Abdel; Elkholy, Hussien; El-Ghamry, Reem

doi:10.1080/13651501.2018.1480786

Cited by 14 publications

(17 citation statements)

References 43 publications

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“…Compared to the control group, a significant reduction in patients’ psychiatric symptoms was found at immediate, one‐month, and three‐month follow‐up interventions, which was consistent with most previous research on family psychoeducational programs in schizophrenia (Khalil et al, 2018; Sharif et al, 2012). Besides providing information about the nature, prognosis, and treatments of schizophrenia (e.g., medication regimen), a brief FAM‐SOTC intervention help patients and family caregivers explicate their concerns (e.g., benefits of antipsychotics or barriers to treatment), formulate therapeutic goals, and draw on their awareness of strengths and potential resources (e.g., supportive networks) to support each other in managing patients’ mental illness issues.…”

Section: Discussionsupporting

confidence: 90%

“…Compared to the control group, a significant reduction in patients' psychiatric symptoms was found at immediate, one-month, and three-month follow-up interventions, which was consistent with most previous research on family psychoeducational programs in schizophrenia (Khalil et al, 2018;Sharif et al, 2012). A reduction of caregiver burden and its domains (i.e., caregivers' perceived feeling of over sacrifice, patients' over dependence on the caregiver, negative caregiving feelings, and perceived uncertainty about patient's future) was found at immediate and one-month follow-up post-intervention; however, a brief FAM-SOTC intervention failed to diminish caregiver burden at the three-month follow-up.…”

Section: Discussionsupporting

confidence: 90%

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Effectiveness of a brief family strengths‐oriented therapeutic conversation intervention for patients with schizophrenia and their caregivers

Hsiao

Hsieh

et al. 2021

J of Nursing Scholarship

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Purpose: To examine the effects of a brief family strengths-oriented therapeutic conversation (FAM-SOTC) intervention on symptom severity of patients with schizophrenia and family coping and caregiver burden for family caregivers. Design:A quasi-experimental research design with repeated measures. Methods:A convenience sample of 72 dyads of patient-family caregivers was recruited from randomized inpatient psychiatric rehabilitation units in a psychiatric hospital in Taiwan. Sixty-one patient-family caregiver dyads that comprised the intervention group (n = 29) and control group (n = 32) completed questionnaires at four time points (baseline, immediate, one-and three-months post-intervention). Demographic questionnaires and clinical information, Brief Psychiatric Rating Scale, Family Crisis-Orientation Personal Evaluation Scales, and Zarit Burden Interview were used to collect data. Generalized estimating equations were used to assess the differences in symptom severity, family coping, and caregiver burden between the two groups.Findings: As compared to the control group, the intervention group showed statistically significant improvements over three months in symptom severity as well as family coping, especially acquiring social support, reframing, and mobilizing social support for family caregivers. Caregiver burden in the intervention group was ameliorated immediately and one month after the intervention rather than a three-month post-intervention. Conclusions:A brief FAM-SOTC intervention proved to be favorable for alleviating psychiatric symptoms of patients coupled with an improvement in family coping and burden in family caregivers encountering schizophrenia.Clinical relevance: Integration of a brief family therapeutic conversation intervention into the routine psychiatric rehabilitation services delivery is recommended to help patients and their family caregivers effectively manage schizophrenia.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Effectiveness of a brief family strengths‐oriented therapeutic conversation intervention for patients with schizophrenia and their caregivers

Hsiao

Hsieh

et al. 2021

J of Nursing Scholarship

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“…Moreover, three from reviewed studies (Barrio & Yamada, 2010; Ngoc et al, 2016; Rami et al, 2018) reported a significant improvement in their quality of life for the intervention group. This type of PEIs helps PDwS to focus on the factors that can help them develop strategies to improve their quality of life (Khalil et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of randomized controlled trials of psychoeducation interventions for patients diagnosed with schizophrenia

