Recommendations for the optimal care of patients with recent‐onset psychosis in the <scp>A</scp>sia‐<scp>P</scp>acific region

Lo, Tak Lam; Warden, M.B.A. Diane; He, Yanling; Si, Tianmei; Kalyanasundaram, Seshadri; Thirunavukarasu, M; Amir, Nurmiati; Hatim, Ahmad; Bautista, T; Liu, Cheng; Emsley, Robin; Olivares, J.M.; Yang, Yen Kuang; Kongsakon, Ronnachai; Castle, David

doi:10.1111/appy.12234

Cited by 23 publications

(21 citation statements)

References 139 publications

(158 reference statements)

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“…Meanwhile, LAIs have not been widely adopted by psychiatrists in Hong Kong, with only 4.7% of people with schizophrenia receiving such formulations . According to an expert panel from the Asia‐Pacific region, use of LAIs is encouraged in people with early psychosis to help improve their medication adherence and prevent relapses . Therefore, wider prescription of LAIs is worth considering in Hong Kong and other territories, with the aim to improve clinical outcomes of patients as well as caregiver burden.…”

Section: Discussionmentioning

confidence: 99%

Stress and burden faced by family caregivers of people with schizophrenia and early psychosis in Hong Kong

Wan

Wong

2019

Internal Medicine Journal

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Background/Aim Families, especially in Chinese society, play a crucial role in care provision for relatives with schizophrenia, but the burden of caregiving has shown to cause significant distress among caregivers. The aim of the study is to assess the degree of stress and burden among caregivers of relatives with schizophrenia and early psychosis in Hong Kong. Methods A cross‐sectional survey was conducted in 454 caregivers recruited from two mental health non‐governmental organisations and the outpatient clinic of a psychiatric hospital. Data were collected through a questionnaire administered via face‐to‐face or telephone interview. Results Caregivers attributed most of their conflicts with the ill relative or other family members to their own lack of knowledge of patient symptoms (56.4%), other family members’ lack of knowledge of patient symptoms (46.9%) or the ill relative's refusal to take medications (43.0%). Most of the caregivers had corresponding stress scores of 5 (scale: 1–5; mean = 3.88, 3.85 and 4.19, respectively). Nearly, a third (30.2%) of the caregivers surveyed reported an overall stress score of 5 (mean = 3.56). Regarding psychosocial problems, 78.0%, 49.8% and 45.8% of caregivers experienced anxiety, reduced socialising and insomnia, respectively. Conclusions Caregivers of relatives with schizophrenia and early psychosis experience significant stress and psychosocial burden. To help them cope with distress, community support services should be strengthened. Moreover, long‐acting injectable antipsychotics are worth considering to alleviate caregiver burden due to ill relatives’ medication compliance issues.

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Section: Discussionmentioning

confidence: 99%

Stress and burden faced by family caregivers of people with schizophrenia and early psychosis in Hong Kong

Wan

Wong

2019

Internal Medicine Journal

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“…Studies with multiple treatment groups were combined mathematically with relevant treatment arms to avoid unit‐of‐analysis error, which could “double count” the group size and thus overestimate the intervention effects (Higgins & Green, ). The effect sizes were expressed as Standardized Mean Differences (SMD) using Hedges’ adjusted g , which were interpreted by commonly adopted thresholds (Cohen, 2015; Rosenthal, ), for instance, 0.2 = small, 0.5 = medium, 0.8 = large and 1.3 = very large.…”

Section: Methodsmentioning

confidence: 99%

Family intervention for caregivers of people with recent‐onset psychosis: A systematic review and meta‐analysis

Fai

Chien

Bressington

2017

Early Intervention Psych

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“…In particular, Asia ranked second in terms of the prevalence of common psychiatric disorders (e.g., depression) and these patients may not receive adequate psychiatric treatment [11]. Asia is a continent with cultural and economic diversity which affects the care [12] and rehabilitation [13] for psychiatric patients. In 2007, Lauber and Rössler reviewed about stigma towards people with mental illness in developing countries in Asia [14].…”

Section: Introductionmentioning

confidence: 99%

Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies

Zhang

Sun

Jatchavala

et al. 2019

IJERPH

157

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Background: In psychiatry, stigma is an attitude of disapproval towards people with mental illnesses. Psychiatric disorders are common in Asia but some Asians receive inadequate treatment. Previous review found that Asians with mental illness were perceived to be dangerous and aggressive. There is a need for renewed efforts to understand stigma and strategies which can effectively reduce stigma in specific Asian societies. The objective of this systematic review was to provide an up-to-date overview of existing research and status on stigma experienced by psychiatric patients and anti-stigma campaigns in China, Hong Kong, Japan, Singapore, Korea, and Thailand. Methods: A systematic literature search was conducted in the following databases, including PubMed, PsycINFO, Embase, Web of Science, and local databases. Studies published in English and the official language of included countries/territories were considered for inclusion in the systematic review. Any article on stigma related to any form of psychiatric illness in the six Asian societies was included. Results: One hundred and twenty-three articles were included for this systematic review. This review has six major findings. Firstly, Asians with mental illnesses were considered as dangerous and aggressive, especially patients suffering from schizophrenia and bipolar disorder; second, psychiatric illnesses in Asian societies were less socially-acceptable and were viewed as being personal weaknesses; third, stigma experienced by family members was pervasive and this is known as family stigma; fourth, this systemic review reported more initiatives to handle stigma in Asian societies than a decade ago; fifth, there have been initiatives to treat psychiatric patients in the community; and sixth, the role of supernatural and religious approaches to psychiatric illness was not prevailing. Conclusion: This systematic review provides an overview of the available scientific evidence that points to areas of needed intervention to reduce and ultimately eliminate inequities in mental health in Asia.

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Recommendations for the optimal care of patients with recent‐onset psychosis in the Asia‐Pacific region

Cited by 23 publications

References 139 publications

Stress and burden faced by family caregivers of people with schizophrenia and early psychosis in Hong Kong

Stress and burden faced by family caregivers of people with schizophrenia and early psychosis in Hong Kong

Family intervention for caregivers of people with recent‐onset psychosis: A systematic review and meta‐analysis

Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies

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