Effectiveness of Psychoeducational Family Intervention on Coping Strategies of Relatives of Patients with Bipolar I Disorder

2017 ◽  
Vol 41 (S1) ◽  
pp. S78-S78
Author(s):  
M. Savorani ◽  
G. Borriello ◽  
V. Del Vecchio ◽  
G. Sampogna ◽  
C. De Rosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Coping Strategies ◽  
Family Intervention ◽  
Health Centers ◽  
Control Group ◽  
Long Term Outcome ◽  
Bipolar I Disorder ◽  
Mental Health Centers ◽  
The Impact ◽  
Experimental Group

BackgroundRelatives’ coping strategies – an essential element for the recovery of patients with severe mental disorders – are grouped in problem-oriented and emotion-focused. The former include practical strategies to deal with the stressful situation and are associated with a better long-term outcome of patients and relatives; the latter are psychologically driven and are associated with a worse outcome. It has been reported that psychoeducational family intervention (PFI) can improve problem-oriented coping strategies, while few data are available on relatives of patients with bipolar disorder.ObjectivesTo assess the impact of the PFI on promotion of problem-oriented coping strategies adopted by relatives of patients with bipolar I disorder.MethodsThis study was conducted in 11 Italian mental health centers. Patients and their relatives were allocated to the experimental group receiving PFI or to the control group (waiting list). Before starting the intervention and at the end of the PFI, coping strategies were assessed using the family coping questionnaire.ResultsOf the 139 recruited families, 72 families were allocated to the experimental group and 67 to the control group. Relatives from the experimental group reported a significant improvement in problem-oriented coping strategies, such as positive communication (P < .01) and searching for information (P < .05). On the other hand, a reduction in collusion (P < .0001), avoidance (P < .01) and resignation (P < .001) were found at the end of the intervention.ConclusionsPFI is effective in promoting the coping strategies in relatives of patients with bipolar I disorder and it should be given routinely in mental health centers.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Impact of an educative program on dialysis patients’ knowledge and mental health: controlled before and after program

2018 ◽  
Vol 10 (2) ◽  
pp. 20204
Author(s):  
Laetitia Idier ◽  
Aurélie Untas ◽  
Nicole Rascle ◽  
Michèle Koleck ◽  
Maider Aguirrezabal ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Vascular Access ◽  
Educational Program ◽  
Psychological State ◽  
Control Group ◽  
Dialysis Patients ◽  
Emotional Change ◽  
The Impact ◽  
Experimental Group

Introduction:Psychological impact of Therapeutic Patient Education (TPE) for dialysis patients is rarely evaluated since the focus of many studies is on medical variables (i.e., adherence).Objectives:The aims of this study were: 1) to estimate the impact of a TPE program on knowledge, depression and anxiety, 2) to examine change in knowledge as a mediator of the effects of a TPE program on mental health.Method:This study was conducted in three hemodialysis units and comprised two groups: an experimental group with education and a control group with routine care. The program was based of 5 educative sessions. Knowledge, depressive and anxious symptoms were assessed with self-reported outcomes measured before and 3 months after the program.Results:The sample comprised 125 patients. Knowledge about vascular access and nutrition (p < 0.01) and depressive symptoms increased in the experimental group (p < 0.01). Analysis of mediation showed that changes in knowledge about vascular access were a significant mediator of the effects of the program on depressive symptoms (F = 4.90;p = 0.01).Discussion:Knowledge acquired during an educational program could lead to an emotional change. Improving knowledge often leads to an awareness of the risks that can modify the psychological state of patients by reminding them of their vulnerability. This study shows that it is required to be attentive to the way of transmitting knowledge. It’s necessary adapting this transmission to the needs of patients and promoting the acquisition of psychosocial competence too.Conclusion:This study shows that knowledge acquired during an educational program can lead to an emotional change in the short term. A long-term follow-up of the population should be interesting to observe these emotional effects.

