Pollio D E, North C S, Foster D A
George Warren Brown School of Social Work, Washington University, St. Louis, MO 63130, USA.
Psychiatr Serv. 1998 Jun;49(6):816-22. doi: 10.1176/ps.49.6.816.
The study compared problems identified by participants in a workshop for families with a relative who had severe mental illness with topics addressed in published descriptions of multifamily psychoeducational interventions to determine whether the problems and needs of family members differed from those covered in professionally prepared psychoeducational materials.
Participants in a one-day psychoeducational workshop were asked to identify and rank in order of importance the problems they faced in managing mental illness. Most workshop participants were family members who did not have a severe mental illness, but family members with a severe mental illness and mental health service providers also attended. Lists of problems generated by 86 participants containing a total of 355 items were analyzed for content, and 11 problem categories were identified and ranked. These categories were then compared with the content of multifamily psychoeducation programs described in the literature.
Although the methodology limited generalizability of findings, the results suggest important distinctions between content developed by professionals and the needs identified by family members, particularly in families' greater emphasis on negative symptoms and on family relationships.
The findings suggest that input from the family, the ill family member, and mental health providers is necessary for developing psychoeducation curricula that will meet families' needs. Professionals who design multifamily psychoeducation curricula are encouraged to incorporate enough flexibility to accommodate the specific needs of members of particular groups and to provide general information that is useful for all groups.
本研究比较了为有严重精神疾病亲属的家庭举办的研讨会上参与者所指出的问题，与已发表的多家庭心理教育干预描述中涉及的主题，以确定家庭成员的问题和需求是否与专业编写的心理教育材料中涵盖的不同。
在为期一天的心理教育研讨会上，要求参与者识别他们在管理精神疾病时面临的问题，并按重要性排序。大多数研讨会参与者是没有严重精神疾病的家庭成员，但患有严重精神疾病的家庭成员和心理健康服务提供者也参加了。对86名参与者提出的包含总共355项问题的清单进行了内容分析，确定并排列了11个问题类别。然后将这些类别与文献中描述的多家庭心理教育项目的内容进行比较。
尽管该方法限制了研究结果的普遍性，但结果表明专业人员制定的内容与家庭成员确定的需求之间存在重要差异，特别是在家庭对阴性症状和家庭关系的更大重视方面。
研究结果表明，为制定满足家庭需求的心理教育课程，家庭、患病家庭成员和心理健康服务提供者的投入是必要的。鼓励设计多家庭心理教育课程的专业人员纳入足够的灵活性，以适应特定群体成员的具体需求，并提供对所有群体都有用的一般信息。
