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Schizophrenia: Impact on Family Dynamics

  • Schizophrenia and Other Psychotic Disorders (SJ Siegel, Section Editor)
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Abstract

In many societies, family members are now the primary caregivers of mental health patients, taking on responsibilities traditionally under the purview of hospitals and medical professionals. The impact of this shift on the family is high, having both an emotional and economic toll. The aim of this paper is to review the main changes that occur in family dynamics for patients with schizophrenia. The article addresses three central themes: (i) changes in the family at the onset of the disorder, (ii) consequences for family members because of their caregiver role, and (iii) family interventions aimed at improving the complex dynamics within the family. After analyzing and discussing these themes, it is observed that despite advances in the field, the viability of taking care of a patient with schizophrenia by the family remains a challenge. Improving care will require commitments from the family, the mental health service system, and local and national governments for greater investments to improve the quality of life of society in general and individuals with schizophrenia in particular.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Harrison G, Hopper K, Craig T, Laska E, Siegel C, Wanderling J, et al. Recovery from psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry. 2001;178:506–17.

    Article  CAS  PubMed  Google Scholar 

  2. Addington J, Van Mastrigt S, Hutchinson J, Addington D. Pathways to care: help seeking behaviour in first episode psychosis. Acta Psychiatr Scand. 2002;106(5):358–64.

    Article  CAS  PubMed  Google Scholar 

  3. Kuipers E, Onwumere J, Bebbington P. Cognitive model of caregiving in psychosis. Br J Psychiatry. 2010;196(4):259–65.

    Article  PubMed  Google Scholar 

  4. Awad AG, Voruganti LN. The burden of schizophrenia on caregivers: a review. PharmacoEconomics. 2008;26(2):149–62.

    Article  PubMed  Google Scholar 

  5. Barrowclough C, Tarrier N, Johnston M. Distress, expressed emotion, and attributions in relatives of schizophrenia patients. Schizophr Bull. 1996;22(4):691–702.

    Article  CAS  PubMed  Google Scholar 

  6. Oldridge ML, Hughes IC. Psychological well-being in families with a member suffering from schizophrenia. An investigation into long-standing problems. Br J Psychiatry. 1992;161:249–51.

    Article  CAS  PubMed  Google Scholar 

  7. Schene AH, van Wijngaarden B, Koeter MW. Family caregiving in schizophrenia: domains and distress. Schizophr Bull. 1998;24(4):609–18.

    Article  CAS  PubMed  Google Scholar 

  8. Winefield HR, Harvey EJ. Determinants of psychological distress in relatives of people with chronic schizophrenia. Schizophr Bull. 1993;19(3):619–25.

    Article  CAS  PubMed  Google Scholar 

  9. Dyck DG, Short R, Vitaliano PP. Predictors of burden and infectious illness in schizophrenia caregivers. Psychosom Med. 1999;61(4):411–9.

    Article  CAS  PubMed  Google Scholar 

  10. Gleeson JJH, Stavely H, Burnett PL. Family intervention in early psychosis. In: McGorry PD, Jackson J, editors. The recognition and management of early psychosis. Cambridge: Cambridge University Press; 1999. p. 376–405.

    Google Scholar 

  11. McCann TV, Lubman DI, Clark E. First-time primary caregivers’ experience of caring for young adults with first-episode psychosis. Schizophr Bull. 2011;37(2):381–8.

    Article  PubMed  Google Scholar 

  12. Addington J, McCleery A, Addington D. Three-year outcome of family work in an early psychosis program. Schizophr Res. 2005;79(1):107–16.

    Article  PubMed  Google Scholar 

  13. Barrowclough C, Gooding P, Hartley S, Lee G, Lobban F. Factors associated with distress in relatives of a family member experiencing recent-onset psychosis. J Nerv Ment Dis. 2014;202(1):40–6.

    Article  PubMed  Google Scholar 

  14. Fortune DG, Smith JV, Garvey K. Perceptions of psychosis, coping, appraisals, and psychological distress in the relatives of patients with schizophrenia: an exploration using self-regulation theory. Br J Clin Psychol. 2005;44(Pt 3):319–31.

