Mental Illness Fellowship Victoria, Australia.
Aust N Z J Psychiatry. 2011 Jan;45(1):45-53. doi: 10.3109/00048674.2010.522170. Epub 2010 Nov 24.
Family education programmes aim to improve the well-being of carers of people with a mental illness. We evaluated the effectiveness of one such programme, Well Ways, in reducing negative care-giving consequences.
We employed a pre-post design to evaluate the effectiveness of Well Ways in a naturalistic setting using a sample of carers of people with a mental illness. The Involvement Evaluation Questionnaire, a measure of care-giving consequences including worrying, tension, urging and supervision, and incorporating the General Health Questionnaire-12 (GHQ-12), was completed by 459 carers before and after participation in Well Ways.
Participants' worrying, tension, urging and distress (GHQ-12) were significantly lower following completion of the programme. These improvements were maintained at 3 and 6 month follow up. Carers of people with a psychotic disorder experienced significantly greater reductions in worrying than did other carers. Females reported significantly greater reductions in tension than did males.
Findings indicated support for the effectiveness of the Well Ways programme in reducing negative care-giving consequences for families of people with a mental illness. Given the evidence of poor psychological health and negatively appraised family relationships observed at baseline, these findings highlight the need for programmes such as Well Ways.
家庭教育培训旨在改善精神疾病患者照顾者的福祉。我们评估了这样一个项目，即 Well Ways 的有效性，以减少负面的照顾后果。
我们采用了一种预-后设计，在自然环境中使用精神疾病患者照顾者的样本评估 Well Ways 的有效性。使用参与评估问卷（一种衡量照顾后果的措施，包括担忧、紧张、催促和监督，并包含 12 项一般健康问卷（GHQ-12）），在参与 Well Ways 之前和之后，对 459 名照顾者进行了评估。
参与者在完成该项目后，担忧、紧张、催促和苦恼（GHQ-12）显著降低。这些改善在 3 个月和 6 个月的随访中得以维持。与其他照顾者相比，患有精神病的照顾者的担忧程度显著降低。女性的紧张程度显著低于男性。
研究结果表明，该项目在减少精神疾病患者家庭的负面照顾后果方面是有效的。考虑到基线时观察到的心理健康状况不佳和家庭关系评估不佳的证据，这些发现突显了像 Well Ways 这样的项目的必要性。
