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Treatment outcomes in schizophrenia: qualitative study of the views of family carers

BACKGROUND: Schizophrenia is a complex, heterogeneous disorder, with highly variable treatment outcomes, and relatively little is known about what is important to patients. The aim of the study was to understand treatment outcomes informal carers perceive to be important to people with schizophrenia...

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Autores principales: Lloyd, Joanne, Lloyd, Helen, Fitzpatrick, Ray, Peters, Michele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5521073/
https://www.ncbi.nlm.nih.gov/pubmed/28732482
http://dx.doi.org/10.1186/s12888-017-1418-8
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author Lloyd, Joanne
Lloyd, Helen
Fitzpatrick, Ray
Peters, Michele
author_facet Lloyd, Joanne
Lloyd, Helen
Fitzpatrick, Ray
Peters, Michele
author_sort Lloyd, Joanne
collection PubMed
description BACKGROUND: Schizophrenia is a complex, heterogeneous disorder, with highly variable treatment outcomes, and relatively little is known about what is important to patients. The aim of the study was to understand treatment outcomes informal carers perceive to be important to people with schizophrenia. METHOD: Qualitative interview study with 34 individuals and 8 couples who care for a person with schizophrenia/schizoaffective disorder. Interviews were transcribed verbatim and analysed by a thematic framework based approach. RESULTS: Carers described well-recognised outcomes of importance, alongside more novel outcomes relating to: Safety (of the patient/others); insight (e.g. into non-reality of psychotic phenomena); respite from fear, distress or pain; socially acceptable behaviour; getting out of the house; attainment of life milestones; changes in personality and/or temperament; reduction of vulnerability to stress; and several aspects of physical health. CONCLUSIONS: These findings have the potential to inform the development of patient- or carer- focused outcome measures that take into account the full range of domains that carers feel are important for patients. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-017-1418-8) contains supplementary material, which is available to authorized users.
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spelling pubmed-55210732017-07-21 Treatment outcomes in schizophrenia: qualitative study of the views of family carers Lloyd, Joanne Lloyd, Helen Fitzpatrick, Ray Peters, Michele BMC Psychiatry Research Article BACKGROUND: Schizophrenia is a complex, heterogeneous disorder, with highly variable treatment outcomes, and relatively little is known about what is important to patients. The aim of the study was to understand treatment outcomes informal carers perceive to be important to people with schizophrenia. METHOD: Qualitative interview study with 34 individuals and 8 couples who care for a person with schizophrenia/schizoaffective disorder. Interviews were transcribed verbatim and analysed by a thematic framework based approach. RESULTS: Carers described well-recognised outcomes of importance, alongside more novel outcomes relating to: Safety (of the patient/others); insight (e.g. into non-reality of psychotic phenomena); respite from fear, distress or pain; socially acceptable behaviour; getting out of the house; attainment of life milestones; changes in personality and/or temperament; reduction of vulnerability to stress; and several aspects of physical health. CONCLUSIONS: These findings have the potential to inform the development of patient- or carer- focused outcome measures that take into account the full range of domains that carers feel are important for patients. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-017-1418-8) contains supplementary material, which is available to authorized users. BioMed Central 2017-07-21 /pmc/articles/PMC5521073/ /pubmed/28732482 http://dx.doi.org/10.1186/s12888-017-1418-8 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lloyd, Joanne
Lloyd, Helen
Fitzpatrick, Ray
Peters, Michele
Treatment outcomes in schizophrenia: qualitative study of the views of family carers
title Treatment outcomes in schizophrenia: qualitative study of the views of family carers
title_full Treatment outcomes in schizophrenia: qualitative study of the views of family carers
title_fullStr Treatment outcomes in schizophrenia: qualitative study of the views of family carers
title_full_unstemmed Treatment outcomes in schizophrenia: qualitative study of the views of family carers
title_short Treatment outcomes in schizophrenia: qualitative study of the views of family carers
title_sort treatment outcomes in schizophrenia: qualitative study of the views of family carers
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5521073/
https://www.ncbi.nlm.nih.gov/pubmed/28732482
http://dx.doi.org/10.1186/s12888-017-1418-8
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