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Authors
McWilliams, StephenEgan, Patrick
Jackson, Deirdre
Renwick, Laoise
Foley, Sharon
Behan, Caragh
Fitzgerald, Emma
Fetherston, Alastair
Turner, Niall
Kinsella, Anthony
O'Callaghan, Eadbhard
Affiliation
DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park, Carysfort Avenue, Co. Dublin, Ireland. drstevemb@gmail.comIssue Date
2010-01Keywords
MENTAL ILLNESSCARER
Local subject classification
CAREGIVERS EDUCATIONPSYCHOTIC DISORDERS PSYCHOLOGY
PSYCHOEDUCATION
PSYCHOSIS
ADOLESCENT
QUESTIONNAIRES
MeSH
AdolescentAdult
Aged
Attitude to Health
Caregivers
Drug Therapy
Female
Guidelines as Topic
Humans
Male
Middle Aged
Psychotic Disorders
Questionnaires
Young Adult
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Caregiver psychoeducation for first-episode psychosis. 2010, 25 (1):33-8 Eur. PsychiatryJournal
European psychiatry : the journal of the Association of European PsychiatristsDOI
10.1016/j.eurpsy.2009.08.006PubMed ID
19926257Abstract
International best-practice guidelines for the management of first-episode psychosis have recommended the provision of psychoeducation for multifamily groups. While there is ample evidence of their efficacy in multiepisode psychosis, there is a paucity of evidence supporting this approach specifically for first-episode psychosis. We sought to determine whether a six-week caregiver psychoeducation programme geared specifically at first-episode psychosis improves caregiver knowledge and attitudes.Caregivers of people with first-episode psychosis completed a 23-item adapted version of the self-report Family Questionnaire (KQ) and a 17-item adapted version of the self-report Drug Attitudes Inventory (DAI) before and after the six-week DETECT Information and Support Course (DISC). Using a Generalised Linear Repeated Measures Model, we analyzed the differences in proportions of correct answers before and after the programme.
Over a 24-month study period, 31 caregivers (13 higher socioeconomic; 13 lower socioeconomic; five unspecified socioeconomic; 19 female; 12 male) participated in the DISC programme and completed inventories before and after the course. Knowledge of psychosis and specific knowledge of medication treatment improved among caregivers overall (p<.01; effect sizes 0.78 and 0.94 respectively). There were no significant gender or socioeconomic differences in any improvement.
This study confirms that caregiver psychoeducation specifically for first-episode psychosis directly improves knowledge of the illness overall and, in particular, knowledge of medication. Gender is not a factor in this, while the lack of any socioeconomic differences dispels the myth that patients in lower socioeconomic groups are disadvantaged because their caregivers know less.
Item Type
ArticleLanguage
enISSN
1778-3585ae974a485f413a2113503eed53cd6c53
10.1016/j.eurpsy.2009.08.006
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