The effectiveness of a group psycho-educational program on family caregiver burden of patients with mental disorders

BMC Research Notes

Shahindokht Navabi Rigi²  Fatihe Kermansaravi³  Ali Navidian¹ 

[1] Department of Mental Health & Psychiatric Nursing, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;Department of Midwifery, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;Department of Nursing, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

关键词: Iran;    Education;    Caregivers;    Mental disorders;   

Others  :  1166026
DOI  :  10.1186/1756-0500-5-399

 received in 2012-03-06, accepted in 2012-07-13,  发布年份 2012

【 摘 要 】

Background

Brief family intervention may have a positive impact on family caregivers for patients with mental disorders. We assessed the effectiveness of a group psycho-educational program on family caregivers for patients with schizophrenia and mood disorders.

Methods

This randomized controlled trial was performed on 100 caregivers for patients with mental disorders attending the Isfahan Behavioral Sciences Research Center (IBSRC), in Isfahan, Iran. One hundred family caregivers of patients with schizophrenia (n = 50) and mood disorders (n = 50) were selected and assigned randomly to either a psycho-educational group intervention or routine care in each diagnosis category. The caregivers were followed for 3 months. Caregiver burden was assessed using the Zarit Burden Interview

Results

The mean scores of the Zarit caregiver burden decreased significantly for the group that participated in the psycho-educational program, while scores in the control group did not change significantly.

Conclusions

This group intervention program was effective to reduce the caregiver burden for both categories of mental disorders in the Iranian population. This group intervention program may improve the quality of life of patients and caregivers by improving the standards of care giving.

