scholarly journals The Effects of Family Psychoeducation Courses on Depression, Anxiety and Family Functioning in the Caregivers of Schizophrenic Patients

Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zahra Hashemi ◽  
Seyed Alireza Haj Seyed Javadi ◽  
Seyed Mohsen Zamir

Background: Schizophrenia is one of the most serious psychiatric diseases that affects the patient’s family members in addition to the patient himself. This disease can lead to depression and anxiety in the family members of the patient and even affect their functioning. Objectives: The present study was conducted to investigate the effect of a short-term family psychoeducation course on the depression and anxiety family functioning in caregivers Methods: In this before-after clinical trial, 163 first-degree family members of patients with schizophrenia were invited to participate in a short-term FPE course. A total of 65 of this group attended the first training session. Prior to the first session, the beck depression inventory (BDI), the beck anxiety inventory (BAI), and the family assessment device (FAD) were completed for the participants based on a family functioning model. Six months after the end of the FPE course, the 36 subjects who had completed the initial questionnaires and fully attended the sessions were invited to complete the questionnaires again. A total of 31 subjects completed the questionnaires again at this stage. The data were analyzed by SPSS-20 software using Mann–Whitney and Wilcoxon rank tests. Results: The mean age of the participants in both stages of questionnaire completion was 48.64 ± 11.85 years. Among them, 16 (51.6%) were female, and 15 (48.4%) were male. Also, six (19.4%) subjects had an education above high school, and mothers were the most frequent participating family members with a frequency of 11 (35.5%). The anxiety and depression scores of these subjects were 10.8 ± 5.14 and 6.9 ± 2.45 at baseline, respectively. These scores decreased significantly after six months to 5.03 ± 2.48 and 4.40 ± 1.9, respectively. In addition, among family functioning, Role and Behavioral control was significantly improved (P-value < 0.05). Conclusions: The results of this study showed that depression and anxiety levels decreased in the family members of the examined patients six months after an FPE course. This effect can be further investigated through studies conducted with control groups. These findings suggest that the integration and institutionalization of FPE programs in the healthcare system are essential for improving the status of patient caregivers with severe psychiatric illnesses and their families.

2018 ◽  
Author(s):  
Annisha Fadhilla ◽  
Ikeu Nurhidayah ◽  
Fanny Adistie

Background: Quality of life of caregiver of children with leukemia is important because it can affect the quality of care provided and can affect the health of children and the caregiver themselves. One of the factors that influence the caregiver’s quality of life is the family functioning. However, a few number of research on the correlation of family functioning in the caregiver's situation.Objective: The aim of the study was to analyze the correlation between family functioning and the caregiver’s quality of life of children with leukemia.Methods: This study used a Quality of Life Family Version questionnaire and a Family Assessment Device questionnaire. The populations in this study were all parents (father or mother) who were the primary caregiver of children with leukemia aged 0-15 years and were being treated at a referral hospital in West Java, Indonesia. Thirty-two respondents were determined by a total sampling technique. The data analysis used frequency distribution and chi-square.Results: The results showed that the family functioning and quality of life of the caregiver had the same results, 50% good and 50% poor. Correlation test in this study showed a negative value with p value > 0.05 (0.480), which indicated that there was no correlation between family functioning and the quality of life of the caregiver.Conclusion: The correlation between family functioning and caregiver's quality of life was not significant. This is likely due to the variable family functioning and the caregiver’s quality of life having balanced results. The results of this study need to be followed up by providing nursing care holistically not only to children, but also to families, especially who are directly involved in child care.


2017 ◽  
Vol 25 (3) ◽  
pp. 90-94 ◽  
Author(s):  
Clarissa Miranda Carneiro de Albuquerque olbertz ◽  
Jérôme Sales de Gauzy ◽  
Paulo Cezar Vidal Carneiro de Albuquerque ◽  
Frank Accadbled ◽  
Paula Eduarda Miranda Carneiro de Albuquerque ◽  
...  

