Schizophrenia: a five-year follow-up of patient outcome following psycho-education for caregivers.
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Affiliation
DETECT Early Intervention in Psychosis Service, Avila House, Block 5, Blackrock Business Park, Carysfort Avenue, Co. Dublin, Ireland. stephen.mcwilliams@sjog.ieIssue Date
2012-01Keywords
SCHIZOPHRENIACARER
Local subject classification
CAREGIVERSTREATMENT OUTCOMES
PSYCHOEDUCATION
HEALTH KNOWLEDGE
MeSH
AdolescentAdult
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
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Schizophrenia: a five-year follow-up of patient outcome following psycho-education for caregivers. 2012, 27 (1):56-61 Eur. PsychiatryJournal
European psychiatry : the journal of the Association of European PsychiatristsDOI
10.1016/j.eurpsy.2010.08.012PubMed ID
21982177Abstract
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
ArticleLanguage
enISSN
1778-3585ae974a485f413a2113503eed53cd6c53
10.1016/j.eurpsy.2010.08.012
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