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    Caregiver psychoeducation for first-episode psychosis.

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    Authors
    McWilliams, Stephen
    Egan, Patrick
    Jackson, Deirdre
    Renwick, Laoise
    Foley, Sharon
    Behan, Caragh
    Fitzgerald, Emma
    Fetherston, Alastair
    Turner, Niall
    Kinsella, Anthony
    O'Callaghan, Eadbhard
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    Affiliation
    DETECT Early Intervention in Psychosis Service, DETECT, Avila House, Block 5, Blackrock Business Park, Carysfort Avenue, Co. Dublin, Ireland. drstevemb@gmail.com
    Issue Date
    2010-01
    Keywords
    MENTAL ILLNESS
    CARER
    Local subject classification
    CAREGIVERS EDUCATION
    PSYCHOTIC DISORDERS PSYCHOLOGY
    PSYCHOEDUCATION
    PSYCHOSIS
    ADOLESCENT
    QUESTIONNAIRES
    MeSH
    Adolescent
    Adult
    Aged
    Attitude to Health
    Caregivers
    Drug Therapy
    Female
    Guidelines as Topic
    Humans
    Male
    Middle Aged
    Psychotic Disorders
    Questionnaires
    Young Adult
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    Citation
    Caregiver psychoeducation for first-episode psychosis. 2010, 25 (1):33-8 Eur. Psychiatry
    Journal
    European psychiatry : the journal of the Association of European Psychiatrists
    URI
    http://hdl.handle.net/10147/241860
    DOI
    10.1016/j.eurpsy.2009.08.006
    PubMed ID
    19926257
    Abstract
    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
    Article
    Language
    en
    ISSN
    1778-3585
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.eurpsy.2009.08.006
    Scopus Count
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    Saint John of God Hospitaller Services

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