Skip to main content

Advertisement

Log in

Effects of a psychoeducational intervention program on the attitudes and health perceptions of relatives of patients with schizophrenia

  • ORIGINAL PAPER
  • Published:
Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Background

In recent years there has been increased interest in the role played by families in the treatment of patients with schizophrenia. Some family interventions may significantly reduce clinical difficulties and may have a positive impact, both emotionally and economically. The aim of this study is to assess the efficacy of a family psychoeducational program in changing attitude and health perceptions in relatives of patients with schizophrenia.

Methods

Sample: 45 relatives, key caregivers of patients with schizophrenia seen at a public mental health outpatient centre in Arica (Chile).

Instruments

Attitudes of Relatives toward Schizophrenia Questionnaire and General Health Questionnaire SF-36.

Procedure

The sample was randomly divided into a control group, in which caregivers received the usual treatment (a monthly interview with a psychiatric nurse), and an experimental group, which participated in a family psychoeducational intervention program in addition to the usual treatment. Medication of patients remained unchanged in both groups.

Results

The psychoeducational program was effective in modifying caregivers’ attitudes. However, it had no effect on their health perceptions.

Conclusions

This family psychoeducational treatment program modifies the negative attitudes of relatives towards schizophrenia. However, programs of this kind may not improve health problems; alternatively, their effects may only be seen in the long term.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Alonso J, Prieto L, Antó J (1995) La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Med Clin (Barc) 10:771–776

    Google Scholar 

  2. Anderson C, Reiss D, Hogarty G (1986) Taller de supervivencia. In: Anderson C, Reiss D, Hogarty G (eds) Esquizofrenia y familia. Guía práctica de psicoeducación. Amorrortu, New York, pp 110–190

    Google Scholar 

  3. Barrowclough C, Terrier N (1995) Intervención con las familias. In: Barrowclough C, Tarrier N (eds) El tratamiento psicológico de la Esquizofrenia. Editorial Ariel, Barcelona, pp 69–99

    Google Scholar 

  4. Belloso J, García B, de Prado E (2000) Intervención psicoeducativa en un centro de rehabilitación psicosocial. Rev Asoc Esp Neuropsiquiatr XX(73):23–40

    Google Scholar 

  5. Berenstein I (1987) Familia y Enfermedad mental. Editorial Paidós, Buenos Aires

    Google Scholar 

  6. Berglund N, Olof J, Edman A (2003) Family intervention in schizophrenia. Impact on family burden and attitude. Soc Psychiatry Psychiatr Epidemiol 38:116–121

    Article  PubMed  Google Scholar 

  7. Butzlaff R, Hooley J (1998) Expressed emotion and psychiatric relapse. Arch Gen Psychiatry 55(6):547–551

    Article  PubMed  CAS  Google Scholar 

  8. Caqueo-Urízar A, Gutiérrez-Maldonado J (2006) Burden of care in families of patients with schizophrenia. Qual Life Res 15(4):719–724

    Article  PubMed  Google Scholar 

  9. Girón M, Gómez M (2004) Relationship between family attitude and social functioning in schizophrenia. J Nerv Ment Dis 192(6):414–420

    Article  PubMed  Google Scholar 

  10. Gutiérrez-Maldonado J, Caqueo-Urízar A (2003) Cuestionario de Actitudes hacia la Esquizofrenia para Familiares (unpublished manuscript)

  11. Gutiérrez-Maldonado J, Caqueo-Urízar A (2007) Effectiveness of a psycho-educational intervention for reducing burden in latin american families of patients with schizophrenia. Qual Life Res 16(5):739–747

    Article  PubMed  Google Scholar 

  12. Gutiérrez-Maldonado J, Caqueo-Urízar A, Ferrer-García M (2006) Esquizotipia en familiares de pacientes con esquizofrenia en una muestra latinoamericana. Psicothema 18(3): 433–438

    PubMed  Google Scholar 

  13. Gutiérrez-Maldonado J, Caqueo-Urízar A, Kavanagh DJ (2005) Burden of care and general health in families of patients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol 40: 899–904