    Article  PubMed  Google Scholar 

  15. Kuipers E, Watson P, Onwumere J, Bebbington P, Dunn G, Weinman J, et al. Discrepant illness perceptions, affect and expressed emotion in people with psychosis and their carers. Soc Psychiatry Psychiatr Epidemiol. 2007;42(4):277–83.

    Article  PubMed  Google Scholar 

  16. Onwumere J, Kuipers E, Bebbington P, Dunn G, Fowler D, Freeman D, et al. Caregiving and illness beliefs in the course of psychotic illness. Can J Psychiatry. 2008;53(7):460–8.

    Article  PubMed  Google Scholar 

  17. Barrowclough C, Parle M. Appraisal, psychological adjustment and expressed emotion in relatives of patients suffering from schizophrenia. Br J Psychiatry. 1997;171:26–30.

    Article  CAS  PubMed  Google Scholar 

  18. Scazufca M, Kuipers E. Links between expressed emotion and burden of care in relatives of patients with schizophrenia. Br J Psychiatry. 1996;168(5):580–7.

    Article  CAS  PubMed  Google Scholar 

  19. Outram S, Harris G, Kelly B, Bylund CL, Cohen M, Landa Y, et al. ‘We didn’t have a clue’: family caregivers’ experiences of the communication of a diagnosis of schizophrenia. Int J Soc Psychiatry. 2015;61(1):10–6. This study shows the family caregivers’ experiences of the communication of a schizophrenia diagnosis and related information.

    Article  PubMed  Google Scholar 

  20. Clafferty RA, McCabe E, Brown KW. Telling patients with schizophrenia their diagnosis : patients should be informed about their illness. BMJ. 2000;321(7257):384.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Schneider B, Scissons H, Arney L, Benson G, Derry J, Lucas K, et al. Communication between people with schizophrenia and their medical professionals: a participatory research project. Qual Health Res. 2004;14(4):562–77.

    Article  PubMed  Google Scholar 

  22. Cairns VA, Reid GS, Murray C. Family members’ experience of seeking help for first-episode psychosis on behalf of a loved one: a meta-synthesis of qualitative research. Early Interv Psychiatry. 2015;9(3):185–99. Qualitative study that explores the search for help by family member of patients with schizophrenia experiencing first-episode psychosis.

    Article  PubMed  Google Scholar 

  23. McCann TV, Lubman DI, Clark E. Primary caregivers’ satisfaction with clinicians’ response to them as informal carers of young people with first-episode psychosis: a qualitative study. J Clin Nurs. 2012;21(1–2):224–31.

    Article  PubMed  Google Scholar 

  24. Wearden AJ, Tarrier N, Barrowclough C, Zastowny TR, Rahill AA. A review of expressed emotion research in health care. Clin Psychol Rev. 2000;20(5):633–66.

    Article  CAS  PubMed  Google Scholar 

  25. Hooley JM, Gotlib IH. A diathesis-stress conceptualization of expressed emotion and clinical outcome. Appl Prev Psychol. 2000;9(3):135–51.

    Article  Google Scholar 

  26. Grandón P, Jenaro C, Lemos S. Primary caregivers of schizophrenia outpatients: burden and predictor variables. Psychiatry Res. 2008;158(3):335–43.

    Article  PubMed  Google Scholar 

  27. Rafiyah I, Sutharangsee W. Review: burden on family caregivers caring for patients with schizophrenia and its related factors. Nurse Media J Nurs. 2011;1(1):29–41.

    Google Scholar 

  28. Huang XY, Hung BJ, Sun FK, Lin JD, Chen CC. The experiences of carers in Taiwanese culture who have long-term schizophrenia in their families: a phenomenological study. J Psychiatr Ment Health Nurs. 2009;16(10):874–83.

    Article  PubMed  Google Scholar 

  29. Riley G, Gregory N, Bellinger J, Davies N, Mabbott G, Sabourin R. Carer’s education groups for relatives with a first episode of psychosis: an evaluation of an eight-week education group. Early Interv Psychiatry. 2011;5(1):57–63.

