Partnering with families: multiple family group psychoeducation for schizophrenia

Jewell, Thomas C.; Downing, Donna; McFarlane, William R.

doi:10.1002/jclp.20610

Cited by 67 publications

(52 citation statements)

References 14 publications

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“…Multiple family group psychoeducation (MFG) has been shown to be an effective component of family psychoeducation (FPE) in reducing symptom relapses and rehospitalizations for individuals with schizophrenia 80 . It is especially effective when family members participate on a consistent basis, which allows them to increase their understanding of the biology of the disorder, learn ways to be supportive, reduce stress in the environment and in their own lives, and develop a broader social network.…”

Section: Results Of Psychoeducational Programsmentioning

confidence: 99%

Psychoeducation for Psychotic Patients

Praško¹,

Vrbová²,

Látalová³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background. Psychoeducation programs have been shown in the last two decades to significantly improve the post-hospital discharge care of individuals with schizophrenia by demonstrated effects on rehospitalization rates, compliance with medication and knowledge. The benefits of psychoeducation can be sustained for up to seven years although most studies have not shown such enduring benefit. Psychoeducation is a type of psychotherapeutic support that aims to provide broad and adequate information on psychotic disorders for both patients and their families.Method. The purpose of the group psychoeducational program at the Psychiatric clinic in Olomouc is to familiarize patients with the core of the disorder, explain the part played by pharmacotherapy, teach recognition of the warning signs of relapse, to advise on communication problems within families, and finally the training of social skills.Results. Patients perceive the program as meaningful and helpful in better understanding their lives. INTRODUCTIONSchizophrenia is a chronic psychiatric illness affecting 1% to 2% of the population. Unfortunately, suboptimal follow-through with treatment too often leads to a classic revolving-door pattern of relapse and rehospitalization. While the core intervention in schizophrenia remains antipsychotic medication; the limitations of medication alone in symptomatic, relapse prevention, and satisfaction/quality of life terms have long prompted interest in wider forms of management. This aside, in the CATIE study 1 , a naturalistic randomized-controlled trial comparing five antipsychotic compounds, 74% of all patients discontinued their original medication before the end of the 18 months of the first phase of the trial.One inherent deficit in schizophrenicia is an inability to engage appropriately in social and occupational activities. The debilitating effect of this is often a lasting feature of the illness, despite adequate psychopharmacological intervention, often isolating them and making it difficult for them to advocate appropriate social support or community services. Further, studies have found that there is a correlation between poor social functioning and relapse. One of the challenges of this area, is also wide interindividual variability although standardized measures have been developed to rate the social deficits. These assessments have become important tools in the determination of effective non-pharmacological treatment strategies. In addition to long-term pharmacotherapy, quality education is considered an additional important form of assistanc.Family caregivers report high levels of burden related to caring for their mentally ill family members 2 . They may not have the knowledge and skills necessary to take on the caring responsibilities. As a result, patient relapse and readmission are common 3 .Although no evidence of a definitive cause of schizophrenia is yet available, it can be reasonably controlled though the use of pharmacotherapy and psychosocial interventions. Relapse rates (measured by number of h...

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Section: Results Of Psychoeducational Programsmentioning

confidence: 99%

Psychoeducation for Psychotic Patients

Praško¹,

Vrbová²,

Látalová³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…I conducted this research in the context of an intervention study of family psychoeducation that I previously developed and pilot-tested as an ethnic-sensitive program for Chinese Americans ( Kung, Tseng, Wang, Hsu, & Chen, 2012). Family psychoeducation has been proven effective in reducing caregiver stress and the relapse rate of individuals with schizophrenia ( Jewell, Downing, & McFarlane, 2009;Lefley, 2010;McFarlane, Dixon, Lukens, & Lucksted, 2003). The intervention protocols focus on educating the families about the nature of the illness, promoting better communication, and helping family members resolve conflicts ( Anderson, Reiss, & Hogarty, 1986;McFarlane, 2002) to reduce "expressed emotions" such as criticism and overinvolvement, which highly predict relapses ( Butzlaff & Hooley, 1998;Hooley, 2007;Leff & Vaughn, 1985;Marom, Munitz, Jones, Weizman, & Hermesh, 2005).…”

mentioning

confidence: 99%

Tangible Needs and External Stressors Faced by Chinese American Families with a Member Having Schizophrenia