    Article  PubMed  Google Scholar 

  14. Hare R, Rogers H, Lester H, McManus R, Mant J (2006) What do stroke patients and their carers want from community services? Fam Pract 23(1):131–136

    Article  PubMed  CAS  Google Scholar 

  15. Kavanagh D, O’Halloran P, Manicavasagar V, Clark D, Piatkowska O, Tennant C, Rosen A (1997) The family attitude scale: reliabity and validity of a new scale for measuring the emotional climate of families. Psychiatry Res 70:185–195

    Article  PubMed  CAS  Google Scholar 

  16. Kazarian SS, Vanderheyden DA (1992) Family education of relatives of people with psychiatric disability: a review. Psychosoc Rehabil J 15:67–84

    Google Scholar 

  17. King S (2000) Is expressed emotion cause or effect in the mothers of schizophrenic young adults? Schizophr Res 45:65–78

    Article  PubMed  CAS  Google Scholar 

  18. Leff J, Berkowitz R, Shavit N, Strachan A, Glass I, Vaughn C (1990) A trial of family therapy versus a relatives group for schizophrenia. Two-year follow-up. Br J Psychiatry 157:571–577

    Article  PubMed  CAS  Google Scholar 

  19. Losada A, Izal M, Montorio I, Márquez M, Pérez G (2004) Eficacia de dos intervenciones psicoeducativas para cuidadores de familiares con demencia. Rev Neurol 38(8):701–708

    Google Scholar 

  20. Magliano L, Fadden G, Economou M, Held T, Xavier M, Guarneri M, Malangone C, Marasco C, Mm Maj (2000) Family burden and coping strategies in schizophrenia: 1-year follow-up data from the BIOMED I study. Soc Psychiatry Psychiatr Epidemiol 35:109–115

    Article  PubMed  CAS  Google Scholar 

  21. Magliano L, Marasco C, Guarneri M, Malangone C, Lacrimi G, Zanus P, Maj M (1999) A new questionnaire assessing the opinions of the relatives of patients with schizophrenia on the causes and social consequences of the disorder: reliability and validity. Eur Psychiatry 14:71–75

    Article  PubMed  CAS  Google Scholar 

  22. Magliano L, Veltro F, Guarneri M, Marasco C (1995) Clinical and social-demographic correlatos of coping strategies in relatives of schizophrenic patients. Eur Psychiatry 10:155–158

    Article  Google Scholar 

  23. Martínez J, Nadal S, Beperet M, Mendióroz P, Psicot Group (2000) Sobrecarga de los cuidadores familiares de pacientes con esquizofrenia: factores determinantes. An Sist Sanit Navar 23(1):101–110

    Google Scholar 

  24. Montero I (1995) Tratamientos familiares y programas psicoeducativos en la esquizofrenia. In: Gutiérrez M, Escurre J, Pichot P (eds) Esquizofrenia entre la sociogénesis y el condicionamiento biológico (II). Ediciones en neurociencias, Barcelona, pp 219–227

    Google Scholar 

  25. Muela J, Godoy J (1998) Programa de Intervención Familiar en Esquizofrenia. Tesis Doctoral no publicada. Universidad de Granada, Granada

    Google Scholar 

  26. Mueser K, Sengupta A, Schooler N, Bellack A, Xie H, Glick I et al (2001) Family treatment and medication dosage reduction in schizophrenia: effects on patient social functioning, family attitude, and burden. J Consult Clin Psychol 69(1):3–12

    Article  PubMed  CAS  Google Scholar 

  27. Rakesh K, Singh T, Ganguly K (2007) Caregiver burden and coping. Soc Psychiatry Psychiatr Epidemiol 42:923–930

    Article  Google Scholar 

  28. Ran M, Xiang M, Wan Chan C, Leff J, Simpson P, Huang M et al (2003) Effectiveness of psychoeducational intervention for rural Chinese families experiencing schizophrenia. A randomised controlled trial. Soc Psychiatry Psychiatr Epidemio 38:69–75

    Article  Google Scholar 

  29. Samele C, Manning N (2000) Level of caregiver burden among relatives of the mentally ill in South Verona. Eur Psychiatry 15(3):196–204

