Department of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda.
BMC Psychiatry. 2013 May 8;13:131. doi: 10.1186/1471-244X-13-131.
We explored how family psychoeducation could be made culturally sensitive for postpartum mothers with psychotic illness in a Ugandan setting.
A qualitative multi-method approach using an already existing family psychoeducation Tool Kit was adapted to incorporate lay perceptions related to psychotic illness in the postpartum period in this Ugandan setting. The participants consisted of postpartum women with psychotic illness, caregivers/family members, psychiatric nurses and psychologists. A modified version of a family psychoeducation programme for postpartum women with psychosis was formulated and pilot-tested.
Modifications in the standard family psychoeducation programme were both in the process and content of family psychoeducation. Under process, effective communication, cultural background, appropriate dress, involving only one family member, low literacy, and flexibility in timekeeping were raised. The theme of content yielded the incorporation of lay perceptions of mental illness, family planning, income generating, and an emphasis of premorbid and morbid personalities of the patients.
The basic principles and assumptions underlying psychoeducation remained the same. Changes made in the process and content of family psychoeducation reflected the social, cultural and gender reality of the population.
我们探讨了如何使针对产后精神病患者的家庭心理教育在乌干达环境中具有文化敏感性。
采用定性多方法方法，利用现有的家庭心理教育工具包，适应该乌干达环境中与产后期间精神病相关的非专业人士的看法。参与者包括患有精神病的产后妇女、照顾者/家庭成员、精神科护士和心理学家。制定并试点了针对产后精神病妇女的家庭心理教育计划的修订版。
标准家庭心理教育计划的修改既在家庭心理教育的过程中，也在内容中。在过程中，提出了有效沟通、文化背景、适当着装、只涉及一名家庭成员、文化程度低和灵活掌握时间等问题。内容主题产生了对精神疾病、计划生育、创造收入的非专业看法，以及强调患者的病前和病后人格。
心理教育的基本原则和假设保持不变。家庭心理教育过程和内容的变化反映了人口的社会、文化和性别现实。
