Effects of a mutual support group for families of Chinese people with schizophrenia: 18-Month follow-up

The Chinese University of Hong Kong, Hong Kong, 00, Hong Kong
The British Journal of Psychiatry (Impact Factor: 7.99). 08/2006; 189(1):41-9. DOI: 10.1192/bjp.bp.105.008375
Source: PubMed


Family intervention in schizophrenia can reduce patient relapse and improve medication adherence, but few studies on this have involved a Chinese population.
To examine the effects of a mutual support group for Chinese families of people with schizophrenia, compared with psychoeducation and standard care.
Randomised controlled trial in Hong Kong with 96 families of out-patients with schizophrenia, of whom 32 received mutual support, 33 psychoeducation and 31 standard care. The psychoeducation group included patients in all the sessions, the mutual support group did not. Intervention was provided over 6 months, and patient- and family-related psychosocial outcomes were compared over an 18-month follow-up.
Mutual support consistently produced greater improvement in patient and family functioning and caregiver burden over the intervention and follow-up periods, compared with the other two conditions. The number of readmissions did not decrease significantly, but their duration did.
Mutual support for families of Chinese people with schizophrenia can substantially benefit family and patient functioning and caregiver burden.

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    • "Though schizophrenia affects the whole family, research predominantly identifies the issues of parents and spouses of the patients and a major proportion of participants in psychosocial interventions on caregivers are from these two groups (Chien et al., 2006; Pickett-Schenk et al., 2006; Shor & Birnbaum, 2012; Stephens et al., 2011; Szmukler et al., 2003). The studies on siblings of persons with schizophrenia (SOPS) show that they are also negatively affected by the illness and have suggested that there is a need for psychosocial interventions (Friedrich et al., 1999, 2008; Schmid et al., 2009; Sin et al., 2012). "
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    ABSTRACT: There is a lack of studies on siblings of persons with schizophrenia (SOPS) in Asia. This study aims to explore the needs of SOPS in India. 15 SOPS participated in this qualitative explorative study. All the interviews were audio recorded and later transcribed. Data analysis was carried out using General Inductive Approach. Five themes emerged from the data: managing illness or socio-occupational functioning; follow up services; informational needs; personal needs; and miscellaneous needs. SOPS in India have some distinctive needs. Identifying these needs might help in developing and designing specific psychosocial interventions for better management. Copyright © 2015 Elsevier B.V. All rights reserved.
    No preview · Article · Jul 2015 · Asian Journal of Psychiatry
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    • "Due to the inclusion and exclusion criteria the generalisability of our findings is further limited to patients that have yet to receive a formal psychiatric diagnosis, are not deemed as being a high risk and who are not receiving other psychosocial interventions. Future research with patients with more severe symptoms and over a longer-term follow-up (e.g., at least 18 months) may allow investigation of the relationships between the perceived benefits and the intervention techniques applied in the PIP, as well as potential therapeutic mechanisms of the intervention via individual or group interviews and/or observation studies (Chien et al., 2006). "
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    ABSTRACT: This study aimed to test the effectiveness of a nurse-led structured psychosocial intervention program in Chinese patients with first-onset mental illness. A single-blind, parallel group, randomized controlled trial design was used. The study involved 180 participants with mild to moderate-severe symptoms of psychotic or mood disorders who were newly referred to two psychiatric outpatient clinics in Hong Kong. Patients were randomly assigned to either an eight-session nurse-led psychosocial intervention program (plus usual care) or usual psychiatric outpatient care (both n=90). The primary outcome was psychiatric symptoms. Outcomes were measured at recruitment, one week and 12 months post-intervention. Patients in the psychosocial intervention group reported statistically significant improvements in symptoms compared to treatment as usual. There were also significant improvements in illness insight and perceived quality of life and reduction in length of re-hospitalizations over the 12-month follow-up. The findings provide evidence that the nurse-led psychosocial intervention program resulted in improved health outcomes in Chinese patients with first-onset mental illness. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    Full-text · Article · Jul 2015 · Psychiatry Research
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    • "However, it was noted that in the absence of other primary caregivers, they play an important role in caring for their affected sibling.11,12) In this context, it is important to note that many psychosocial intervention studies with caregivers of psychosis have shown that the number of siblings who participated in the interventions are less compared to the parent and spouse caregivers.13,14,15,16,17,18,19,20,21,22) "
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    ABSTRACT: Research on caregivers of psychosis has predominantly focused on parents and spouses. Issues related to siblings of persons with psychosis (SOPP) are yet to be evaluated comprehensively. Like parents and spouses, SOPP also share the caregiver burden and have their own issues and needs. This systematic descriptive review aims to identify the types of needs of SOPP in the published literature and gives implications for further practice and research. The primary data search was carried out with predefined protocol in PubMed database and an additional hand search was done in EBSCOhost, ProQuest, Scopus, and PsychINFO. All the searches yielded a total of 862 titles. After screening for necessary inclusion criteria, seven studies were included in the final review. The results are discussed under six major themes that emerged from this review. Six out of seven studies highlighted the need for information on siblings' illness and participation in caregiver support group. Other important needs were illness management or rehabilitation needs; help in managing their own psychosocial issues; treatment related informational needs; and inclusion in treatment process. The socio-demographic details of these studies showed that majority of the participants were female siblings of Caucasian or white British ethnicity and from developed countries. SOPP predominantly have specific needs such as informational and support group needs, which are different in the priority of other primary caregiver needs. Paucity of literature from developing countries and the limitations of the existing studies warrant further systematic research.
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