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Community Mental Health Journal
Published in: Community Mental Health Journal 4/2017

01-05-2017 | Original Paper

The Effects of Psychoeducation on the Expressed Emotion and Family Functioning of the Family Members in First-Episode Schizophrenia

Authors: Emine Öksüz, Semra Karaca, Gülten Özaltın, Mehmet Alpay Ateş

Published in: Community Mental Health Journal | Issue 4/2017

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Abstract

The aim of this study was to determine the effects of the psychoeducation received by the family members of the patients with first-episode schizophrenia on the expressed emotion (EE) and the family functioning of the family members. This study has a quasi-experimental design with a control group. The sample of the study was 60 family members (30 experimental −30 control) of the patients with first-episode schizophrenia. The experimental group received 9 weeks of psychoeducation as a group. EE and family functioning were assessed at the beginning and at the end of the psychoeducation program. EE criticism/hostility and over involvement-protecting-intervention levels of the family members have decreased at the end of the psychoeducation (p < 0.05). Family functioning has changed too at the end of the psychoeducation (p < 0.05), and assessed as more healthy. Consequently, early psychoeducational groups may be effective in decreasing EE level and improving the family functioning for a family member of patient with first-episode schizophrenia.
Literature
Addington, J., Coldham, E. L., Jones, B., Ko, T., & Addington, D. (2003). The first episode of psychosis: The experience of relatives. Acta Psychiatrica Scandinavica, 108(4), 285–289.CrossRefPubMed
Alvarez-Jiménez, M., Gleeson, J. F., Cotton, S. M., Wade, D., Crisp, K., Yap, M. B., & McGorry, P. D. (2010). Differential predictors of critical comments and emotional over-involvement in first-episode psychosis. Psychological Medicine, 40(1), 63–72.CrossRefPubMed
Alvarez-Jimenez, M., Priede, A., & Hetrick, S. E. (2012). Risk factors for relapse following treatment for first episode psychosis. Schizophrenia Research, 139, 116–128.CrossRefPubMed
Bäuml, J., Froböse, T., Kraemer, S., Rentrop, M., & Pitschel-Walz, G. (2006). Psychoeducation: A basic psychotherapeutic intervention for patients with schizophrenia and their families. Schizophrenia Bulletin, 32(Suppl 1), 1–9.CrossRef
Berksun, O. E. (1992). Şizofrenide aile faktörü: Expressed emotion (EE): Ölçek geliştirme ve uyarlama denemesi. A.Ü. Tıp Fak. Uzmanlık Tezi, Ankara, (Danışman: Prof. Dr. G Ünlüoğlu).
Bulut, I. (1990). Aile Değerlendirme ölçeği el kitabı. Ankara: Özgüzeliş Matbaası.
Carrà, G., Cazzullo, C. L., & Clerici, M. (2012). The association between expressed emotion, illness severity and subjective burden of care in relatives of patients with schizophrenia. Findings from an Italian population. BMC psychiatry, 12, 140.CrossRefPubMedPubMedCentral
Cechnicki, A., Bielańska, A., Hanuszkiewicz, I., & Daren, A. (2013). The predictive validity of expressed emotions (EE) in schizophrenia. A 20-year prospective study. Journal of Psychiatric Research, 47(2), 208–214.CrossRefPubMed
Chien, W. T., & Norman, I. (2003). Educational needs of families caring for Chinese patients with schizophrenia. Journal of Advanced Nursing, 44(5), 490–498.CrossRefPubMed
Cole, J. D., & Kazarian, S. S. (1988). The level of expressed emotion scale: A new measure of expressed emotion. Journal of Clinical Psychology, 44, 392–397.CrossRefPubMed
Czuchta, D. M., & McCay, E. (2001). Help-seeking for parents of ındividuals experiencing a first episode of schizophrenia. Archives of Psychiatric Nursing, 15(4), 159–170.CrossRefPubMed
Domínguez-Martínez, T., Medina-Pradas, C., Kwapil, T. R., & Barrantes-Vidal, N. (2014). Relatives׳ illness attributions mediate the association of expressed emotion with early psychosis symptoms and functioning. Psychiatry Research, 218(1–2), 48–53.CrossRefPubMed
Fisher, L., & Weihs, K. (2000). Can addressing family relationships improve outcomes in chronic disease? Report of the national working group on family-based interventions in chronic disease. The Journal of Family Practice, 49, 561–566.PubMed
Jeppesen, P., Petersen, L., Thorup, A., Abel, M. B., Oehlenschlaeger, J., Christensen, T. Ø., Krarup, G., Hemmingsen, R., Jørgensen, P., & Nordentoft, M. (2005). Integrated treatment of first-episode psychosis: Effect of treatment on family burden: OPUS trial. The British Journal of Psychiatry Supplement, 48, 85–90.CrossRef
