Fallahi Khoshknab M, Sheikhona M, Rahgouy A, Rahgozar M, Sodagari F
Department of Nursing, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
J Psychiatr Ment Health Nurs. 2014 Jun;21(5):438-46. doi: 10.1111/jpm.12107. Epub 2013 Aug 26.
This study was aimed at assessing the impact of group psychoeducation therapy on family burden in caregivers of Iranian patients with schizophrenia during the acute phase of the disease. Using a randomized-controlled trial design, 71 caregivers of patients with schizophrenia were randomly assigned to either a 4-week group psychoeducational programme (n = 36) or the control group (n = 35). Family burden was assessed by Family Burden Index Schedule (FBIS) at the beginning, and after a month of psychoeducation therapy as a follow-up. FBIS assesses family burden in six different dimensions with score ranging from 0 to 48, higher scores indicating higher burdens. At baseline mean, FBIS score was not significantly different between the cases and the controls. After the intervention, the mean total FBIS score was significantly lower in the case group compared with the control group (P < 0.001). In the intervention group, FBIS score change was significant through the study in all dimensions as well as the total score (P < 0.001). A significant reduction in family burden has been achieved by implementing group psychoeducational programmes for inpatients with acute phase schizophrenia in Iranian population.
本研究旨在评估团体心理教育疗法对伊朗精神分裂症患者急性期照料者家庭负担的影响。采用随机对照试验设计,将71名精神分裂症患者的照料者随机分为4周团体心理教育项目组(n = 36)或对照组(n = 35)。在心理教育治疗开始时以及治疗一个月后的随访中,使用家庭负担指数量表(FBIS)评估家庭负担。FBIS从六个不同维度评估家庭负担,得分范围为0至48分,分数越高表明负担越重。在基线时,病例组和对照组的FBIS评分无显著差异。干预后,病例组的FBIS总平均分显著低于对照组(P < 0.001)。在干预组中,研究期间所有维度以及总分的FBIS评分变化均具有显著性(P < 0.001)。通过对伊朗急性期精神分裂症住院患者实施团体心理教育项目,家庭负担已显著减轻。