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Caregiver psychoeducation for first-episode psychosis

Published online by Cambridge University Press:  16 April 2020

Stephen McWilliams ,
Patrick Egan ,
Deirdre Jackson ,
Laoise Renwick ,
Sharon Foley ,
Caragh Behan ,
Emma Fitzgerald ,
Alastair Fetherston ,
Niall Turner  and
Anthony Kinsella
...Show all authors
Stephen McWilliams*
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Patrick Egan
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Deirdre Jackson
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Laoise Renwick
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Sharon Foley
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Caragh Behan
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Emma Fitzgerald
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Alastair Fetherston
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Niall Turner
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Anthony Kinsella
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland
Eadbhard O’Callaghan
Affiliation:
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park Carysfort Avenue, Co. Dublin, Ireland Department of Psychiatry, University College Dublin, Donnybrook Dublin 4, Ireland
*
*Corresponding author. Tel.: +35312791700; fax: +35312791799. E-mail address: drstevemb@gmail.com (S. McWilliams).
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Abstract

Introduction

International best-practice guidelines for the management of first-episode psychosis have recommended the provision of psychoeducation for multifamily groups. While there is ample evidence of their efficacy in multiepisode psychosis, there is a paucity of evidence supporting this approach specifically for first-episode psychosis. We sought to determine whether a six-week caregiver psychoeducation programme geared specifically at first-episode psychosis improves caregiver knowledge and attitudes.

Methods

Caregivers of people with first-episode psychosis completed a 23-item adapted version of the self-report Family Questionnaire (KQ) and a 17-item adapted version of the self-report Drug Attitudes Inventory (DAI) before and after the six-week DETECT Information and Support Course (DISC). Using a Generalised Linear Repeated Measures Model, we analyzed the differences in proportions of correct answers before and after the programme.

Results

Over a 24-month study period, 31 caregivers (13 higher socioeconomic; 13 lower socioeconomic; five unspecified socioeconomic; 19 female; 12 male) participated in the DISC programme and completed inventories before and after the course. Knowledge of psychosis and specific knowledge of medication treatment improved among caregivers overall (p < .01; effect sizes 0.78 and 0.94 respectively). There were no significant gender or socioeconomic differences in any improvement.

Discussion

This study confirms that caregiver psychoeducation specifically for first-episode psychosis directly improves knowledge of the illness overall and, in particular, knowledge of medication. Gender is not a factor in this, while the lack of any socioeconomic differences dispels the myth that patients in lower socioeconomic groups are disadvantaged because their caregivers know less.

Keywords

First-episode psychosisMultiepisode psychosisSchizophreniaCaregiverGenderSocioeconomicPsychoeducationKnowledgeAttitudes
Type
Original articles
Information
European Psychiatry , Volume 25 , Issue 1 , January 2010 , pp. 33 - 38
Copyright
Copyright © Elsevier Masson SAS 2010

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