Effects of Mindfulness-Based Psychoeducation on the Internalized Stigmatization Level of Patients With Schizophrenia

2018 ◽  
Vol 29 (7) ◽  
pp. 496-503 ◽  
Author(s):  
Emine Yılmaz ◽  
Funda Kavak
Keyword(s):  
Health Centers ◽  
Control Group ◽  
Community Mental Health Centers ◽  
Control Groups ◽  
Face To Face ◽  
Significant Difference ◽  
The Difference ◽  
Mental Health Centers ◽  
And Control ◽  
Experimental Group

The aim of this study was to determine the effects of mindfulness-based psychoeducation on internalized stigma in patients with schizophrenia. The patients were recruited from the community mental health centers. This quasiexperimental study was conducted using pretests and posttests with a control group. The participants were 69 patients with schizophrenia; 34 were part of the experimental group and 35 were part of the control group. The patients in the experimental group participated 2 days a week for 6 weeks in a total of 12 sessions which were given in the form of face-to-face group training. The difference between the scale mean posttest scores of the patients in the experimental and control groups was found to be statistically significant ( p < .05). In the intragroup comparisons, a significant difference was found between the stigma mean scores in the experimental group ( p < .05). It was concluded that mindfulness-based psychoeducation was effective in reducing stigma in patients with schizophrenia.

P01-227-Implementing family psychoeducational intervention in bipolar i disorder: a randomized controlled trial

2011 ◽  
Vol 26 (S2) ◽  
pp. 228-228
Author(s):  
M. Luciano ◽  
V. Del Vecchio ◽  
C. Malangone ◽  
D. Giacco ◽  
C. De Rosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Health Workers ◽  
Controlled Trial ◽  
Family Intervention ◽  
Mental Health Workers ◽  
Control Group ◽  
Bipolar I Disorder ◽  
Social Burden ◽  
Short Period

IntroductionBipolar disorder is associated with high personal and social burden, impaired social functioning and high levels of disability. The psychoeducational family intervention, found to be effective in the treatment of schizophrenia, may be particularly useful for patients with bipolar disorder and their relatives.Aims & methodsThis study, funded by the Italian Ministry of Health, coordinated by the Department of Psychiatry of the University of Naples SUN and carried out in 11 randomly selected mental health centres, included the following phases1) development of informative materials;2) training of 2 mental health workers per center;3) random selection of 16 families of patients with bipolar disorder for each center: 8 being randomly allocated to the experimental group and 8 to the control group.Results62 families have been recruited. Mental health workers reported several advantages in conducting the intervention, in particular in the relationship with patients and families. Significant improvements have been reported in professional skills and relationships with colleagues. The advantages tend to increase over time. The main reported difficulties are lack of time to run the intervention, identification of appropriate families, excessive workload and the need to integrate this intervention with other work commitments.ConclusionsIt is possible to provide psychoeducational family intervention for patients with bipolar I disorder and their families, after a relatively short period of training. In order to facilitate the dissemination of this intervention in routine conditions, a better planning of the activities of the mental health centers may be useful.

scholarly journals Evaluating the Performance of Community Mental Health Centers in Iran: Strengths and Challenges

2021 ◽  
Vol 27 (2) ◽  
pp. 204-215
Author(s):  
Mozhgan Taban ◽  
◽  
Ahmad Hajebi ◽  
Mehri Gholami ◽  
Morteza Naserbakht ◽  
...  
Keyword(s):  
Mental Health ◽  
Program Implementation ◽  
General Medicine ◽  
Mental Health Program ◽  
Health Centers ◽  
Community Based ◽  
Individual Interviews ◽  
Mental Health Centers ◽  
Program Challenges ◽  
The Impact

Objectives: This study aims to evaluate the performance of Community-based Mental Health Centers (CMHCs) in Iran and identifying the strengths and challenges in the provision of mental health services. Methods: This is a qualitative study, conducted using 36 individual interviews and 13 focus group discussions. Content analysis was performed and data were categorized. The findings were presented in terms of the needs for program implementation, achieving the expected goals and outcomes, and the findings of program evaluation. First, the points related to the provision of infrastructure and setting up the centers were mentioned, and then, the features, strengths and challenges facing the program were discussed. Results: Significant successes were achieved in providing infrastructure and implementing the community-based mental health program. Challenges in the implementation of this program included the barriers to attracting more general physicians and the impact of culture and attitudes in each city on the effectiveness of the program. Conclusion: To improve the performance of CMHCs, more attention should be paid to psychiatry and mental health educational programs in the general medicine curriculum, public education about the mental health and providing solutions for better implementation of the program.

