Zhang Zoe Jiwen, Lo Herman Hay Ming, Ho Wing Chung, Lau Elsa Ngar Sze, Ng Siu Man, Mak Winnie W S, Wong Samuel Yeung Shan, Hung Karen S Y, Lai Iris Yuen Shan, Lo Cola Siu Lin, Wong Jessica Oi Yin, Lui Simon S Y, Siu Clara Man Wah, Yan Eric Wai Ching, Chan Sunny Ho Wan, Lin Edmund, Wong Gloria Oi Chi, Mak Jonathan Wai Hung, Tam Hillman Shiu Wah, Tse Iris Huen Hung
Department of Applied Social Sciences, Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Front Psychiatry. 2024 Sep 26;15:1460151. doi: 10.3389/fpsyt.2024.1460151. eCollection 2024.
To investigate the effects of a mindfulness-based family psychoeducation (MBFPE) intervention on caregivers and the young adults with first-episode psychosis in mental health care.
Sixty-five caregivers were randomly assigned to the MBFPE program (n = 33) or an ordinary family psychoeducation (FPE) program (n = 32). Eighteen young adults in recovery (YAIR) also participated in the study. All of the participants completed the assessments before participating in the intervention (T1), after the intervention (T2), and at 9-month follow-up (T3).
Intention-to-treat analyses were conducted. The caregivers reported a significant and large effect size on positive caregiving experiences based on a Time × Group analysis ( = 0.862, = 0.006). Among the YAIR participants, between-group differences were significant in their perceptions of caregivers' expressed emotions, including large effect sizes of perceived criticism ( = 1.396, = 0.049) and hostility ( = 1.444, = 0.043). Caregiver demographics, including age, education level, socioeconomic status, and number of family members, were found to moderate the effect sizes of the variables studied.
This study provides evidence of the effects of MBFPE programs on the outcomes of caregivers and the young adults with first-episode psychosis in their care. Specifically, the MBFPE program in this study played a greater role in promoting positive caregiving experiences and changing caregivers' expressed emotions, especially their expressed criticism of YAIR, compared with the regular FPE program. Therefore, the application of mindfulness training to promote family care and YAIR recovery should be encouraged.
ClinicalTrials.gov, identifier NCT03688009.
探讨基于正念的家庭心理教育（MBFPE）干预对精神卫生保健中照顾者及首发精神病青年成人的影响。
65名照顾者被随机分配至MBFPE项目组（n = 33）或普通家庭心理教育（FPE）项目组（n = 32）。18名康复期青年成人（YAIR）也参与了该研究。所有参与者在干预前（T1）、干预后（T2）以及9个月随访时（T3）完成评估。
进行意向性分析。基于时间×组间分析，照顾者报告在积极照顾体验方面有显著且较大的效应量（F = 0.862，P = 0.006）。在YAIR参与者中，组间在对照顾者表达情绪的认知上存在显著差异，包括感知到的批评（F = 1.396，P = 0.049）和敌意（F = 1.444，P = 0.043）的较大效应量。发现照顾者的人口统计学特征，包括年龄、教育水平、社会经济地位和家庭成员数量，会调节所研究变量的效应量。
本研究提供了MBFPE项目对照顾者及首发精神病青年成人护理结局影响的证据。具体而言，与常规FPE项目相比，本研究中的MBFPE项目在促进积极照顾体验和改变照顾者表达情绪方面发挥了更大作用，尤其是他们对YAIR的批评性表达。因此，应鼓励应用正念训练来促进家庭护理和YAIR康复。
ClinicalTrials.gov，标识符NCT03688009。
