The Importance of the Role of the Patient in the Outcome of Schizophrenia

The Family Interpersonal Perception Test (FIPT) was used to explore the relationships between schizophrenic patients and their parents, and how these related both to relapse in the year after discharge and to improvement in social functioning. Forty schizophrenic patients and their parents were tested during their first ever admission to hospital and again two years later. Parents' and patient's views of each other were more negative in those with worse outcome, but what most significantly distinguished groups with different outcomes was how patients expected their parents to see them. The FIPT, therefore, reveals patterns of interaction in which the patient's role in outcome is at least as important as that of the parents, and can aid the identification of specific features with which to work in therapy.

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The Role of the Family in the Course and Treatment of Bipolar Disorder

Current Directions in Psychological Science ◽

10.1111/j.1467-8721.2007.00502.x ◽

2007 ◽

Vol 16 (4) ◽

pp. 192-196 ◽

Cited By ~ 43

Author(s):

David J. Miklowitz

Keyword(s):

Bipolar Disorder ◽

Expressed Emotion ◽

Psychosocial Interventions ◽

Developmental Pathways ◽

Psychosocial Stressors ◽

At Risk Children ◽

The Family ◽

Initial Onset ◽

Patterns Of Interaction

Bipolar disorder is a highly recurrent and debilitating illness. Research has implicated the role of psychosocial stressors, including high expressed-emotion (EE) attitudes among family members, in the relapse–remission course of the disorder. This article explores the developmental pathways by which EE attitudes originate and predict relapses of bipolar disorder. Levels of EE are correlated with the illness attributions of caregivers and bidirectional patterns of interaction between caregivers and patients during the postepisode period. Although the primary treatments for bipolar disorder are pharmacological, adjunctive psychosocial interventions have additive effects in relapse prevention. Randomized controlled trials demonstrate that the combination of family-focused therapy (FFT) and pharmacotherapy delays relapses and reduces symptom severity among patients followed over the course of 1 to 2 years. The effectiveness of FFT in delaying recurrences among adolescents with bipolar disorder and in delaying the initial onset of the illness among at-risk children is currently being investigated.

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The family and compliance in schizophrenia: the influence of clinical variables, relatives' knowledge and expressed emotion

Psychological Medicine ◽

10.1017/s0033291702006888 ◽

2002 ◽

Vol 33 (1) ◽

pp. 91-96 ◽

Cited By ~ 30

Author(s):

W. SELLWOOD ◽

N. TARRIER ◽

J. QUINN ◽

C. BARROWCLOUGH

Keyword(s):

Social Functioning ◽

Expressed Emotion ◽

Family Intervention ◽

Psychotic Symptoms ◽

Number Of Factors ◽

The Family ◽

Two Factors ◽

The Subject ◽

The Relationship

Background. A variety of factors are related to compliance with medication in schizophrenia, but little attention has been paid to the role of families. Carers' knowledge or expressed emotion (EE) may be related to compliance. The aim of the present study was to evaluate the relevance of these two factors, as well as their relationships with other variables for the prediction of compliance.Method. A sample of patient–carer pairs (N=79) involved in a family intervention for schizophrenia trial was recruited. Compliance, symptoms, social functioning and attitudes to their carers were assessed in patients. Carers' EE, knowledge and psychopathology were also evaluated.Results. A number of factors were related to compliance, including carers' EE and patients' psychotic symptoms, which contributed independently to not taking medication. Carers' knowledge about schizophrenia and other groups of symptoms was not related to compliance.Conclusions. EE may be an important factor to account for in the understanding of patients' compliance and the direction of the relationship between EE and compliance should be the subject of further study.

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The Relationship Between Family Role and Self-Care Patients with Schizophrenia

Indonesian Journal of Global Health Research ◽

10.37287/ijghr.v1i1.1 ◽

2019 ◽

Vol 1 (1) ◽

pp. 21-30

Author(s):

Devi Permatasari ◽

Cucu Rokayah ◽

Ruhyat Ejeb

Keyword(s):

Univariate Analysis ◽

Self Care ◽

Personal Hygiene ◽

P Value ◽

Family Role ◽

Brain Functions ◽

The Family ◽

Schizophrenic Patients ◽

The Relationship

Schizophrenia is a serious disease that results in psychotic behavior, disruption in processing information, and interpersonal relationships, the prevalence of schizophrenia in Indonesia, which is around 400,000 people, patients with schizophrenia tend to experience a decrease in self-care. This is due to the decline in some brain functions that are owned by these patients which make it difficult to express emotions, withdraw from the social environment, lose motivation, not interested in doing daily activities, and ignore personal hygiene, to self-care schizophrenic patients need a family role. This study aims to determine whether there is a relationship between the role of the family and self-care in schizophrenic patients in the Outpatient Installation of the Mental Hospital of West Java Province. This study uses a quantitative method with a type of descriptive correlation research, using accidental sampling technique and cross sectional approach. The sample in this study amounted to 296 patient families. This study used a family role questionnaire and self-care questionnaire. The independent variables studied were the role of the family and the dependent variable studied, namely self-care. Univariate analysis uses frequency distribution and bivariate using chi-square. The results showed that patients had a good family role of 151 respondents (51.0%), and for self-care patients who needed as many as 125 (42.2%) assistive devices. There is a significant relationship between the relationship of the role of the family and self-care in schizophrenic patients p-value = 0.006. Keywords: self-care, family role