Alhadidi

Abdullah

Tang

et al. 2020

Int J Soc Psychiatry

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Background: Schizophrenia is one of the most complicated psychiatric disorders, and, although medication therapy continues to be the core treatment for schizophrenia, there is a need for psychotherapy that helps in providing patients comprehensive mental health care. Psychoeducation is one of the most recognized psychosocial interventions specific to schizophrenia. Further knowledge about the impact of this type of intervention on patients diagnosed with schizophrenia needs to be acquired. Aim: This review aimed to explore the effects of psychoeducational interventions on improving outcome measures for patients diagnosed with schizophrenia. Methods: The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline was used in this systematic review. Two reviewers were involved in screening articles for inclusion and in the data extraction process. The selected studies were assessed for quality using the ‘Consolidated Standards of Reporting Trial (CONSORT)’ checklist. Out of the 441 records identified, 11 papers were considered for full review (from 2000 to 2018). Results: The psychoeducational interventions showed a consistent improvement in many outcome measures. Most of the reviewed studies focused on outpatients and the method of delivering the psychoeducational interventions was mostly in lecture format. Conclusion: This systematic review of randomized controlled trial studies emphasizes the positive impact of psychoeducational interventions for patients diagnosed with schizophrenia concerning various outcome measures. The findings of this review have important implications for both nursing practice and research, as the information presented can be used by the administrators and stakeholders of mental health facilities to increase their understanding and awareness of the importance of integrating psychoeducational interventions in the routine care of patients diagnosed with schizophrenia.

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“…45 The questionnaire was subsequently validated in Korean 46 and in Turkish; 47 its reduced 10-item version was used in an Egyptian study. 48 In Tunisia, it was validated by the study of Nakhli et al, 49 which examined a sample of 204 outpatients with schizophrenia, reporting 7 factors responsible for 59.9% of the overall variance, with a Cronbach's alpha of 0.88. The DAI-30 was used in numerous studies as a questionnaire for predicting adherence in schizophrenia and major depression patients.…”

Section: Drug Attitude Inventorymentioning

confidence: 99%

<p>Attitude Towards Drug Therapy in a Community Mental Health Center Evaluated by the Drug Attitude Inventory</p>

Lorenzo¹,

Perrone²,

Montorsi³

et al. 2020

PPA

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Introduction: Negative attitude towards drug therapy can foster limited adherence to treatment, which remains one of the biggest obstacles for implementing effective treatments, especially long term. Purposes: The purposes of the study were 1) to evaluate the attitude towards drug therapy among a representative sample of patients treated in a community psychiatric service using 30-item Drug Attitude Inventory (DAI-30); 2) to evaluate the DAI-30 dimensions, applying factorial analysis; and 3) to highlight the socio-demographic and clinical variables correlated to DAI-30 score and factors. Methods: The DAI was administered, over a 7-month period, to all patients treated in our psychiatric outpatient services who agreed to participate in this study and provided their informed consent. Data were statistically analyzed. Results: With a response rate of 63.3%, 164 females and 136 males completed the DAI-30 with an average score of 14.24 (±10.46 SD), indicating moderately positive attitude towards drug therapy. The analysis of DAI-30 internal consistency confirmed its reliability (Cronbach's alpha=0.84). Our factorial analysis highlighted three factors: Factor 1 (Cronbach's alpha=0.81), composed of 7 items which indicate positive, trustful attitude; Factor 2 (Cronbach's alpha=0.78), composed of 5 items indicating negative attitude of suspiciousness; and Factor 3 (Cronbach's alpha=0.66), composed of 4 items suggesting defensive and control attitude towards drug therapy. Discussion: Among the selected variables, "monotherapy" and "total number of hospitalizations" were negatively correlated to the final score of DAI-30, whereas being "married" was positively correlated to it, in a statistically significant way, using the multiple linear regression model. These correlations suggest that positive attitude towards drug therapy could be reinforced by the condition of being married and reduced by relapses with hospitalization, as literature highlighted, and, paradoxically, by a monotherapy, which could suggest a sort of psychological dependence on therapy and, indirectly, on psychiatric service, potentially correlated to the long-term treatments of our patients.

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Impact of a culturally adapted behavioural family psychoeducational programme in patients with schizophrenia in Egypt

Cited by 14 publications

References 43 publications

Effectiveness of a brief family strengths‐oriented therapeutic conversation intervention for patients with schizophrenia and their caregivers

Effectiveness of a brief family strengths‐oriented therapeutic conversation intervention for patients with schizophrenia and their caregivers

A systematic review of randomized controlled trials of psychoeducation interventions for patients diagnosed with schizophrenia

<p>Attitude Towards Drug Therapy in a Community Mental Health Center Evaluated by the Drug Attitude Inventory</p>

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