Effect of a psycho-educational intervention for family members on caregiver burdens and psychiatric symptoms in patients with schizophrenia in Shiraz, Iran

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• 作者：Farkhondeh Sharif (1)
  Maryam Shaygan (2)
  Arash Mani (3)
  
• 刊名：BMC Psychiatry
• 出版年：2012
• 出版时间：December 2012
• 年：2012
• 卷：12
• 期：1
• 全文大小：230KB
• 参考文献：1. Lehman AF, Steinwachs DM: The schizophrenia patient outcomes research team(PORT) treatment recommendations. / Schizophr Bull 1998,24(1):1-0. CrossRef
  2. Dixon L, Adams C, Lucksted A: Update on family psycho education for schizophrenia. / Schizophr Bull 2000,26(1):5-0. CrossRef
  3. Asen E: Multiple Family therapies: an overview. / J Fam Ther 2002, 24:3-6. CrossRef
  4. Solomon P, Draine J: Subjective burden among family members of mentally ill adults. / Am J Orthopsychiatry 1995, 65:419-27. CrossRef
  5. Winefield HR, Harvey E: Determinants of psychological distress in relatives of people with chronic schizophrenia. / Schizophr Bull 1993,19(3):619-25.
  6. McDonell MG, Short RA, Berry CM, Dyck DG: Burden in Schizophrenia caregivers: impact of family psycho education and awareness of patient suicidality. / Fam Process 2003,42(1):91-03. CrossRef
  7. Lowyck B, De Hert M, Peeters E, Gilis P, Peuskens J: Can we identify the factors influencing the burden on family members of patients with schizophrenia? / Int J Psychiatry Clin Pract 2001, 5:89-6. CrossRef
  8. Khodabakhshi Koolaee A, Etemadi A: The outcome of family interventions for the mothers of schizophrenia patients in Iran. / Int J Soc Psychiatr 2010,56(6):634-46. CrossRef
  9. Falloon IRH, Montero I, Sungur M, / et al.: Implementation of evidence-based treatment for schizophrenic disorders: two-year outcome of an international field trial of optimal treatment. / World Psychiatry 2004,3(1):104-09.
  10. Bustillo J, Lauriello J, Horan W, Keith S: The psychosocial treatment of schizophrenia: an update. / Am J Psychiatry 2001, 158:163-75. CrossRef
  11. Falloon IRH, Held T, Roncone R, Coverdale JH, Laidlaw TM: Optimal treatment strategies to enhance recovery from schizophrenia. / Aust N Z J Psychiatry 1998,32(1):43-9. CrossRef
  12. Sherman MD: Updates and five-year evaluation of the S.A.F.E. program: A family psycho educational program for serious mental illness. / Community Ment Health J 2006, 42:213-19. CrossRef
  13. Motlova L: Psycho education as an indispensable complement to pharmacotherapy in schizophrenia. / Pharmacopsychiatry 2000, 33:47-8. CrossRef
  14. National Institute for Clinical Excellence: / Clinical Guideline 1: Core interventions in the treatment and management of schizophrenia in primary and secondary care. NICE, London; 2002.
  15. Mueser KT, Sengupta A, Schooler NR, / et al.: Family treatment and medication dosage reduction in schizophrenia: effects on patient social functioning, family attitudes, and burden. / J Consult Clin Psychol 2001, 69:3-2. CrossRef
  16. McFarlane WR, Dixon L, Lukens E, / et al.: Family psycho education and schizophrenia: a review of the literature. / J Marital Fam Ther 2003, 29:223-45. CrossRef
  17. Falloon IRH: Family interventions for mental disorders: efficacy and effectiveness. / World Psychiatry 2003, 2:20-8.
  18. Stam H, Cuijpers P: Effects of family interventions on burden of relatives of psychiatric patients in the Netherlands: a pilot study. / Community Ment Health J 2001, 37:179-87. CrossRef
  19. Berglund N, Vahlne JO, Edman A: Family intervention in schizophrenia: impact on family burden and attitude. / Soc Psychiatr Psychiatr Epidemiol 2003, 38:116-21. CrossRef
  20. Bauml J, / et al.: A basic psychotherapeutic intervention for patients with Schizophrenia and their families. / Schizophr Bull 2006, 32:51-9. CrossRef
  21. Hazel NA, McDonell MG, Short RA: Impact of multiple-family groups for outpatients with schizophrenia on caregivers-distress and resources. / Psychiatr Serv 2004, 55:35-1. CrossRef
  22. Magliano L, Fiorillo A, Fadden G, Gair F, Economou M, Kallert T, Schellong J, / et al.: Effectiveness of a psycho educational intervention for families of patients with schizophrenia. / World Psychiat 2000, 4:45-9.
  23. Mottaghipour Y, / et al.: Working with families of patients within an adult mental health service: development of a programme model. / Australian Psychiat 2006,14(3):267-71.
  24. Sun Kyung S, Ellen P: Effects of psycho education for Korean American with chronic mental illness. / Psychiatr Serv J 2002, 53:1125-131. CrossRef
  25. Malakouti SK, / et al.: Case management for patients with Schizophrenia in Iran: a comparative study of the clinical outcomes of mental health workers and consumers-family members as case managers. / Community Ment Health 2009, 45:447-52. CrossRef
  26. Zoladl M, Sharif F, Kazemnejad A: / Shared experiences of families with a mentally ill member. Tarbiat Modaress University, Tehran; 2009.
  27. Anderson CM, Reiss DJ, Hogarty GE: / Schiziphrenia and Family: A practioner’s Guide to psychoeducation and management. Guilford Press, New York; .
  28. Stengard E: Educational intervention for the relatives of schizophrenia patients in Finland. / (Nord J Psychiatr 2003, 57:271-77. CrossRef
  29. Fallahi M: Effect of home-based psychiatric care on psychiatric symptoms of schizophrenic patients. / J Rehabil 2009,6(29):75-9.
  30. Overall JE, Gorham DR: / Psychol Rep. 1962, 10:799-12. (Original 16-item version of BPRS) CrossRef
  31. Fallahi M: Assessing the effects of psychiatric nursing home care services on mental status of schizophrenic patients. / J Rehabil 2006, 8:75-9.
  32. Niksalehi S, Fallahi M, Rahgo A, Rahgozar M, Khankeh HR, Bamdad M: Comparison the impact of home care services and Telephone Follow up on Rehospitalization and Mental condition of Schizophrenic patients. / Res J Biol Sci 2011,6(9):440-45.
  33. Khodabakhshi Koolaee A: / Educational Programme for the Relatives of Schizophrenia. The third National Congress of Cultural and Social Psychiatry, Tehran; 2007.
  34. Azhar M: / Comparative performance of chronic schizophrenia patients and their families before and after treatment [Thesis]. Isfahan University of Medical Sciences, Isfahan-Iran; 2000:31-2.
  35. Schene AH, Tessler RC, Ganache GM: Instrument measuring family or care giver burden in severe mental illness. / Soc Psychiatr Psychiatr Epidemiol 1994, 29:228-40. CrossRef
  36. Xiong W, Phillips MR, Wang R, / et al.: Family based intervention for schizophrenic patients in china. / Br J Psychiatry 1994, 165:239-47. CrossRef
  37. Bandeira M, / et al.: Family burden interview scale for relatives of psychiatric patients: reliability study of the Brazilian version. / Rev Bras Psiquiat 2007,29(1):47-0. CrossRef
  38. Borkman TJ: / Understanding self-help/mutual aid: Experiential learning in the commons. Rutgers University Press, New Brunswick, NJ; 1999.
  39. Medvene L, Krauss DH: Causal attributions and parent-child relationships in a self-help group for families of the mentally ill. / J Appl Soc Psychol 1989, 19:1413-430. CrossRef
  40. Citron M, Solomon P, Draine J: Self-help groups for families of persons with mental illness: perceived benefits of helpfulness. / Commun Ment Health J 1999, 35:15-0. CrossRef
  41. Dyck DG, Hendryx MS, Short RA, Voss WD, McFarlane WR: Service use among patients with schizophrenia in psycho educational multiple-family group treatment. / Psychiatr Serv 2002,53(6):749-54. CrossRef
  42. Dyck DG, Short RA, Hendryx MS, Norell D, / et al.: Management of negative symptoms among patients with schizophrenia attending multiple-family groups. / Psychiatr Serv 2000,51(4):513-19. CrossRef
  43. Reza GG, Shikha M, Habibollah AG: Efficacy of a psychoeducational programme for the social adjustment of psychiatric patients. / Hong Kong J Psychiatry 2004,14(3):7-4.
  44. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-244X/12/48/prepub
  