    Article  PubMed  Google Scholar 

  30. Knock J, Kline E, Schiffman J, Maynard A, Reeves G. Burdens and difficulties experienced by caregivers of children and adolescents with schizophrenia-spectrum disorders: a qualitative study. Early Interv Psychiatry. 2011;5(4):349–54.

    Article  PubMed  Google Scholar 

  31. Caqueo-Urízar A, Rus-Calafell M, Urzúa A, Escudero J, Gutierrez-Maldonado J. The role of family therapy in the management of schizophrenia: challenges and solutions. Neuropsychiatr Dis Treat. 2015;11:145–51.

    PubMed  PubMed Central  Google Scholar 

  32. Hou S, Ke C, Su Y, Lung F, Huang C. Exploring the burden of the primary family caregivers of schizophrenia patients in Taiwan. Psychiatry Clin Neurosci. 2008;62(5):508–14.

    Article  PubMed  Google Scholar 

  33. Gupta S, Isherwood G, Jones K, Van Impe K. Assessing health status in informal schizophrenia caregivers compared with health status in non-caregivers and caregivers of other conditions. BMC Psychiatry. 2015;21(15):162. An important work that examined health-related quality of life (HRQoL) and comorbidities experienced by caregivers of patients with schizophrenia.

    Article  Google Scholar 

  34. Quah S. Caring for persons with schizophrenia at home: examining the link between family caregivers’ role distress and quality of life. Sociol Health Illn. 2014;36:596–612.

    Article  PubMed  Google Scholar 

  35. Castilla Garcia A, López Alvarez M, Chavarría Perez V, Sanjuan M, Altemir PC, Martinez M, et al. La carga familiar en una muestra de pacientes esquizofrénicos en tratamiento ambulatorio. Rev Asoc Esp Neur. 1998;18:621–42.

    Google Scholar 

  36. Thara R, Kamath S, Kumar S. Women with schizophrenia and broken marriages-doubly disadvantaged? Part II: family perspective. Int J Soc Psychiatry. 2003;49:233–40.

    Article  CAS  PubMed  Google Scholar 

  37. Stam H, Cuijpers P. Brief report: effects of family interventions on burden of relatives of psychiatric patients in the Netherland: a pilot study. Community Ment Health J. 2001;37:179–87.

    Article  CAS  PubMed  Google Scholar 

  38. Lauber C, Eichenberger A, Luginbühl P, Keller C, Rössler W. Determinants of burden in caregivers of patients with exacerbating schizophrenia. Eur Psychiatry. 2003;18:285–9.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  40. Caqueo-Urízar A, Gutiérrez-Maldonado J. Burden in families of patients with schizophrenia. Qual Life Res. 2006;15:719–24.

    Article  PubMed  Google Scholar 

  41. Fleming DA, Sheppard VB, Mangan PA, Taylor KL, Tallarico M, Adams I, et al. Caregiving at the end of life: perceptions of health care quality and quality of life among patients and caregivers. J Pain Symptom Manag. 2006;31:407–20.

    Article  Google Scholar 

  42. Urzúa A, Caqueo-Urízar A. Calidad de vida: una revisión teórica del concepto. Ter Piscol. 2012;30(1):61–71.

    Article  Google Scholar 

  43. Goncalves-Pereira M, Xavier M, van Wijngaarden B, Papoila AL, Schene AH, Caldas-de-Almeida JM. Impact of psychosis on Portuguese caregivers: a cross-cultural exploration of burden, distress, positive aspects and clinical-functional correlates. Soc Psychiatry Psychiatr Epidemiol. 2013;48(2):325–35.

    Article  PubMed  Google Scholar 

  44. Hanzawa S, Bae JK, Bae YJ, Chae MH, Tanaka H, Nakane H, et al. Psychological impact on caregivers traumatized by the violent behavior of a family member with schizophrenia. Asian J Psychiatr. 2013;6(1):46–51.

    Article  PubMed  Google Scholar 

  45. Hjarthag F, Helldin L, Karilampi U, Norlander T. Illness related components for the family burden of relatives to patients with psychotic illness. Soc Psychiatry Psychiatr Epidemiol. 2010;45(2):275–83.