The effectiveness of psychoeducational family intervention for patients with schizophrenia in a 14-year follow-up study in a Chinese rural area

2015 ◽  
Vol 45 (10) ◽  
pp. 2197-2204 ◽  
Author(s):  
M.-S. Ran ◽  
C. L.-W. Chan ◽  
S.-M. Ng ◽  
L.-T. Guo ◽  
M.-Z. Xiang
Keyword(s):  
Mental Health ◽  
Rural Area ◽  
Negative Symptoms ◽  
Mental Health Policy ◽  
Intervention Group ◽  
Family Intervention ◽  
Control Group ◽  
Follow Up Study ◽  
The Impact

BackgroundIt is unclear if the impact of psychoeducational family intervention for patients with schizophrenia can be sustained over 10 years. In this study, we explored the 14-year effect of psychoeducational family intervention for patients with schizophrenia in a Chinese rural area.MethodThe data from a cluster randomized control trial (CRCT) study of psychoeducational family intervention in a 14-year follow-up was analyzed. All patients with schizophrenia (n = 326) who participated in the CRCT drawn from six townships in Xinjin County of Chengdu in 1994, of whom 238 (73.0%) who were still alive, and their informants were followed up in 2008. The Patients Follow-up Scale, the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning were used in the follow-up study.ResultsThere were no significant differences of marital status, mean scores of PANSS positive symptoms, negative symptoms, general mental health, and total scores among the psychoeducational family intervention, medication, and control groups in 2008. The psychoeducational family intervention group had a significantly higher rate of antipsychotic medication and a higher level of work ability than other two groups. The control group had a significantly higher rate of never-treated (26.0%) than psychoeducational family intervention group (6.5%).ConclusionPsychoeducational family intervention might be still effective in the 14-year follow-up, especially in patients’ treatment adherence/compliance and social functioning. Psychoeducational family intervention might be more effective in places where family members frequently participated in patients’ care and had a lower level of knowledge on mental illness. Family intervention should be considered when making mental health policy and planning mental health services.

scholarly journals Psikoedukasi “IKESMEN” Untuk Meningkatkan Literasi Kesehatan Mental Siswa pada Guru

2016 ◽  
Vol 2 (1) ◽  
pp. 47
Author(s):  
Runi Rulanggi ◽  
Thomas Dicky Hastjarjo
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Secondary School ◽  
Mental Health Literacy ◽  
Health Knowledge ◽  
Mental Health Stigma ◽  
Control Group ◽  
Control Group Design ◽  
The Impact ◽  
Experimental Group

This study was to determine the effects of “Ikesmen” (e-mental health)Psychoeducation program in improving mental health literacy in secondary school teachersin Yogyakarta. Thirty secondary school teachers in Yogyakarta participated in the study.Fifteen teachers in the experimental group received “Ikesmen” program and fifteen teachers inthe control group did not receive treatment. The untreated control group design with pretestand posttest samples were used. The validity of “Ikesmen” program was tested in accordanceto Rusell module development principles (V coefficient is 0.775-0.8461). LiteracyQuestionnaires, Mental Health Stigma Questionnaires, and Mental health Knowledge Testwere used to collect data. Mixed analysis of variance was conducted to analyse the data. Theresults showed that there were no differences in the scores of mental health literacy betweenthe experimental group and control group (F=0.188, p =0.01< 0.668). There was no significantimprovement in the experimental group treated with Ikesmen Psychoeducation in comparisonwith the control group (F=0.640, p= 0.01<0.431). Further research is required to obtaindescription on the impact of technology usage in improving mental health literacy.

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