ABSTRACT OBJECTIVE: To evaluate the concordance for the curve pattern, side and levels of the superior apical vertebrae, apex and inferior apical vertebrae of curves in patients and their relatives with idiopathic scoliosis. METHODS: Concordance according to the Lenke classification for curve pattern, side and levels of the superior apical vertebrae, apex and inferior apical vertebrae were evaluated comparative and prospectively in 243 pairs of patients and respective relatives with idiopathic scoliosis. RESULTS: The family concordance for the curve pattern and side was 51.4% (125 pairs). Among these pairs, the concordance of the levels of the vertebrae was 91.2% (114 pairs). The concordance rate for the curve pattern and side between parents/children was 51.6% and between siblings was 50.0% (p-value= 0.411). The concordance rates of the levels of vertebrae were 86.8% and 95.1%, respectively (p-value = 0.219). CONCLUSION: Curve shape in idiopathic scoliosis is related to family and degree of kinship, since the data showed a high concordance for the curve pattern, side and levels of the apical vertebrae and apex between patients and relatives with this deformity. The concordance was higher in those with a closer degree of kinship. Level of Evidence II, Lesser Quality Prospective Study.


2018 ◽  
Vol 2 (2) ◽  
pp. 19
Author(s):  
Dhesi Ari Astuti ◽  
Nurul Kurniati

Background: As the part of sexual orientation varieties and gender identities, until now the existence of Lesbian, Gay, Bisexual, and Transgender (LGBT) still becomes a social, theological, and psychological problem. Similar to trauma, low self acceptance, low self esteem, and anxiety, if it is not handled properly, the condition will be getting worse. Aims: The aim of the study is to increase prevention efforts toward growing phenomena of TGBT on teenagers. Methods: This is a quantitative study with one group pretest and posttest design. The work involved a total of 41 teenagers at at Ngaran Village, Balecatur, Gamping, Sleman, Indonesia. A set of questionnaires was given to the respondents to measure knowledge, attitude, perception, service access, and also peer’s attitude to LGBT. Counseling was given once together with material content about LGBT awareness in family. Statistical analysis was employed to process and analyze the data. Results: The result showed factors correlated to stigma about LGBT on teenagers namely knowledge, attitude, perception, access to any service, and peer’s attitude. The most influential factor was knowledge factor with p value 0.00 and peer’s attitude with p value 0.02.Conclusion: After being participated in the study, it is expected that teenagers can give information to the family members, so the family members and the society will have appropriate knowledge and attitude related LGBT stigma. Keywords       : Teenagers, LGBT, Stigma, Indonesia


2020 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Susanti Niman ◽  
Achir Yani S Hamid ◽  
Ice Yulia W

The prevalence of CHF is increasing every year. The impact of a psychosocial condition requiring comprehensive treatment for CHF in all aspects. One contributing factor to success is the involvement of the family. Purpose: This study aimed to determine the differences of social support towards clients with CHF who were receiving family psychoeducation.  Method: This study used a Quasi -experimental pre-post test without a control group”.  A sample of  25 respondents and sample retrieval techniques with a purposive sampling procedure. The instrument used was an ISSB questionnaire for measuring social support. The intervention group was provided with family psychoeducation that performed 5 sessions. Result and conclusion: The finding this study showed was a significant change before and after the family support family psychoeducation (p-value 0.00<α).  Characteristics of the family and the client is not associated with social support. Family psychoeducation research way recommended developed in a public hospital.


2020 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Aisyah Dzil Kamalah ◽  
Ahsan Ahsan ◽  
Heri Kristianto

