Psychosocial Family Treatment for a 10-Year-Old with Schizoaffective Disorder
The Ohio State UniversityCognitive and Behavioral Practice (Impact Factor: 1.33). 02/2008; 15(1):76-84. DOI: 10.1016/j.cbpra.2006.12.003
Schizophrenia spectrum disorders are rare in childhood and little is known about their psychosocial treatment. Relevant findings from the adult and child literature are reviewed. The case of 10-year-old “Michael” is presented, who participated in a randomized clinical trial of a psychoeducational family treatment for mood disorders. Following treatment, quantitative and qualitative data show that Michael's mood and social functioning improved, utilization of mental health services improved, the overall family emotional climate became more positive, and his parents felt supported. He no longer met criteria for a mood episode but continued to display psychosis. This family's response suggests that group psychoeducation may be an effective treatment for families of children with emerging schizophrenia spectrum disorders.
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ABSTRACT: Childhood mood disorders lack sufficient evidence-based treatments. While psychosocial treatments are recommended for both childhood depression and bipolar disorder, empirical support is scarce. To determine whether adjunctive multifamily psychoeducational psychotherapy would improve outcome for children aged 8 to 12 years with depression or bipolar disorder. One hundred sixty-five children were studied in a randomized controlled trial of multifamily psychoeducational psychotherapy plus treatment as usual (n = 78) compared with a wait-list control (WLC) condition plus treatment as usual (n = 87). Assessments occurred at baseline and at 6, 12, and 18 months. Intervention occurred between baseline and 6 months for the immediate treatment group and between 12 and 18 months for the WLC group. University medical center. Children were recruited from mental health and physical health care providers, media contacts, and word of mouth. All had a major mood disorder (major depressive disorder or dysthymic disorder, 30%; bipolar disorder type I, type II, or not otherwise specified, 70%). Intervention Children and 1 or more parents participated in eight 90-minute multifamily psychoeducational psychotherapy sessions. Parent and child groups met separately but began and ended sessions together. The Mood Severity Index (MSI) combines Mania Rating Scale and Children's Depression Rating Scale-Revised scores. Multifamily psychoeducational psychotherapy plus treatment as usual was associated with lower MSI scores at follow-up in intent-to-treat analyses compared with WLC plus treatment as usual (MSI: chi(2)(1) = 4.55; P = .03). The WLC group showed a similar decrease in MSI scores 1 year later, when also following their treatment (MSI decrease = 3.24 units per 6 months in the immediate treatment group and 3.50 units per 6 months in the WLC group). Brief, adjunctive psychoeducational group psychotherapy is associated with improved outcome for children aged 8 to 12 years with major mood disorders. Trial Registration clinicaltrials.gov Identifier: NCT00050557.Archives of general psychiatry 10/2009; 66(9):1013-21. DOI:10.1001/archgenpsychiatry.2009.112 · 14.48 Impact Factor
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ABSTRACT: Correlations between indices of family burden and changes in children's social functioning during psychosocial group therapy with parents of children and adolescents with schizophrenia spectrum disorders have been studied. A sample included 140 children and their mothers. Family burden was considered as a separate "target" of psychosocial rehabilitation of children and adolescents with mental disorders. The authors recommend to use this dynamic characteristic of family burden in the development of individualized treatment/prevention programs (modules) and corresponding measures with assessment of their effectiveness in the implementation of psychosocial support to the family. A significant positive effect of this psychosocial group therapy was confirmed by a set of specific scales and questionnaires.Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova / Ministerstvo zdravookhraneniia i meditsinskoi promyshlennosti Rossiiskoi Federatsii, Vserossiiskoe obshchestvo nevrologov [i] Vserossiiskoe obshchestvo psikhiatrov 01/2013; 113(5 Vypusk 2 Detskaia nevrologiia i psikhiatriia):61-68. · 0.05 Impact Factor
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