    Article  PubMed  Google Scholar 

  46. Caqueo-Urízar A, Gutiérrez-Maldonado J, Miranda-Castillo C. Quality of life in caregivers of patients with schizophrenia: a literature review. Health Qual Life Outcomes. 2009;7:84.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Boyer L, Caqueo-Urízar A, Richieri R, Lancon C, Gutiérrez-Maldonado J, Auquier P. Quality of life among caregivers of patients with schizophrenia: a cross-cultural comparison of Chilean and French families. BMC Fam Pract. 2012;13:42.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Gutiérrez-Maldonado J, Caqueo-Urízar A, Ferrer-García M, Fernández-Davila P. Influencia de la percepción de apoyo y del funcionamiento social en la calidad de vida de pacientes con esquizofrenia y sus cuidadores. Psicothema. 2012;24(2):255–62.

    PubMed  Google Scholar 

  49. Moller-Leimkuhler AM, Wiesheu A. Caregiver burden in chronic mental illness: the role of patient and caregiver characteristics. Eur Arch Psychiatry Clin Neurosci. 2012;262(2):157–66.

    Article  PubMed  Google Scholar 

  50. Osman CB, Alipah B, Tutiiryani MD, Ainsah O. Depressive disorders and family functioning among the caregivers of patients with schizophrenia. East Asian Arch Psychiatry. 2010;20(3):101–8.

    CAS  PubMed  Google Scholar 

  51. Jagannathan A, Hamza A, Thirthalli J, Nagendra H, Nagarathna R, Gangadhar BN. Development and feasibility of need-based yoga program for family caregivers of in-patients with schizophrenia in India. Int J Yoga. 2012;5(1):42–7.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Chen X, Mao Y, Kong L, Li G, Xin M, Lou F, et al. Resilience moderates the association between stigma and psychological distress among family caregivers of patients with schizophrenia. Personal Individ Differ. 2016;96:78–82. An important study that shows the contribution of the resilience and stigma to caregivers’ psychological distress.

    Article  Google Scholar 

  53. Mitsonis C, Voussoura E, Dimopoulos N, Psarra V, Kararizou E, Latzouraki E, et al. Factors associated with caregiver psychological distress in chronic schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 2012;47:331–7.

    Article  PubMed  Google Scholar 

  54. Rodrigo C, Fernando T, Rajapakse S, De Silva V, Hanwella R. Caregiver strain and symptoms of depression among principal caregivers of patients with schizophrenia and bipolar affective disorder in Sri Lanka. Int J Ment Heal Syst. 2013;7:2–7.

    Article  Google Scholar 

  55. Shah STH, Sultan SM, Faisal M, Irfan M. Psychological distress among caregivers of patients with schizophrenia. J Ayub Med Coll Abbottabad. 2013;25:27–30.

    PubMed  Google Scholar 

  56. Chang S, Zhang Y, Jeyagurunathan A, Lau YW, Sagayadevan V, Chong SA, et al. Providing care to relatives with mental illness: reactions and distress among primary informal caregivers. BMC Psychiatry. 2016;16:80.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Ostman M, Kjellin L. Stigma by association: psychological factors in relatives of people with mental illness. Br J Psychiatry. 2002;181:494–8.

    Article  PubMed  Google Scholar 

  58. Shibre T, Negash A, Kullgren G, Kebede D, Alem A, Fekadu A, et al. Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia. Soc Psychiatry Psychiatr Epidemiol. 2001;36(6):299–303.

    Article  CAS  PubMed  Google Scholar 

  59. Struening EL, Perlick DA, Link BG, Hellman F, Herman D, Sirey JA. Stigma as a barrier to recovery: the extent to which caregivers believe most people devalue consumers and their families. Psychiatr Serv. 2001;52(12):1633–8.

    Article  CAS  PubMed  Google Scholar 

  60. Hinshaw SP, Cicchetti D. Stigma and mental disorder: conceptions of illness, public attitudes, personal disclosure, and social policy. Dev Psychopathol. 2000;12:555–98.

    Article  CAS  PubMed  Google Scholar 

  61. Miklowitz DJ. The role of family systems in severe and recurrent psychiatric disorders: a developmental psychopathology view. Dev Psychopathol. 2004;6(3):667–88.

