Cargando…

Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia

Social interventions such as psychoeducation, in conjunction with appropriate antipsychotic medications, positively impact schizophrenic patients’ recovery. The aim of this 12-week study was to compare standard Indonesian mental healthcare for schizophrenia with psychoeducation-enriched care for fam...

Descripción completa

Detalles Bibliográficos
Autores principales: Budiono, Watari, Kantono, Kevin, Kristianto, Franciscus Cahyo, Avanti, Christina, Herawati, Fauna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307551/
https://www.ncbi.nlm.nih.gov/pubmed/34299972
http://dx.doi.org/10.3390/ijerph18147522
_version_ 1783728075117166592
author Budiono, Watari
Kantono, Kevin
Kristianto, Franciscus Cahyo
Avanti, Christina
Herawati, Fauna
author_facet Budiono, Watari
Kantono, Kevin
Kristianto, Franciscus Cahyo
Avanti, Christina
Herawati, Fauna
author_sort Budiono, Watari
collection PubMed
description Social interventions such as psychoeducation, in conjunction with appropriate antipsychotic medications, positively impact schizophrenic patients’ recovery. The aim of this 12-week study was to compare standard Indonesian mental healthcare for schizophrenia with psychoeducation-enriched care for family members, investigating both family and patient parameters. Sixty-four family participants meeting pre-set criteria were recruited from various online Indonesian community forums, social media, seminars/gathering events, and inpatient visits. Each family member was the main care provider for one patient with a schizophrenia diagnosis. Family participants were randomly allocated to one of two groups (control or intervention); both groups received equal personal time and attention from staff but the control group lacked the specific psychoeducational aspect of the intervention. In comparison with the control group, pre- and post-evaluation revealed significant positive effects in the intervention group for illness perception (F((ave)) = 124.85; d((ave)) = 2.72) and expressed emotion (OR((ave)) = 0.39) among family members. For the patients, there was a significant positive effect on medication adherence (F((1, 62)) = 21.54; p < 0.001, d((intervention)) = 1.31) if their family members were in the intervention group. Partial least-squares path modeling revealed that low expressed emotion in family members was positively correlated with high medication adherence (β = −0.718; p < 0.001) in patients. This study provides evidence for the patient and family benefits of family psychoeducation on schizophrenia in a diverse Indonesian population.
format Online
Article
Text
id pubmed-8307551
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-83075512021-07-25 Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia Budiono, Watari Kantono, Kevin Kristianto, Franciscus Cahyo Avanti, Christina Herawati, Fauna Int J Environ Res Public Health Article Social interventions such as psychoeducation, in conjunction with appropriate antipsychotic medications, positively impact schizophrenic patients’ recovery. The aim of this 12-week study was to compare standard Indonesian mental healthcare for schizophrenia with psychoeducation-enriched care for family members, investigating both family and patient parameters. Sixty-four family participants meeting pre-set criteria were recruited from various online Indonesian community forums, social media, seminars/gathering events, and inpatient visits. Each family member was the main care provider for one patient with a schizophrenia diagnosis. Family participants were randomly allocated to one of two groups (control or intervention); both groups received equal personal time and attention from staff but the control group lacked the specific psychoeducational aspect of the intervention. In comparison with the control group, pre- and post-evaluation revealed significant positive effects in the intervention group for illness perception (F((ave)) = 124.85; d((ave)) = 2.72) and expressed emotion (OR((ave)) = 0.39) among family members. For the patients, there was a significant positive effect on medication adherence (F((1, 62)) = 21.54; p < 0.001, d((intervention)) = 1.31) if their family members were in the intervention group. Partial least-squares path modeling revealed that low expressed emotion in family members was positively correlated with high medication adherence (β = −0.718; p < 0.001) in patients. This study provides evidence for the patient and family benefits of family psychoeducation on schizophrenia in a diverse Indonesian population. MDPI 2021-07-15 /pmc/articles/PMC8307551/ /pubmed/34299972 http://dx.doi.org/10.3390/ijerph18147522 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Budiono, Watari
Kantono, Kevin
Kristianto, Franciscus Cahyo
Avanti, Christina
Herawati, Fauna
Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia
title Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia
title_full Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia
title_fullStr Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia
title_full_unstemmed Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia
title_short Psychoeducation Improved Illness Perception and Expressed Emotion of Family Caregivers of Patients with Schizophrenia
title_sort psychoeducation improved illness perception and expressed emotion of family caregivers of patients with schizophrenia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307551/
https://www.ncbi.nlm.nih.gov/pubmed/34299972
http://dx.doi.org/10.3390/ijerph18147522
work_keys_str_mv AT budionowatari psychoeducationimprovedillnessperceptionandexpressedemotionoffamilycaregiversofpatientswithschizophrenia
AT kantonokevin psychoeducationimprovedillnessperceptionandexpressedemotionoffamilycaregiversofpatientswithschizophrenia
AT kristiantofranciscuscahyo psychoeducationimprovedillnessperceptionandexpressedemotionoffamilycaregiversofpatientswithschizophrenia
AT avantichristina psychoeducationimprovedillnessperceptionandexpressedemotionoffamilycaregiversofpatientswithschizophrenia
AT herawatifauna psychoeducationimprovedillnessperceptionandexpressedemotionoffamilycaregiversofpatientswithschizophrenia