Department of Pharmaceutics, Faculty of Pharmacy, University of Surabaya (Ubaya), Surabaya 60293, Indonesia.
Department of Food Science, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand.
Int J Environ Res Public Health. 2021 Jul 15;18(14):7522. doi: 10.3390/ijerph18147522.
Social interventions such as psychoeducation, in conjunction with appropriate antipsychotic medications, positively impact schizophrenic patients' recovery. The aim of this 12-week study was to compare standard Indonesian mental healthcare for schizophrenia with psychoeducation-enriched care for family members, investigating both family and patient parameters. Sixty-four family participants meeting pre-set criteria were recruited from various online Indonesian community forums, social media, seminars/gathering events, and inpatient visits. Each family member was the main care provider for one patient with a schizophrenia diagnosis. Family participants were randomly allocated to one of two groups (control or intervention); both groups received equal personal time and attention from staff but the control group lacked the specific psychoeducational aspect of the intervention. In comparison with the control group, pre- and post-evaluation revealed significant positive effects in the intervention group for illness perception (F = 124.85; d = 2.72) and expressed emotion (OR = 0.39) among family members. For the patients, there was a significant positive effect on medication adherence (F = 21.54; < 0.001, d = 1.31) if their family members were in the intervention group. Partial least-squares path modeling revealed that low expressed emotion in family members was positively correlated with high medication adherence (β = -0.718; < 0.001) in patients. This study provides evidence for the patient and family benefits of family psychoeducation on schizophrenia in a diverse Indonesian population.
社会干预措施，如心理教育，与适当的抗精神病药物一起，对精神分裂症患者的康复有积极影响。本 12 周研究的目的是比较标准的印度尼西亚精神卫生保健与针对家庭成员的心理教育强化护理，同时调查家庭和患者参数。从各种印度尼西亚在线社区论坛、社交媒体、研讨会/聚会活动和住院患者中招募了 64 名符合预设标准的家庭参与者。每个家庭成员都是一名精神分裂症诊断患者的主要照顾者。家庭参与者被随机分配到两组（对照组或干预组）之一；两组都得到了工作人员同等的个人时间和关注，但对照组缺乏干预的特定心理教育方面。与对照组相比，干预组的家庭对疾病认知（F = 124.85；d = 2.72）和表达情感（OR = 0.39）的前测和后测都有显著的积极影响。对于患者，如果他们的家庭成员在干预组，那么药物依从性（F = 21.54；< 0.001，d = 1.31）有显著的积极影响。偏最小二乘路径建模显示，家庭成员的低表达情感与患者的高药物依从性（β = -0.718；< 0.001）呈正相关。本研究为在多样化的印度尼西亚人群中开展精神分裂症家庭心理教育对患者和家庭的益处提供了证据。