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Peran Keluarga Dalam Menurunkan Tanda Gejala Halusinasi Pasien Skizofrenia: Literature Review

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.931 ◽

2021 ◽

Vol 1 ◽

pp. 1777-1783

Author(s):

Nevita Candra Pangestika ◽

Eka Budiarto

Keyword(s):

Literature Review ◽

Family Roles ◽

Parental Closeness ◽

The Family ◽

Schizophrenic Patients ◽

Long Term Impact ◽

And Behavior ◽

Attitudes And Behavior

AbstractSchizophrenia is a mental illness that has a long-term impact. One of the symptoms of schizophrenia is hallucinations. Hallucinations are perceptual disturbances in which the client perceives something that does not exist. One of the things that families do is help family members by playing a role in assisting the clients in controlling hallucinations. The study aimed to determine the role of the family in reducing the hallucination symptoms of schizophrenic patients based on the available evidence. The literature review used Scopus, Science Direct, and GARUDA databases. Articles are selected based on the suitability of keywords, topics, as well as inclusion and exclusion criteria. The appraisal instrument by Hawker was used to select high-quality evidence. The findings of this study highlighted three levels of family roles in reducing symptoms of hallucinations in schizophrenic patients. The first level, the family must be able to see the patient's needs and maintain parental closeness. The second level, the family must be able to provide financial support for patient care, the family should be involved in groups that provide support as well. The third levels, all families must develop a good relationship to help patients with hallucinations to change their attitudes and behavior. Family roles are essential in reducing symptoms of hallucination in schizophrenic patients. This evidence can be used as scientific references to be applied as nursing care interventions.Keywords: Family Roles, Hallucinations, Schizophrenia AbstrakSkizofrenia merupakan penyakit kejiwaan yang memiliki dampak jangka panjang. Salah satu tanda gejala skizofrenia adalah halusinasi. Halusinasi ialah gangguan persepsi di mana klien mempersepsikan sesuatu yang sebenarnya tidak terjadi. Salah satu yang di lakukan keluarga ialah membantu anggota keluarganya dengan cara ikut berperan membantu klien untuk bisa mengontrol halusinasi. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia berdasarkan literatur evidence yang tersedia. Penelitian menggunakan metode literature review. Database yang digunakan untuk pencarian artikel adalah Scopus, Science Direct, dan GARUDA. Artikel diseleksi berdasarkan kesesuaian dengan kata kunci, topik serta kriteria inklusi dan eksklusi yang telah ditentukan. Hasil penelusuran didapatkan sebanyak 5 artikel, 2 artikel berbahasa Inggris dan 3 artikel berbahasa Indonesia. Instrumen telaah kritis yang digunakan untuk menelaah kualitas artikel adalah instrumen oleh Hawker et al 2002. Terdapat temuan berupa 3 tingkatan peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia : tingkatan pertama keluarga harus mampu melihat kebutuhan pasien dan mempertahankan kedekatan orangtua, Tingkatan kedua keluarga harus mampu memberikan dukungan financial untuk perawatan pasien dan terlibatan dalam kelompok yang member dukungan dan Tingkatan ketiga keluarga harus mengembangkan hubungan dengan benar untuk membantu pasien halusinasi untuk merubah sikap dan perilaku. Upaya peningkatan peran keluarga dalam menurunkan tanda gejala halusinasi pasien skizofrenia ini didapatkan dari bukti ilmiah yang valid sehingga dapat dijadikan referensi ilmiah untuk diaplikasikan sebagai intervensi asuhan keperawatan.Kata Kunci : Halusinasi, Peran Keluarga, Skizofrenia.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEMAMPUAN KELUARGA DALAM PENCEGAHAN KEKAMBUHAN PASIEN SKIZOFRENIA

Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) ◽

10.33023/jikep.v6i1.355 ◽

2020 ◽

Vol 6 (1) ◽

pp. 35-42

Author(s):

Suhardiana Rachmawati ◽

Ahmad Yusuf ◽

Rizky Fitriyasari

Keyword(s):