Kavanagh, D. J. (1992). Recent developments in expressed emotions and schizophrenia. The British Journal of Psychiatry, 160, 601–620.CrossRefPubMed
Koutra, K., Triliva, S., Roumeliotaki, T., Basta, M., Lionis, C., & Vgontzas, A. N. (2015). Family functioning in first-episode and chronic psychosis: The role of patient’s symptom severity and psychosocial functioning. Community Mental Health Journal, 52(6), 710–723
Koutra, K., Triliva, S., Roumeliotaki, T., Stefanakis, Z., Basta, M., Lionis, C., & Vgontzas, A. N. (2014). Family functioning in families of first-episode psychosis patients as compared to chronic mentally ill patients and healthy controls. Psychiatry Research, 219(3), 486–496.CrossRefPubMed
Koutra, K., Vgontzas, A. N., Lionis, C., & Triliva, S. (2014). Family functioning in first-episode psychosis: A systematic review of the literature. Social Psychiatry and Psychiatric Epidemiology, 49(7), 1023–1036.CrossRefPubMed
McFarlane, W. R. (2002). Multifamily groups in the treatment of severe psychiatric disorders. New York: Guilford Press.
McGorry, P. D. (1995). Psychoeducation in first-episode psychosis: A therapeutic process. Psychiatry, 58(4), 313–328.CrossRefPubMed
McNab, C., Haslam, N., & Burnett, P. (2007). Expressed emotion, attributions, utility beliefs, and distress in parents of young people with first episode psychosis. Psychiatry Research, 151(1–2), 97–106.CrossRefPubMed
McWilliams, S., Egan, P., Jackson, D., Renwick, L, Foley, S., Behan, C., Fitzgerald, E., Fetherston, A., Turner, N., Kinsella, A., & O’Callaghan, E. (2010). Caregiver psychoeducation for first-episode psychosis. European Psychiatry, 25(1), 33–38.CrossRefPubMed
McWilliams, S., Hill, S., Mannion, N., Kinsella, A., & O’Callaghan, E. (2007). Caregiver psychoeducation for schizophrenia: Is gender important? European Psychiatry, 22(7), 479–480.CrossRef
Meneghelli, A., Alpi, A., Pafumi, N., Patelli, G., Preti, A., & Cocchi, A. (2011). Expressed emotion in first-episode schizophrenia and in ultra high-risk patients: Results from the Programma2000. Psychiatry Research, 189(3), 331–338.CrossRefPubMed
Nilsen, L., Frich, J. C., Friis, S., Norheim, I., & Røssberg, J. I. (2016). Participants’ perceived benefits of family intervention following a first episode of psychosis: A qualitative study. Early Intervention in Psychiatry, 10(2), 152–159.CrossRefPubMed
Ozkan, B., Erdem, E., Demirel Ozsoy, S., & Zararsiz, G. (2013). Effect of psychoeducation and telepsychiatric follow up given to the caregiver of the schizophrenic patient on family burden, depression and expression of emotion. Pakistan Journal of Medical Sciences, 29(5), 1122–1127.CrossRefPubMedPubMedCentral
Penn, D. L., Waldheter, E. J., Perkins, D. O., Mueser, K. T., & Jeffrey, A. L. (2005). Psychosocial treatment for first-episode psychosis: A research update. The American Journal of Psychiatry, 162, 2220–2232.CrossRefPubMed
Petrakis, M., Oxley, J., & Bloom, H. (2013). Carer psychoeducation in first-episode psychosis: Evaluation outcomes from a structured group programme. The International Journal of Social Psychiatry, 59(4), 391–397.CrossRefPubMed
Raune, D., Kuıpers, E., & Bebbington, P. E. (2004). Expressed emotion at first-episode psychosis: İnvestigating a carer appraisal model. British Journal of Psychiatry, 184, 321–326.CrossRefPubMed
Sellwood, W., Tarrier, N., Quinn, J., & Barrowclough, C. (2003). The family and compliance in schizophrenia: The influence of clinical variables, relatives’ knowledge and expressed emotion. Psychological Medicine, 33(1), 91–96.CrossRefPubMed
Sin, J., & Norman, I. (2013). Psychoeducational interventions for family members of people with schizophrenia: A mixed-method systematic review. The Journal of Clinical Psychiatry, 74(12), e1145–e1162.CrossRefPubMed
Üçok, A. (2008). Şizofreninin erken döneminde klinik özellikler ve tedavi ilkeleri. Klinik Psikiyatri, 11(Ek 1), 3–8.
Yildiz, M., Veznedaroglu, B., Eryavuz, A., & Kayahan, B. (2004). Psychosocial skills training on social functioning and quality of life in the treatment of schizophrenia: A controlled study in Turkey. International Journal of Psychiatry in Clinical Practice, 8(4), 219–225.CrossRefPubMed
Metadata
Title
The Effects of Psychoeducation on the Expressed Emotion and Family Functioning of the Family Members in First-Episode Schizophrenia
Authors
Emine Öksüz
Semra Karaca
Gülten Özaltın
Mehmet Alpay Ateş
Publication date
01-05-2017
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 4/2017
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-017-0086-y

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