Ulkus diabetes mellitus merupakan komplikasi dari penyakit diabetes mellitus yang digolongkan dalam penyakit luka kronik sehingga biaya yang digunakan dalam penyembuhan relatif banyak. Kondisi pasien ulkus yang tidak stabil menyebabkan masalah psikososial pada keluarga, seperti beban pada keluarga. Beban keluarga dapat mempengaruhi keluarga dalam merawat pasien ulkus DM. Penelitian ini bertujuan untuk mengetahui efektifitas psikoedukasi keluarga dalam menurunkan beban keluarga dalam merawat pasien ulkus DM. Desain penelitian ini adalah quasi experimental pre-post test with control group. Cara pengambilan sampel pada penelitian ini adalah dengan purposive smpling. Jumlah sampel sebanyak 30 caregiver yang terbagi dalam kelompok perlakuan dan kelompok kontrol. instrumen yang digunakan adalah The Burden Scale untuk mengukur beban keliarga. Hasil uji validitas dan reliabilitas menunjukkan r tabel (0,361) r hitung (0,765) dan r alpha / koefisien reliabilitas (0,907). Psikoedukasi keluarga dilakukan dalam 5 sesi. Hasil penelitian menunjukkan p value (0,000) < α (0,05) baik. Psikoedukasi efektif dalam menurunkan beban keluarga. Kata kunci: beban keluarga, pasien ulkus diabetes mellitus, psikoedukasi keluarga THE EFFECTVENESS OF FAMILY PSYCHOEDUCATION IN REDUCES FAMILY BURDEN IN THE FAMILY WITH ULCERS DIABETIC PATIENTS  ABSTRACTUlcers Diabetes Mellitus is a complication of Diabetes Mellitus which is classified in wound chronic, it needs a lot of cost to recovery a. Unstable physical and emotional condition of a patient can make psychosocial problems such as burden family. Burden can affect the family in taking care of patients with diabetic ulcers. This study aimed to determine the effectiveness of family psychoeducation in reducing  family  burden when taking care of patients with diabetic ulcers in Malang. This design of study was quasi – experimental pre – post test with control group. The sampling method used was purposive sampling with 30 caregiver as total sample and divided into treatment group and control group. The instruments of this research were The Burden Scale to measure the family burden . The results of the validity and reliability test show r table (0.361) r count (0.765) and r alpha / reliability coefficient (0.907). Family psychoeducation was conducted in five sessions. The results showed the p value (0.000) < α (0.05) in burden family. Psychoeducation is effective in reducing family burden.  Keywords: burden family, patients with ulcer diabetes mellitus, family psychoeducation.


2016 ◽  
Vol 5 (2) ◽  
pp. 63-69
Author(s):  
ZARINA AKBAR ◽  
KHARISMA KARTIKA

This research aimed to determine the influence of work-family conflict to the family functioning between working mother. The research using quantitative. The sample were 100 working mother (n = 100) by using the method purposive sampling . The data using a questionnaire with an instrument work- family conflict scales (40 item) and family assessment device (52 item). Statistical data is done by using Rasch Model in the form of software Winstep and SPSS 23.0. Results of research indicate that there is influence of work-family conflict to the family functioning between working mother. The value of Fhit> Ftabel (59,08> 3,94) and R square value equal to 0, 376.


Author(s):  
Noripansyah Noripansyah ◽  
Lily Nabila Amar

There are 5,197 positive confirmed cases of COVID-19 in Banjarbaru. It is known that the COVID-19 pandemic causes essential problems related to basic needs such as economic, social, shelter and nutrition, as well as the physical effects of the disease. Not only health workers but also families of health workers experience psychological pressure. In a preliminary study, it was found that the family feel worried and anxious about their families members who work in a hospital to take care of patients. This research aims to investigate the correlation between anxiety levels and insomnia in family members of health workers at Idaman Hospital, Banjarbaru, during the COVID-19 pandemic. This research uses a Cross-Sectional approach using social media with the google form platform taking 125 correspondence as a sample. The research instrument used the DASS-21 and Insomnia Severity Index. The data were analyzed using the SPSS program, with the Spearman rank correlation test working by testing the associative hypothesis of two ordinal scale variables (ranking). A total of 70.4% of family members of health workers at Idaman Hospital Banjarbaru have a very severe level of anxiety. In addition, 46.4% of the families of health workers at Idaman Hospital Banjarbaru experienced severe insomnia. The correlation for state anxiety-insomnia is 0.846 with a p-value = 0.000 (p < 0.05). This indicates that the two variables have a significant relationship with moderate correlation strength. The direction of the positive correlation indicates that these two variables move in the same direction, meaning that the higher the anxiety, the higher insomnia is experienced. Due to the COVID-19 pandemic, the population was limited. It is necessary to conduct further and comprehensive research on the psychological impact on family members of health workers. It is very limited to find research that examines the psychological condition of the family of health workers because, as we know, that not only affects the health workers themselves, but the family also experiences psychological impacts.