• 作者单位：Farkhondeh Sharif (1)
  Maryam Shaygan (2)
  Arash Mani (3)
  
  1. Department of Mental Health & Psychiatric Nursing, Community Based Nursing &Midwifery Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
  2. Department of Mental Health Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
  3. University Counseling Center, Shiraz University of Medical Sciences, Shiraz, Iran
  

文摘

Background This study explored the effectiveness of family psycho-education in reducing patients-symptoms and on family caregiver burden. Methods Seventy Iranian outpatients with a diagnosis of schizophrenia disorder and their caregivers were randomly allocated to the experimental (n--5) or control groups (n--5). Patients in the experimental group received antipsychotic drug treatment and a psycho-educational program was arranged for their caregivers. The psycho-educational program consisted of ten 90-min sessions held during five weeks (two session in each week). Each caregiver attended 10 sessions (in five weeks) At baseline, immediately after intervention, and one month later. Validated tools were used to assess patients-clinical status and caregiver burden. Results Compared with the control group, the case group showed significantly reduced symptom severity and caregiver burden both immediately after intervention and one month later. Conclusions These results suggest that even need based short-term psycho-educational intervention for family members of Iranian patients with schizophrenic disorder may improve the outcomes of patients and their families. Trial registration IRCT Number:138809122812?N1`