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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 5/2009

01-05-2009 | ORIGINAL PAPER

Effects of a psychoeducational intervention program on the attitudes and health perceptions of relatives of patients with schizophrenia

Authors: José Gutiérrez-Maldonado, Alejandra Caqueo-Urízar, Marta Ferrer-García

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 5/2009

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Abstract

Background

In recent years there has been increased interest in the role played by families in the treatment of patients with schizophrenia. Some family interventions may significantly reduce clinical difficulties and may have a positive impact, both emotionally and economically. The aim of this study is to assess the efficacy of a family psychoeducational program in changing attitude and health perceptions in relatives of patients with schizophrenia.

Methods

Sample: 45 relatives, key caregivers of patients with schizophrenia seen at a public mental health outpatient centre in Arica (Chile).

Instruments

Attitudes of Relatives toward Schizophrenia Questionnaire and General Health Questionnaire SF-36.

Procedure

The sample was randomly divided into a control group, in which caregivers received the usual treatment (a monthly interview with a psychiatric nurse), and an experimental group, which participated in a family psychoeducational intervention program in addition to the usual treatment. Medication of patients remained unchanged in both groups.

Results

The psychoeducational program was effective in modifying caregivers’ attitudes. However, it had no effect on their health perceptions.

Conclusions

This family psychoeducational treatment program modifies the negative attitudes of relatives towards schizophrenia. However, programs of this kind may not improve health problems; alternatively, their effects may only be seen in the long term.
Appendix
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Literature
1.
Alonso J, Prieto L, Antó J (1995) La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Med Clin (Barc) 10:771–776
2.
Anderson C, Reiss D, Hogarty G (1986) Taller de supervivencia. In: Anderson C, Reiss D, Hogarty G (eds) Esquizofrenia y familia. Guía práctica de psicoeducación. Amorrortu, New York, pp 110–190
3.
Barrowclough C, Terrier N (1995) Intervención con las familias. In: Barrowclough C, Tarrier N (eds) El tratamiento psicológico de la Esquizofrenia. Editorial Ariel, Barcelona, pp 69–99
4.
Belloso J, García B, de Prado E (2000) Intervención psicoeducativa en un centro de rehabilitación psicosocial. Rev Asoc Esp Neuropsiquiatr XX(73):23–40
5.
Berenstein I (1987) Familia y Enfermedad mental. Editorial Paidós, Buenos Aires
6.
Berglund N, Olof J, Edman A (2003) Family intervention in schizophrenia. Impact on family burden and attitude. Soc Psychiatry Psychiatr Epidemiol 38:116–121PubMedCrossRef
7.
Butzlaff R, Hooley J (1998) Expressed emotion and psychiatric relapse. Arch Gen Psychiatry 55(6):547–551PubMedCrossRef
8.
Caqueo-Urízar A, Gutiérrez-Maldonado J (2006) Burden of care in families of patients with schizophrenia. Qual Life Res 15(4):719–724PubMedCrossRef
9.
Girón M, Gómez M (2004) Relationship between family attitude and social functioning in schizophrenia. J Nerv Ment Dis 192(6):414–420PubMedCrossRef
10.
Gutiérrez-Maldonado J, Caqueo-Urízar A (2003) Cuestionario de Actitudes hacia la Esquizofrenia para Familiares (unpublished manuscript)
11.
Gutiérrez-Maldonado J, Caqueo-Urízar A (2007) Effectiveness of a psycho-educational intervention for reducing burden in latin american families of patients with schizophrenia. Qual Life Res 16(5):739–747PubMedCrossRef
12.
Gutiérrez-Maldonado J, Caqueo-Urízar A, Ferrer-García M (2006) Esquizotipia en familiares de pacientes con esquizofrenia en una muestra latinoamericana. Psicothema 18(3): 433–438PubMed
13.
Gutiérrez-Maldonado J, Caqueo-Urízar A, Kavanagh DJ (2005) Burden of care and general health in families of patients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 40: 899–904PubMedCrossRef
14.
Hare R, Rogers H, Lester H, McManus R, Mant J (2006) What do stroke patients and their carers want from community services? Fam Pract 23(1):131–136PubMedCrossRef
15.
Kavanagh D, O’Halloran P, Manicavasagar V, Clark D, Piatkowska O, Tennant C, Rosen A (1997) The family attitude scale: reliabity and validity of a new scale for measuring the emotional climate of families. Psychiatry Res 70:185–195PubMedCrossRef
16.
Kazarian SS, Vanderheyden DA (1992) Family education of relatives of people with psychiatric disability: a review. Psychosoc Rehabil J 15:67–84
17.
King S (2000) Is expressed emotion cause or effect in the mothers of schizophrenic young adults? Schizophr Res 45:65–78PubMedCrossRef
18.