    Article  PubMed  CAS  Google Scholar 

  30. Sayers S, White T, Zubritsky C, Oslin D (2006) Family involvement in the care of healthy medical outpatients. Fam Pract 23(3):317–324

    Article  PubMed  Google Scholar 

  31. Sefasi A, Crumlish N, Samalani P, Kinsella A, O’Callagahn E, Chilale H (2008) A little knowledge: caregiver burden in schizophrenia in Malawi. Soc Psychiatry Psychiatr Epidemiol 43:160–164

    Article  PubMed  Google Scholar 

  32. Solomon P (1996) Moving from psychoeducation to family education for families of adults with serious mental illness. Psychiatr Serv 47(12):1364–1370

    PubMed  CAS  Google Scholar 

  33. Solomon P, Draine J, Mannion E (1996) The impact of individualized consultation and group work shop family education interventions in ill relative’s outcomes. J Nerv Ment Dis 184(4):252–255

    Article  PubMed  CAS  Google Scholar 

  34. Solomon P, Draine J, Mannion E, Meisel M (1997) Effectiveness of two models of brief family education: retention of gains by family members of adults with serious mental illness. Am J Orthopsychiatry 67(2):177–186

    Article  PubMed  CAS  Google Scholar 

  35. The Scottish Schizophrenia Research Group (1987) The Scottish First Episode Schizophrenia Study IV. Psychiatric and social impact on relatives. Br J Psychiatry 150:340–344

    Article  Google Scholar 

  36. The Scottish Schizophrenia Research Group (1992) The Scottish First Episode Schizophrenia Study VIII. Five-years follow-up: clinical and psychosocial finding. Br J Psychiatry 161:496–500

    Article  Google Scholar 

  37. Thompson M, Goldstein M, Lebel M, Mintz L, Marder S, Mintz J (1995) Schizophrenic patients’ perceptions of their relatives’ attitudes. Psychiatry Res 57:155–167

    Article  Google Scholar 

  38. Tomaras V, Mavreas V, Economou M, Ionnovich E, Karydi V, Stefanis C (2000) The effect of family intervention on chronic schizophrenic under individual psychosocial treatment: a 3-year study. Soc Psychiatry Psychiatr Epidemiol 35:487–493

    Article  PubMed  CAS  Google Scholar 

  39. Vallina O, Lemos S (2001) Tratamientos psicológicos eficaces para la esquizofrenia. Psicothema 13(3):345–364

    Google Scholar 

  40. Ware J, Snow K, Kosinski M, Gandek B (1993) SF-36 Health Survey. Manual and Interpretation Guide. The Health Institute, New England Medical Center, Boston

    Google Scholar 

Download references

Acknowledgments

This work was supported by Ministerio de Educación y Ciencia, Spain. Grants: SEJ2006-14301. Consolider Project “Nuevas tecnologías de la información y la comunicación: integración y consolidación de su uso en ciencias sociales para mejorar la salud, la calidad de vida y el bienestar”, and the research project SEJ2005-09170-C04-01.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to José Gutiérrez-Maldonado.

Annex 1: Attitudes of relatives toward schizophrenia questionnaire

Annex 1: Attitudes of relatives toward schizophrenia questionnaire

Main examples of its items. The questionnaire is available on request

Dr. José Gutiérrez-Maldonado and Dra. Alejandra Caqueo-Urízar

jgutierrezm@ub.edu

University of Barcelona

Below you will find a series of statements. Please choose and circle the response that best reflects your opinion. Please answer as honestly as possible, and remember that all the information you provide will be treated confidentially.

Table 5

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gutiérrez-Maldonado, J., Caqueo-Urízar, A. & Ferrer-García, M. Effects of a psychoeducational intervention program on the attitudes and health perceptions of relatives of patients with schizophrenia. Soc Psychiat Epidemiol 44, 343–348 (2009). https://doi.org/10.1007/s00127-008-0451-9

Download citation

  • Received:

  • Revised:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00127-008-0451-9

Keywords

Navigation