Öksüz Emine, Karaca Semra, Özaltın Gülten, Ateş Mehmet Alpay
Department of Psychiatry, Gulhane Nursing of School, University of Health Sciences, Etlik, 06010, Ankara, Turkey.
Department of Psychiatry, Nursing School, Marmara University, Istanbul, Turkey.
Community Ment Health J. 2017 May;53(4):464-473. doi: 10.1007/s10597-017-0086-y. Epub 2017 Jan 27.
The aim of this study was to determine the effects of the psychoeducation received by the family members of the patients with first-episode schizophrenia on the expressed emotion (EE) and the family functioning of the family members. This study has a quasi-experimental design with a control group. The sample of the study was 60 family members (30 experimental -30 control) of the patients with first-episode schizophrenia. The experimental group received 9 weeks of psychoeducation as a group. EE and family functioning were assessed at the beginning and at the end of the psychoeducation program. EE criticism/hostility and over involvement-protecting-intervention levels of the family members have decreased at the end of the psychoeducation (p < 0.05). Family functioning has changed too at the end of the psychoeducation (p < 0.05), and assessed as more healthy. Consequently, early psychoeducational groups may be effective in decreasing EE level and improving the family functioning for a family member of patient with first-episode schizophrenia.
本研究的目的是确定首发精神分裂症患者家属接受的心理教育对家属的情感表达(EE)和家庭功能的影响。本研究采用带有对照组的准实验设计。研究样本为60名首发精神分裂症患者的家属(30名实验组——30名对照组)。实验组作为一个整体接受了为期9周的心理教育。在心理教育项目开始时和结束时评估情感表达和家庭功能。心理教育结束时,家属的情感表达批评/敌意以及过度参与-保护-干预水平有所下降(p < 0.05)。心理教育结束时家庭功能也发生了变化(p < 0.05),且评估为更健康。因此,早期心理教育小组可能对降低首发精神分裂症患者家属的情感表达水平和改善家庭功能有效。