Health Workers ◽

Simple Random Sampling ◽

P Value ◽

Cross Sectional ◽

The Family ◽

Schizophrenic Patients ◽

Cross Sectional Design ◽

Age Range ◽

Prevention Of Recurrence

One problem in treating schizophrenia is recurrence. Recurrence indicates the return of symptoms of the previous disease is quite severe and disturbing daily activities and requires further treatment. Prevention of recurrence in schizophrenia can be sought by the family. This study aims to identify factors related to family abilities in preventing recurrence of schizophrenic patients. This study used a cross sectional design. The sample in the study were 82 families with family members of schizophrenic patients obtained using simple random sampling. The results of the analysis have a relationship between the age range of the family (p value 0.012), the role of respondents in the family (p value 0.032), duration of treating schizophrenic patients (p value 0.001) but there is no relationship between the ability to prevent recurrence with the sex of respondents (p value 0.835) and education level of respondents (p value 0.508). Recommendations from this study for health workers provide health education to families to provide an understanding of the ability to prevent recurrence in schizophrenic patients. Keywords: Schizophrenia, Prevention of recurrence, Family

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The Role of the Family in Preventing Relapse of Schizophrenia Patient

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.5789 ◽

2021 ◽

Vol 9 (T4) ◽

pp. 44-49

Author(s):

Mamnuah Mamnuah

Keyword(s):

Relapse Rate ◽

Schizophrenia Patient ◽

Sampling Technique ◽

Qualitative Design ◽

Purposive Sampling ◽

The Family ◽

Schizophrenic Patients ◽

Field Notes ◽

The Government

BACKGROUND: The relapse rate of schizophrenia patients is still high. The family has an important role in helping schizophrenia patients to avoid recurrence. AIM: This study aimed to describe the role of the family in preventing relapse schizophrenia patients. METHODS: The research used a qualitative design with a phenomenology approach. The sample consisted of 12 families who had schizophrenic patients. The samples were obtained by purposive sampling technique. The data were collected by interview and using field notes, then analyzed by Colaizzi technique. RESULTS: The results showed that the role of the family in preventing the recurrence of schizophrenia patients was of four themes, namely, acceptance, assistance, hope, and communication from the family. CONCLUSION: There are four roles of the family to prevent a patient’s recurrence. The government needs to pay attention to the families of schizophrenia patients.

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Schizophrenia: Group Support for Relatives

The Canadian Journal of Psychiatry ◽

10.1177/070674378102600510 ◽

1981 ◽

Vol 26 (5) ◽

pp. 341-344 ◽

Cited By ~ 14

Author(s):

John F. Thornton ◽

Elizabeth Plummer ◽

Mary V. Seeman ◽

Sebastian K. Littmann

Keyword(s):

Support Groups ◽

Target Population ◽

Attendance Rate ◽

Educational Support ◽

Future Goals ◽

Maximum Benefit ◽

The Family ◽

Schizophrenic Patients ◽

Specific Reactions

This paper outlines the organization and evolution of educational-support groups for the families and friends of schizophrenic patients. The organization involved three phases of expanding services to this target population. Our findings are that: a) relatives experience stage-specific reactions to the fact of schizophrenia in the family; b) topic areas for discussion tend to be the same in different groups; c) as total attendance grows (larger groups), individual attendance rate drops; d) the groups tend to evolve into self-led committees; e) the maximum benefit from the groups, as reported by the participants, is the opportunity to share common, painful experiences. Future goals lie in the encouragement of relative-run community organizations for schizophrenia and the clarification of the role of families in the development and course of the illness.

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Recognition of facial expressions of emotions in schizophrenia

Polish Psychological Bulletin ◽

10.2478/ppb-2013-0026 ◽

2013 ◽

Vol 44 (2) ◽

pp. 232-238

Author(s):

Władysław Łosiak ◽

Joanna Siedlecka

Keyword(s):

Social Functioning ◽

Facial Expressions ◽

Negative Emotions ◽

Affective Reactions ◽

Recognition Of Facial Expressions ◽

Facial Expressions Of Emotion ◽

Schizophrenic Patients ◽

And Gender

Abstract Deficits in recognition of facial expressions of emotions are considered to be an important factor explaining impairments in social functioning and affective reactions of schizophrenic patients. Many studies confirmed such deficits while controversies remained concerning the emotion valence and modality. The aim of the study was to explore the process of recognizing facial expressions of emotion in the group of schizophrenic patients by analyzing the role of emotion valence, modality and gender of the model. Results of the group of 35 patients and 35 matched controls indicate that while schizophrenic patients show general impairment in recognizing facial expressions of both positive and the majority of negative emotions, there are differences in deficits for particular emotions. Expressions also appeared to be more ambiguous for the patients while variables connected with gender were found less significant.

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