Patient Functioning and Family Burden in a Controlled, Real-World Trial of Family Psychoeducation for Schizophrenia

Lorenza Magliano · Andrea Fiorillo · Claudio Malangone · Corrado De Rosa · Mario Maj

134 citations0/0 files storedPsychiatric Services

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Family Caregiving in Mental Illness Schizophrenia research and treatment Counseling, Therapy, and Family Dynamics

Abstract

OBJECTIVE: This study explored the effectiveness of a psychoeducational family intervention for schizophrenia on patients' personal and social functioning as well as on relatives' burden and perceived support. METHODS: Thirty-four mental health professionals from 17 public mental health centers in Italy selected 71 families of consumers with schizophrenia. Forty-two families were randomly assigned to a group that received the intervention for six months, and 29 families were assigned to a waiting list for six months. At baseline and six months later, validated tools were used to assess patients' clinical status, personal and social functioning, and social network as well as relatives' burden, social resources, and perception of professional support. RESULTS: In the intervention group the number of patients with poor or very poor global personal and social functioning decreased significantly, from 17 (47 percent) at baseline to nine (25 percent) at follow-up. A significant improvement was found for the intervention group in patients' social relationships, interests in obtaining a job, maintenance of social interests, and management of social conflicts. Twenty-seven patients (74 percent) reported that their social relationships had improved during the six-month period. For both the intervention and control groups, family burden significantly improved. Relatives' social contacts and perception of professional support significantly increased only in the intervention group. CONCLUSIONS: The results suggest that a psychoeducational family intervention may have a significant impact on functional outcomes of schizophrenia when provided to patients and caregivers in real-world settings.

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References

2006Family intervention for schizophrenia 2003FAMILY PSYCHOEDUCATION AND SCHIZOPHRENIA: A REVIEW OF THE LITERATURE 1999Can it work? Does it work? Is it worth it?1998Burden on the families of patients with schizophrenia: results of the BIOMED I study 2003Burden in Schizophrenia Caregivers: Impact of Family Psychoeducation and Awareness of Patient Suicidality 1999Services to Families of Adults With Schizophrenia: From Treatment Recommendations to Dissemination 2003Family intervention in schizophrenia 1999Randomised controlled effectiveness trial of a needs-based psychosocial intervention service for carers of people with schizophrenia

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