Author(s):  
Valerie Porr

This chapter provides a rationale for training family members of individuals with borderline personality disorder (BPD) to help them develop into therapeutic allies and treatment adjuncts. It also describes the experiences of family members in finding help for their loved ones with BPD and the family psychoeducation programs currently available for BPD and other disorders. By default, families often are the only alternative available to handle crisis situations since some individuals with BPD refuse to participate in therapy, have dropped out of therapy, or appropriate BPD services are not available in their communities. With an understanding of BPD, social support, and appropriate training, families can potentially develop as adjuncts and that can help improve treatment outcome


2017 ◽  
Vol 6 (2) ◽  
pp. 48-52
Author(s):  
Dhita Kurnia Sari ◽  
Lingga Kusuma Wardani

ABSTRACT THE EFFECTIVENESS OF FAMILY PSYCHOEDUCATION (FPE) ON DRUG SUBSTITUTION OF SKIZOFRENIA PATIENTS IN THE CITY OF KEDIRI Dhita Kurnia Sari 1, Lingga Kusuma Wardani 2 STIKes Surya Mitra Husada Kediri [email protected] Schizophrenia is one type of psychotic disorders that often experience relapse. About 33% of people with schizophrenia experience recurrence and about 12.1% re-experienced hospitalization. Discontinuation of drugs is a major cause of recurrence of schizophrenic patients. The family of schizophrenic patients is a very important variable in the recurrence of schizophrenic patients. Allegedly the biggest factor in its effect on adherence to taking the drug of schizophrenia is family factor. The purpose of this study is to determine the effectiveness of family psychoeducation therapy on adherence to taking the drug of schizophrenia patients.            The design used in this research is pre-experiment. The population in the study were all families of schizophrenic patients in Kediri. Sampling technique in this research is taken by Purposive Sampling. The independent variable is the provision of family psychoeducatin therapy and the dependent variable in this study is the adherence to taking the drug of schizophrenic patients. Data were collected by observation sheet, then analyzed using Mc Nemar test with significance level a£ 0,05.          The results of the study of adherence to the treatment of schizophrenic patients before given the family psychoeducation of 20 respondents who did not obey 20 respondents (100%), whereas after given the family psychoeducation obedient 17 (85%) and disobedient 3 (15%), from the results of statistical tests with using Mc Nemar test obtained p value 0,000 <α 0.05 means there is influence of adherence to medication before and after given family psycoeducation.            Family knowledge and ability to cope with stressors while caring for family members with schizophrenia can create a comfortable and conducive environment that helps restore the client's condition and reduce and prevent noncompliance with schizophrenia medication. Keywords: adherence, family psychoeducation, schizophrenia


2020 ◽  
Vol 10 (10) ◽  
pp. 670
Author(s):  
Mari S. Rasmussen ◽  
Juan Carlos Arango-Lasprilla ◽  
Nada Andelic ◽  
Tonje H. Nordenmark ◽  
Helene L. Soberg

Traumatic brain injury (TBI) affects the family as a whole. This study aimed to describe and compare mental health and family functioning in TBI patients and their family members, and to identify individual and family-related factors that were associated with mental health. It was conducted at an urban, specialized, TBI outpatient clinic and included 61 patients with mild to severe TBI and 63 family members. Baseline demographics and injury-related data were collected, and the participants answered standardized, self-reported questionnaires 6–18 months post-injury that assessed mental health; general health; family functioning, communication, and satisfaction; depression and anxiety; self-efficacy; resilience; and condition-specific quality of life. The patients reported significantly worse mental health, depression, resilience, self-efficacy, and general health compared with the family members. Patients and family members had similar perceptions, showing balanced family functioning, high family communication levels, and moderate family satisfaction. Factors significantly associated with mental health in patients and family members were depression, anxiety, and resilience, explaining 56% of the variance (p < 0.001). Family-related factors were not associated with mental health. The disease burden was mainly on the patients; however, the family members also reported emotional distress. Family-targeted interventions across the TBI continuum should be considered.


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