    Google Scholar 

  62. Kung W. The illness, stigma, culture or immigration? Burdens on Chinese – American caregivers of patients with schizophrenia. Fam Soc. 2003;84(4):547–57.

    Article  Google Scholar 

  63. Barrio C, Yamada AM. Culturally based intervention development: the case of Latino families dealing with schizophrenia. Res Soc Work Pract. 2010;20(5):483–92.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Kulhara P, Kate N, Grover S, Nehra R. Positive aspects of caregiving in schizophrenia: a review. World J Psychiatry. 2012;2(3):43–8.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Kate N, Grover S, Kulhara P, Nehra R. Positive aspects of caregiving and its correlates in caregivers of schizophrenia: a study from north India. East Asian Arch Psychiatry. 2013;23(2):45–55.

    CAS  PubMed  Google Scholar 

  66. Testart J, Richieri R, Caqueo-Urizar A, Lancon C, Auquier P, Boyer L. Quality of life and other outcome measures in caregivers of patients with schizophrenia. Expert Rev Pharmacoecon Outcomes Res. 2013;13(5):641–9.

    Article  PubMed  Google Scholar 

  67. Zendjidjian XY, Boyer L. Challenges in measuring outcomes for caregivers of people with mental health problems. Dialogues Clin Neurosci. 2014;16(2):159–69.

    PubMed  PubMed Central  Google Scholar 

  68. Slevin ML, Plant H, Lynch D, Drinkwater J, Gregory WM. Who should measure quality of life, the doctor or the patient? Br J Cancer. 1988;57(1):109–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Boyer L, Baumstarck-Barrau K, Cano N, Zendjidjian X, Belzeaux R, Limousin S, et al. Assessment of psychiatric inpatient satisfaction: a systematic review of self-reported instruments. Eur Psychiatry. 2009;24(8):540–9.

    Article  CAS  PubMed  Google Scholar 

  70. Teri L, Gibbons LE, McCurry SM, Logsdon RG, Buchner DM, Barlow WE, et al. Exercise plus behavioral management in patients with Alzheimer disease: a randomized controlled trial. JAMA. 2003;290(15):2015–22.

    Article  CAS  PubMed  Google Scholar 

  71. Prick AE, de Lange J, Twisk J, Pot AM. The effects of a multi-component dyadic intervention on the psychological distress of family caregivers providing care to people with dementia: a randomized controlled trial. Int Psychogeriatr. 2015;27(12):2031–44.

    Article  PubMed  Google Scholar 

  72. Mueser KT, Deavers F, Penn DL, Cassisi JE. Psychosocial treatments for schizophrenia. Annu Rev Clin Psychol. 2013;9(9):465–97.

    Article  PubMed  Google Scholar 

  73. APA. American Psychiatry Association. United States of America. www.apa.org/.

  74. NICE. National Institute of Care Excellence. Schizophrenia-the NICE guideline on core interventions in the treatment and management of schizophrenia in adults in primary and secondary care (Updated edition ed.). United Kingdom.

  75. Mas-Exposito L, Amador-Campos JA, Gomez-Benito J, Lalucat-Jo L. Review of psychotherapeutic interventions for people with schizophrenia. UB J Psychol. 2013;43(1):101–16.

    Google Scholar 

  76. Eassom E, Giacco D, Dirik A, Priebe S. Implementing family involvement in the treatment of patients with psychosis: a systematic review of facilitating and hindering factors. BMJ Open. 2014;4(10):e006108.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Lee G, Barrowclough C, Lobban F. Positive affect in the family environment protects against relapse in first-episode psychosis. Soc Psychiatry Psychiatr Epidemiol. 2014;49(3):367–76.

    Article  PubMed  Google Scholar 

  78. Yesufu-Udechuku A, Harrison B, Mayo-Wilson E, Young N, Woodhams P, Shiers D, et al. Interventions to improve the experience of caring for people with severe mental illness: systematic review and meta-analysis. Br J Psychiatry. 2015;206(4):268–74.