Leff J, Berkowitz R, Shavit N, Strachan A, Glass I, Vaughn C (1990) A trial of family therapy versus a relatives group for schizophrenia. Two-year follow-up. Br J Psychiatry 157:571–577PubMedCrossRef
19.
Losada A, Izal M, Montorio I, Márquez M, Pérez G (2004) Eficacia de dos intervenciones psicoeducativas para cuidadores de familiares con demencia. Rev Neurol 38(8):701–708
20.
Magliano L, Fadden G, Economou M, Held T, Xavier M, Guarneri M, Malangone C, Marasco C, Mm Maj (2000) Family burden and coping strategies in schizophrenia: 1-year follow-up data from the BIOMED I study. Soc Psychiatry Psychiatr Epidemiol 35:109–115PubMedCrossRef
21.
Magliano L, Marasco C, Guarneri M, Malangone C, Lacrimi G, Zanus P, Maj M (1999) A new questionnaire assessing the opinions of the relatives of patients with schizophrenia on the causes and social consequences of the disorder: reliability and validity. Eur Psychiatry 14:71–75PubMedCrossRef
22.
Magliano L, Veltro F, Guarneri M, Marasco C (1995) Clinical and social-demographic correlatos of coping strategies in relatives of schizophrenic patients. Eur Psychiatry 10:155–158CrossRef
23.
Martínez J, Nadal S, Beperet M, Mendióroz P, Psicot Group (2000) Sobrecarga de los cuidadores familiares de pacientes con esquizofrenia: factores determinantes. An Sist Sanit Navar 23(1):101–110
24.
Montero I (1995) Tratamientos familiares y programas psicoeducativos en la esquizofrenia. In: Gutiérrez M, Escurre J, Pichot P (eds) Esquizofrenia entre la sociogénesis y el condicionamiento biológico (II). Ediciones en neurociencias, Barcelona, pp 219–227
25.
Muela J, Godoy J (1998) Programa de Intervención Familiar en Esquizofrenia. Tesis Doctoral no publicada. Universidad de Granada, Granada
26.
Mueser K, Sengupta A, Schooler N, Bellack A, Xie H, Glick I et al (2001) Family treatment and medication dosage reduction in schizophrenia: effects on patient social functioning, family attitude, and burden. J Consult Clin Psychol 69(1):3–12PubMedCrossRef
27.
Rakesh K, Singh T, Ganguly K (2007) Caregiver burden and coping. Soc Psychiatry Psychiatr Epidemiol 42:923–930CrossRef
28.
Ran M, Xiang M, Wan Chan C, Leff J, Simpson P, Huang M et al (2003) Effectiveness of psychoeducational intervention for rural Chinese families experiencing schizophrenia. A randomised controlled trial. Soc Psychiatry Psychiatr Epidemio 38:69–75CrossRef
29.
Samele C, Manning N (2000) Level of caregiver burden among relatives of the mentally ill in South Verona. Eur Psychiatry 15(3):196–204PubMedCrossRef
30.
Sayers S, White T, Zubritsky C, Oslin D (2006) Family involvement in the care of healthy medical outpatients. Fam Pract 23(3):317–324PubMedCrossRef
31.
Sefasi A, Crumlish N, Samalani P, Kinsella A, O’Callagahn E, Chilale H (2008) A little knowledge: caregiver burden in schizophrenia in Malawi. Soc Psychiatry Psychiatr Epidemiol 43:160–164PubMedCrossRef
32.
Solomon P (1996) Moving from psychoeducation to family education for families of adults with serious mental illness. Psychiatr Serv 47(12):1364–1370PubMed
33.
Solomon P, Draine J, Mannion E (1996) The impact of individualized consultation and group work shop family education interventions in ill relative’s outcomes. J Nerv Ment Dis 184(4):252–255PubMedCrossRef
34.
Solomon P, Draine J, Mannion E, Meisel M (1997) Effectiveness of two models of brief family education: retention of gains by family members of adults with serious mental illness. Am J Orthopsychiatry 67(2):177–186PubMedCrossRef
35.
The Scottish Schizophrenia Research Group (1987) The Scottish First Episode Schizophrenia Study IV. Psychiatric and social impact on relatives. Br J Psychiatry 150:340–344CrossRef
36.
The Scottish Schizophrenia Research Group (1992) The Scottish First Episode Schizophrenia Study VIII. Five-years follow-up: clinical and psychosocial finding. Br J Psychiatry 161:496–500CrossRef
37.
Thompson M, Goldstein M, Lebel M, Mintz L, Marder S, Mintz J (1995) Schizophrenic patients’ perceptions of their relatives’ attitudes. Psychiatry Res 57:155–167CrossRef
38.
Tomaras V, Mavreas V, Economou M, Ionnovich E, Karydi V, Stefanis C (2000) The effect of family intervention on chronic schizophrenic under individual psychosocial treatment: a 3-year study. Soc Psychiatry Psychiatr Epidemiol 35:487–493PubMedCrossRef
39.
Vallina O, Lemos S (2001) Tratamientos psicológicos eficaces para la esquizofrenia. Psicothema 13(3):345–364
40.
Ware J, Snow K, Kosinski M, Gandek B (1993) SF-36 Health Survey. Manual and Interpretation Guide. The Health Institute, New England Medical Center, Boston
Metadata
Title
Effects of a psychoeducational intervention program on the attitudes and health perceptions of relatives of patients with schizophrenia
Authors
José Gutiérrez-Maldonado
Alejandra Caqueo-Urízar
Marta Ferrer-García
Publication date
01-05-2009
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 5/2009
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0451-9

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