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:: Volume 5, Issue 4 (September-October 2017) ::
IJPN 2017, 5(4): 27-33 Back to browse issues page
Follow up of the Impact of Family-Centered Psychoeducation Based on Atkinson and Coia's Model on the Relapse and Severity of Symptoms in Schizophrenia
Nasser Haji Aghaei , Mohammad Reza Sheikhi *, Reza Zeighami , Mahmud Alipour
Assistant Professor Qazvin University of Medical Sciences, Qazvin, Iran , mmsheikhi1@yahoo.com
Abstract:   (544 Views)
Introduction: Frequent relapse and hospitalization of schizophrenic patients could impose large financial burdens on families and healthcare systems. This study aimed at tracking the nine-month effect of psychoeducation based on the Atkinson-Coia model on the recurrence and severity of the symptoms of schizophrenia.
Methods: This quasi-experimental study was performed on 100 hospitalized patients with schizophrenia, during year 2016 in the city of Qazvin. The patients were randomly allocated to 2 groups (50 patients per group). In the experimental group, family training, attended by the primary caregiver, was held in 8 sessions. In order to evaluate the relapse and severity of the symptoms, the Positive and Negative Syndrome Scale (PANSS) was used. For data analysis, Analysis of Variance (ANOVA), Chi-square, paired t test, and independent t test were performed, using SPSS version 23.
Results: The greatest impact in reducing the severity of symptoms in the test group occurred during the fifth month, so on average, the symptoms were reduced by 8.16 points and this relationship was significant (P = 0.001). In the sixth month, the severity of symptoms in the test (experimental) group, compared to a month earlier was increased by one point, on average, while, up to the eighth month, the severity of symptoms was almost constant and increased by 36 points in the ninth month. The results showed that there was a significant relationship between psycho-education and relapse of schizophrenia, except for the first month.
Conclusions: According to the nine-month follow-up trend, psychoeducation could effectively reducing the severity of symptoms and recurrence of schizophrenia. According to the findings of this study, it is better to repeat the training every six months.

 
Keywords: Schizophrenia, Recurrence, Family
Full-Text [PDF 397 kb]   (191 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/07/31 | Accepted: 2017/10/10 | Published: 2017/10/10
References
1. 1. Omranifard V, Yari A, Kheirabadi GR. Effect of needs‑assessment‑based psychoeducation forfamilies of patients with schizophrenia on quality of life of patients and their families. Journal of Education and Health Promotion. 2014;3(1):1-6.
2. 2. Maffei Cv, Görges F, Kissling W, Schreiber W. Using films as a psychoeducation tool for patients with schizophrenia: a pilot study using a quasi-experimental pre-post design. BMC Psychiatry. 2015;15(93):1-11.
3. 3. Dashtbozorgi B, Ghadirian F, Khajeddin N, Karami K. Effect of Family Psychoeducation on the Level of Adaptation and Improvement of Patients with Mood Disorders. Iranian Journal of Psychiatry and Clinical Psychology. 2009;15(2):193-200.
4. 4. Sadock Bj. Synopsis of Psychiatry. 2, editor2015.
5. 5. Dorud N, Akbarfahimi M, Ashayeri H. Comparison of work activities of daily living in patients with schizophrenia and normal individuals matched. Journal of Modern Rehabilitation. 2011;5(3):51-5.
6. 6. Mohammadi MR, Rahgozar M. The epidemiology of psychiatric disorders in Semnan Semnan Journal of Medical Sciences. 2006;5(1):1-16.
7. 7. Mehdi R, leila c, masod k. Application of recurrent events in determining the risk factors of schizophrenia. Razi Journal of Medical Sciences. 2013;19(99):7-11.
8. 8. Sadock B, Sadock V, Ruiz P. Kaplan & Sadock\'s Comprehensive Textbook of Psychiatry. 9, editor2007.
9. 9. Robinson DG, Woerner MG, Ma.J J. Predictors of Treatment Response From a First Episode of Schizophrenia or Schizoaffective Disorder. Am J Psychiatry 1999;156(4):544-48. [PMID]
10. 10. Sabooni P, Eftekhari S, karimlou I. The effect of risk factors on the severity of psychotic symptoms during the first transitional model. Razi Journal of Medical Sciences. 2013;20(116):1-8.
11. 11. HUI CL. Relapse in Schizophrenia. Medical Bulletin. 2011;16(5):8-9.
12. 12. Spencer E, Birchwood M, McGovern D. Management of first-episode psychosis. Advances in Psychiatric Treatment. 2001;7(2):133-40. [DOI:10.1192/apt.7.2.133]
13. 13. Domínguez-Martinez T, Maria Luisa Rascon-Gasca. Effects of Family-to-Family Psychoeducation Among Relatives of Patients With Severe Mental Disorders in Mexico City Psychiatric Services. 2017;68(4):415-8. [PMID]
14. 14. Sharif F, Shaygan M, Mani A. Effect of a psycho-educational intervention for family members on caregiver burdens and psychiatric symptoms in patients with schizophrenia in shiraz-iran. European Psychiatry. 2012;27(1):1-6. [DOI:10.1016/S0924-9338(12)75472-X]
15. 15. Claxton M, Onwumere J, Fornells-Ambrojo M. Do Family Interventions Improve Outcomes in Early Psychosis? A Systematic Review and Meta-Analysis. Front Psychol. 2017;8(371):36-41. [DOI:10.3389/fpsyg.2017.00371]
16. 16. Caqueo-Urízar A, Miranda c. An updated review on burden on caregivers of schizophrenia patients. Psicothema. 2014;26(2):235-43. [PMID]
17. 17. sabooni p, eftekhari s, karimlou l. The effect of risk factors on the severity of psychotic symptoms during the first transitional model. Razi Journal of Medical Sciences. 2013;20(116):1-8.
18. 18. Navidian A, Pahlavanzadeh S, Yazdani M. The Effectiveness of Family Training on Family Caregivers of Inpatients with Mental Disorders. Iranian Journal of Psychiatry and Clinical Psychology. 2010;16(2):99-106.
19. 19. Bhattacharjee D, Ra AK, Singh NK. Psychoeducation: A Measure to Strengthen Psychiatric Treatment Delhi psychiatry journal 2011;14(1):33-9.
20. 20. kashani F, pashasharif H. The impact of family psychoeducation (Atkinson and rational coia) on the general health of families with children with schizophrenia. Thoughts and behavior. 2010;5(17):65-76.
21. 21. Doval N, Sharma E, Agarwal M, Nischal A. Experience of Caregiving and Coping in Caregivers of Schizophrenia. Clin Schizophr Relat Psychoses. 2016;2(18):132-8. [DOI:10.3371/csrp.DOSH.123015]
22. 22. L.Videbeck S. Psychiatric Mental Health Nursing. 7, editor2017.
23. 23. Atkinson J, Coia D. Families coping with schizopherenia : A practitioners guide to family groups. British Journal of General Practice. 1995;45(401):695-979.
24. 24. Leucht S, M.Kane J, Kissling W. What Does the PANSS Mean. Elsevier. 2005;79(5):231-38. [DOI:10.1016/j.schres.2005.04.008]
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Haji Aghaei N, Sheikhi M R, Zeighami R, Alipour M. Follow up of the Impact of Family-Centered Psychoeducation Based on Atkinson and Coia's Model on the Relapse and Severity of Symptoms in Schizophrenia. IJPN. 2017; 5 (4) :27-33
URL: http://ijpn.ir/article-1-996-en.html


Volume 5, Issue 4 (September-October 2017) Back to browse issues page
نشریه روان پرستاری Iranian Journal of  Psychiatric Nursing
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