Department of Psychiatry, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
Faculty of Psychology, Gadjah Mada University, Yogyakarta, Indonesia.
Early Interv Psychiatry. 2019 Jun;13(3):469-476. doi: 10.1111/eip.12506. Epub 2017 Oct 20.
Brief psychoeducation for families of psychotic patients has been shown to significantly increase family members' knowledge of the disorder. This increase is associated with reductions in relapse and rehospitalization. The aim of this study was to assess the effectiveness of brief psychoeducation about schizophrenia to caregivers of patients in early phases of psychotic disorders in Yogyakarta, Indonesia.
This study was a prospective, randomized trial with 2 parallel groups. Subjects were patients in the early phase of psychotic disorders and their respective caregivers. Inclusion criteria included a diagnosis of acute and transient psychotic disorders, schizophrenia, schizoaffective disorder or delusional disorder. Participants were randomly assigned to either control or intervention groups by means of paired simple randomization. A brief psychoeducation was conducted for both the patients and caregivers. The interventions were conducted in 4 interactive sessions, once per week. Effectiveness was measured using standardized instruments before the intervention, and at 1 and 6 months post-intervention. Assessment instruments included the Knowledge of Psychosis (KOP), the Compliance and Relapse Assessment, the Brief Psychiatric Rating Scale and the Positive and Negative Symptoms of Schizophrenia scale.
Interventions improved KOP scores significantly in the intervention group. The intervention group had increased regularity of follow-up with health providers and improved compliance. No statistically significant difference in relapses/rehospitalization was observed.
This study demonstrated that brief psychoeducation with caregivers of patients with early phase psychosis was feasible in our setting, significantly improved caregivers' knowledge, and resulted in improved regularity of contact with health providers and compliance with pharmacotherapy.
对精神病患者家属进行简短的心理教育已被证明可显著提高家庭成员对该疾病的了解。这种增加与复发和再住院率的降低有关。本研究的目的是评估在印度尼西亚日惹对处于精神病早期阶段的患者的家属进行简短的精神分裂症心理教育对他们的效果。
这是一项前瞻性、随机试验，有 2 个平行组。研究对象为处于精神病早期阶段的患者及其各自的照顾者。纳入标准包括急性和短暂性精神病障碍、精神分裂症、分裂情感障碍或妄想障碍的诊断。参与者通过配对简单随机化被随机分配到对照组或干预组。对患者和照顾者都进行了简短的心理教育。干预措施在 4 个互动会议中进行，每周一次。在干预前、干预后 1 个月和 6 个月使用标准化工具测量有效性。评估工具包括精神病知识量表（KOP）、依从性和复发评估量表、简明精神病评定量表和精神分裂症阳性和阴性症状量表。
干预组的 KOP 评分显著提高。干预组与卫生提供者的随访规律增加，依从性提高。未观察到复发/再住院率有统计学上的显著差异。
本研究表明，在我们的环境中对处于早期精神病阶段的患者的家属进行简短的心理教育是可行的，可显著提高照顾者的知识水平，并导致与卫生提供者的接触规律和药物治疗的依从性提高。