Kung

2016

Social Work Research

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This article examines the tangible needs and external stressors experienced by Chinese American families with a member living with schizophrenia, in the context of a six-month pilot study of family psychoeducation. Therapists' notes from 117 family and group sessions were analyzed. The families expressed concerns regarding housing, finance, work, study, and the shortage of bilingual psychosocial services. Interacting with government offices and social services agencies caused anxiety and frustration, partly due to the high stakes involved given their low socioeconomic status, and partly due to the bureaucracy. As immigrants, study participants had needs for language translation, knowledge about resources, and advocacy by case managers. This study also highlights the importance of interventions beyond the micro individual level to the mezzo and macro levels, where changes in organizations and policies are necessary.

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“…Social function and social support in families can have many effects on people's mental disorders or mental health (20). The results of Jewell et al (2009) study showed that family's psychological education is effective in controlling stress and worries and improving the mental, social, and functional health of schizophrenic patients and their families (21). Fristad (2003) believed that psychological training of the family could increase the survival rate of patients.…”

Section: Discussionmentioning

confidence: 99%

“…The findings of the Kwan study (2004) in Germany showed that social support and family performance are effective in the mental health of patients (20). The results of Jewell et al (2009) showed that family's psychological education in controlling stress and concern is effective in improving mental health (21). Fristad (2003) believed that family's psychological education could increase the mental health endurance in patients (22).…”

Section: Introductionmentioning

confidence: 99%

The Role of Perceived Stress in Families of Patients with Hemophilia in Prediction of Cognitive Failures and Mental Health of Patients with Hemophilia

Makki

Nikmanesh

2018

Jundishapur J Chronic Dis Care

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Background: Haemophilia (hemophilia) is a chronic and inherited genetic disorder that can cause physical and mental problems, as well as harm the individual and social life of families. The present paper aimed to survey the role of perceived stress in families of patients with hemophilia and its role in the prediction of cognitive failures and mental health in patients with hemophilia. Methods: The present paper was a descriptive -correlational study. The population of the study comprised 370 patients with hemophilia and one of their companions in 2017. Using convenience sampling, 188 patients were chosen by the use of Morgan's formula. Data were gathered using cognitive failures, mental health, and perceived stress questionnaires. The data were analyzed in SPSS -16 using Pearson correlation and Stepwise Regression. Results:The results showed a significant positive correlation between cognitive failure of patients with hemophilia and negative perception of stress in families of patients with hemophilia (r = 0.195, P = 0.05). There was also a significant negative correlation between the mental health of patients with hemophilia and negative perception of stress in the families (r = 1.060, P < 0.05). Regarding the results of the regression analysis, negative perception of stress predicted 3.8% of changes in cognitive failure and 2.6% of changes in the mental health of patients with hemophilia. Conclusions:The findings showed that negative perception of stress in patients with hemophilia and their families could predict cognitive failure and mental health of these patients. Therefore, it is necessary to provide more access to strong social support networks and provide parents and patients with essential information about hemophilia, in addition to current hemophilia treatments.

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Partnering with families: multiple family group psychoeducation for schizophrenia

Cited by 67 publications

References 14 publications

Psychoeducation for Psychotic Patients

Psychoeducation for Psychotic Patients

Tangible Needs and External Stressors Faced by Chinese American Families with a Member Having Schizophrenia

The Role of Perceived Stress in Families of Patients with Hemophilia in Prediction of Cognitive Failures and Mental Health of Patients with Hemophilia

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