Schizophrenia: a five-year follow-up of patient outcome following psycho-education for caregivers.

Hdl Handle:
http://hdl.handle.net/10147/241858
Title:
Schizophrenia: a five-year follow-up of patient outcome following psycho-education for caregivers.
Authors:
McWilliams, S; Hill, S; Mannion, N; Fetherston, A; Kinsella, A; O'Callaghan, E
Affiliation:
DETECT Early Intervention in Psychosis Service, Avila House, Block 5, Blackrock Business Park, Carysfort Avenue, Co. Dublin, Ireland. stephen.mcwilliams@sjog.ie
Citation:
Schizophrenia: a five-year follow-up of patient outcome following psycho-education for caregivers. 2012, 27 (1):56-61 Eur. Psychiatry
Journal:
European psychiatry : the journal of the Association of European Psychiatrists
Issue Date:
Jan-2012
URI:
http://hdl.handle.net/10147/241858
DOI:
10.1016/j.eurpsy.2010.08.012
PubMed ID:
21982177
Abstract:
There is evidence that psycho-education courses for caregivers of individuals with schizophrenia improve the short-term outcome of the condition. However, most of the outcome studies are limited to two-year follow-up.; This study is a five-year retrospective case-control follow-up of an original cohort of 63 patients and their 101 caregivers who completed a six-week Caregiver Psycho-education Programme (CPP) for schizophrenia and psychosis between 2002 and 2005, and 60 controls, matched for age, gender and severity of their psychotic illness.; Patients whose caregivers learned more from the six-week psycho-education course had a significantly longer time to relapse (P = 0.04) and a significantly shorter length of stay during their first relapse (P < 0.05). Patients whose caregivers attended the six-week psycho-education course (regardless of how much the caregivers learned) had a significantly better outcome than controls. This included a significantly smaller number of relapses (P < 0.01), longer time to relapse (P < 0.01), shorter length of stay during their first relapse (P < 0.01) and smaller number of bed days over five years (P < 0.01). The odds ratio of controls relapsing, although insignificant at one year, was 4.13 (1.85-9.21) at five years. Outcome was not affected by either the numbers of caregivers attending for each patient, or caregiver gender.; This study, which is among the first to examine outcome over five years, supports the efficacy of psycho-education for caregivers in improving outcome for patients. Caregivers should be encouraged to take up psycho-education where it is available.
Item Type:
Article
Language:
en
Description:
There is evidence that psycho-education courses for caregivers of individuals with schizophrenia improve the short-term outcome of the condition. However, most of the outcome studies are limited to two-year follow-up.
Keywords:
SCHIZOPHRENIA; CARER
Local subject classification:
CAREGIVERS; TREATMENT OUTCOMES; PSYCHOEDUCATION; HEALTH KNOWLEDGE
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Caregivers; Female; Follow-Up Studies; Health Education; Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Schizophrenia; Schizophrenic Psychology; Treatment Outcome; Young Adult
ISSN:
1778-3585

Full metadata record

DC FieldValue Language
dc.contributor.authorMcWilliams, Sen_GB
dc.contributor.authorHill, Sen_GB
dc.contributor.authorMannion, Nen_GB
dc.contributor.authorFetherston, Aen_GB
dc.contributor.authorKinsella, Aen_GB
dc.contributor.authorO'Callaghan, Een_GB
dc.date.accessioned2012-09-07T13:52:54Z-
dc.date.available2012-09-07T13:52:54Z-
dc.date.issued2012-01-
dc.identifier.citationSchizophrenia: a five-year follow-up of patient outcome following psycho-education for caregivers. 2012, 27 (1):56-61 Eur. Psychiatryen_GB
dc.identifier.issn1778-3585-
dc.identifier.pmid21982177-
dc.identifier.doi10.1016/j.eurpsy.2010.08.012-
dc.identifier.urihttp://hdl.handle.net/10147/241858-
dc.descriptionThere is evidence that psycho-education courses for caregivers of individuals with schizophrenia improve the short-term outcome of the condition. However, most of the outcome studies are limited to two-year follow-up.en_GB
dc.description.abstractThere is evidence that psycho-education courses for caregivers of individuals with schizophrenia improve the short-term outcome of the condition. However, most of the outcome studies are limited to two-year follow-up.-
dc.description.abstractThis study is a five-year retrospective case-control follow-up of an original cohort of 63 patients and their 101 caregivers who completed a six-week Caregiver Psycho-education Programme (CPP) for schizophrenia and psychosis between 2002 and 2005, and 60 controls, matched for age, gender and severity of their psychotic illness.-
dc.description.abstractPatients whose caregivers learned more from the six-week psycho-education course had a significantly longer time to relapse (P = 0.04) and a significantly shorter length of stay during their first relapse (P < 0.05). Patients whose caregivers attended the six-week psycho-education course (regardless of how much the caregivers learned) had a significantly better outcome than controls. This included a significantly smaller number of relapses (P < 0.01), longer time to relapse (P < 0.01), shorter length of stay during their first relapse (P < 0.01) and smaller number of bed days over five years (P < 0.01). The odds ratio of controls relapsing, although insignificant at one year, was 4.13 (1.85-9.21) at five years. Outcome was not affected by either the numbers of caregivers attending for each patient, or caregiver gender.-
dc.description.abstractThis study, which is among the first to examine outcome over five years, supports the efficacy of psycho-education for caregivers in improving outcome for patients. Caregivers should be encouraged to take up psycho-education where it is available.-
dc.language.isoenen
dc.rightsArchived with thanks to European psychiatry : the journal of the Association of European Psychiatristsen_GB
dc.subjectSCHIZOPHRENIAen_GB
dc.subjectCARERen_GB
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshCaregivers-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshHealth Education-
dc.subject.meshHealth Knowledge, Attitudes, Practice-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshSchizophrenia-
dc.subject.meshSchizophrenic Psychology-
dc.subject.meshTreatment Outcome-
dc.subject.meshYoung Adult-
dc.subject.otherCAREGIVERSen_GB
dc.subject.otherTREATMENT OUTCOMESen_GB
dc.subject.otherPSYCHOEDUCATIONen_GB
dc.subject.otherHEALTH KNOWLEDGEen_GB
dc.titleSchizophrenia: a five-year follow-up of patient outcome following psycho-education for caregivers.en_GB
dc.typeArticleen
dc.contributor.departmentDETECT Early Intervention in Psychosis Service, Avila House, Block 5, Blackrock Business Park, Carysfort Avenue, Co. Dublin, Ireland. stephen.mcwilliams@sjog.ieen_GB
dc.identifier.journalEuropean psychiatry : the journal of the Association of European Psychiatristsen_GB

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