    Article  PubMed  Google Scholar 

  79. Cai J, Zhu Y, Zhang WB, Wang YF, Zhang C. Comprehensive family therapy: an effective approach for cognitive rehabilitation in schizophrenia. Neuropsychiatr Dis Treat. 2015;11:1247–53.

    PubMed  PubMed Central  Google Scholar 

  80. Giron M, Nova-Fernandez F, Mana-Alvarenga S, Nolasco A, Molina-Habas A, Fernandez-Yanez A, et al. How does family intervention improve the outcome of people with schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 2015;50(3):379–87.

    Article  PubMed  Google Scholar 

  81. Ran MS, Chan CL, Ng SM, Guo LT, Xiang MZ. The effectiveness of psychoeducational family intervention for patients with schizophrenia in a 14-year follow-up study in a Chinese rural area. Psychol Med. 2015;45(10):2197–204.

    Article  CAS  PubMed  Google Scholar 

  82. Grácio J, Gonçalves-Pereira M, Leff J. What do we know about family interventions for psychosis at the process level? A systematic review. Fam Process. 2016;55(1):79–90. A major review regarding the effectiveness of family interventions for psychosis (FIP).

    Article  PubMed  Google Scholar 

  83. Sin J, Norman I. Psychoeducational interventions for family members of people with schizophrenia: a mixed-method systematic review. J Clin Psychiatry. 2013;74(12):E1145–62.

    Article  PubMed  Google Scholar 

  84. Allen J, Burbach F, Reibstein J. A different world’ individuals’ experience of an integrated family intervention for psychosis and its contribution to recovery. Psychol Psychother. 2013;86:212–28.

    Article  PubMed  Google Scholar 

  85. Ince P, Haddock G, Tai S. A systematic review of the implementation of recommended psychological interventions for schizophrenia: rates, barriers, and improvement strategies. Psychol Psychother. 2015. doi:10.1111/papt.12084. An interesting study showing that, despite progress, there are several inequalities in the provision of psychological therapies for patients with schizophrenia.

    PubMed  Google Scholar 

  86. Onwumere J, Grice S, Kuipers E. Delivering cognitive-behavioural family interventions for schizophrenia. Aust Psychol. 2016;51:52–61.

    Article  Google Scholar 

  87. Nilsen L, Frich JC, Friis S, Norheim I, Rossberg JI. Psychosocial intervention patients and family members perceived benefits from psychoeducational family work in first-episode psychosis. Early Interv Psychiatry. 2014;8:156.

    Google Scholar 

  88. Roddy S, Onwumere J, Kuipers E. A pilot investigation of a brief, needs-led caregiver focused intervention in psychosis. J Fam Ther. 2015;37(4):529–45.

    Article  Google Scholar 

  89. Rotondi AJ, Anderson CM, Haas GL, Eack SM, Spring MB, Ganguli R, et al. Web-based psychoeducational intervention for persons with schizophrenia and their supporters: one-year outcomes. Psychiatr Serv. 2010;61(11):1099–105.

    Article  PubMed  Google Scholar 

  90. Rotondi AJ, Eack SM, Hanusa BH, Spring MB, Haas GL. Critical design elements of E-health applications for users with severe mental illness: singular focus, simple architecture, prominent contents, explicit navigation, and inclusive hyperlinks. Schizophr Bull. 2015;41(2):440–8. This work evaluated the effectiveness of an e-health design model for persons with severe mental illness.

    Article  PubMed  Google Scholar 

  91. Sin J, Henderson C, Pinfold V, Norman I. The E Sibling Project-exploratory randomised controlled trial of an online multi-component psychoeducational intervention for siblings of individuals with first episode psychosis. BMC Psychiatry. 2013;13:123.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

This research was funded by the Universidad de Tarapacá through Proyecto Mayor de Investigación Científica y Tecnológica UTA n°3732-16 and the Convenio de Desempeño UTA-MINEDUC.

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Caqueo-Urízar, A., Rus-Calafell, M., Craig, T.K.J. et al. Schizophrenia: Impact on Family Dynamics. Curr Psychiatry Rep 19, 2 (2017). https://doi.org/10.1007/s11920-017-0756-z

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