Trial registration

RCT registration number: IRCT138804272200N

【 授权许可】

   
2012 Navidian et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Honea NJ, Brintnall RA, Given B, Sherwood P, Colao DB, Somers SC, Northouse LL: Putting Evidence Into Practice: Nursing Assessment and Interventions to Reduce Family caregiver Strain and Burden. Clin J Oncology Nur 2008, 12(3):507-516.
• [2]Gutierrez-Maldonado J, Caqueo-Urizar A, Kavanagh D: Burden of Care and General Health in Families of Patients with Schizophrenia. So Psych and Psychiatry Epi 2005, 40(11):899-904.
• [3]Caqueo-Urizar A: Gutierrez- Maldonado J: Burden of Care in Families of Patients with Schizophrenia. Qual Life Res 2006, 15:719-724.
• [4]Corsentino EA, Molinari V, Gum AM, Roscoe LA, Mills WL: Family Caregivers' Future Planning for Younger and Older Adults with Serious Mental Illness. J of App Gerontol 2008, 27(4):466-471.
• [5]Hudson P, Quinn K, Kristjanson L, Thomas T, Braithwaite M, Fisher J, Cockayne M: Evaluation of A Psycho-educational Group Program for Family Caregivers in Home-Based Palliative Care. Palliative Med 2008, 22(2):70-80.
• [6]Picot SJ: Family Caregivers: Windows into Their Worlds. Reflections 1996, 22(4):13-14.
• [7]Vitaliano PP, Katon WJ: Effects of stress on family caregivers: Recognition and Management. Psych Times 2006, 23(7):24-31.
• [8]Onega LL: Helping Those Who Help Others. Am J of Nur 2008, 108(9):62-64.
• [9]Grandon P, Jenaro C, Lemos S: Primary Caregivers of Schizophrenia Outpatients: Burden and Predictor Variables. Psychiatry Res 2007, 185(3):335-343.
• [10]Kristjanson L, Aoun S: Palliative Care for Families: Remembering the hidden patients. Canad J Psychiatry 2004, 49:359-365.
• [11]Goode KT, Haley WE, Roth DL, Fotd GR: Predicting Longitudinal Changes in caregiver Physical and Mental Health: A Stress Process Model. Health Psycho 1998, 17(2):190-198.
• [12]Karanci AN: Caregivers of Turkish schizophrenic patients: Causal attributions, burdens and attitudes to help from the health professional. Soc Psychiatry Psychiatr Epidemiol 2004, 30(6):261-268.
• [13]Navidian A, Bahari F: Burden Experienced by Family Caregivers of Patients with Mental Disorders. Pakis J Psychol Res 2008, 23(1–2):19-28.
• [14]Gutierrez-Maldonado J, Caqueo-Urizar A: Effectiveness of A Psycho-educational Intervention for Reducing Burden in Latin American Families of Patients with Schizophrenia. Qual Life Res 2007, 16(5):739-747.
• [15]Riebscheger J, Scheid C, Luz C, Mickus M, Liszewski C, Eaton M: How are the Experiences and Needs of Families of Individuals with mental Illness Reflected in Medical Education Guidelines? Acad Psychiatry 2008, 32(2):119-126.
• [16]Awad AG, Voruqanti LN: The Burden of Schizophrenia of Caregivers: A Review. Pharmacoeconomics 2008, 26(2):149-162.
• [17]Sorensen S, Pinquart M, Duberstein P: How Effective are Interventions with Caregivers? An Update Meta Analysis. Gerontologist 2002, 42(3):356-372.
• [18]Mueser KT, Sengupta A, Schooler NR, et al.: Family treatment and medication dosage reduction in schizophrenia: effects on patient social functioning, family attitudes, and burden. J Consult Clin Psychol 2001, 69:3-12.
• [19]McFarlane WR, Dixon L, Lukens E, et al.: Family psycho education and schizophrenia: a review of the literature. J Marital Fam Ther 2003, 29:223-245.
• [20]Falloon IRH: Family interventions for mental disorders: efficacy and effectiveness. World Psychiatry 2003, 2:20-28.
• [21]Stam H, Cuijpers P: Effects of family interventions on burden of relatives of psychiatric patients in the Netherlands: a pilot study. Community Ment HealthJ 2001, 37:179-187.
• [22]Berglund N, Vahlne JO, Edman A: Family intervention in schizophrenia: impact on family burden and attitude. Soc Psychiatr Psychiatr Epidemiol 2003, 38:116-121.
• [23]Bauml J, Frobose T, Kraemer S, Rentrop M, Pitschel-Walz G: A basic psychotherapeutic intervention for patients with Schizophrenia and their families. Schizophr Bull 2006, 32:51-59.
• [24]Hazel NA, McDonell MG, Short RA: Impact of multiple-family groups for outpatients with schizophrenia on caregivers’ distress and resources. Psychiatr Serv 2004, 55:35-41.
• [25]Zoladl M, Sharif F, Kazemnejad A: Shared experiences of families with a mentally ill member. Tehran: Tarbiat Modaress University; 2009.
• [26]Zarit SH, Todd PA, Zarit JM: Subjective burden of husbands and wives as caregivers: a longitudinal study. Gerontologist 1986, 26:260-266.
• [27]Smith A, Schwirian PM: The relationship between caregiver burden and TBI survivor’s cognition and functional ability after discharge. Reh Nur 1998, 4(2):252-257.
• [28]Lopelowicz A, Zarit R, Smith VG, Mintz J, Liberman RP: Disease management in Latinos with schizophrenia: A Family – Assisted Skills training approach. Schizophr Bull 2003, 29(2):211.
• [29]Anderson CM, Reiss DJ, Hogarty GE: Schiziphrenia and Family: A practioner’s Guide to psychoeducation and management. New York: Guilford Press;
• [30]Stengard E: Educational intervention for the relatives of schizophrenia patients in Finland. Nord J Psychiatr 2003, 57:271-277.
• [31]Acton GJ, Kang J: Intervention to reduce the burden of caregiving for an adult with dementia: a meta-analysis. Res Nurs Health 2002, 24:349-360.
• [32]Magliano L, Fiorillo A, Magliano C, De Rosa C, Favata G, Sasso A, Prezioso M, et al.: Family Psycho-educational Interventions for Schizophrenia in Routine Setting: Impact of Patients' Clinical Status and Social Functioning and on relatives' Burden and Resources. Epidemiol Psychiatry 2006, 15(3):219-227.
• [33]Chadd RK, Singh TB, Ganguly KK: A Prospective Study of Relationship Between Burden and Coping in Caregivers of Patients with Schizophrenia and Bipolar Affective Disorder. Soc Psychiatry Psychiatr Epidemiol 2007, 42(11):22-30.
• [34]Bernhard B, Schaub A, Kummler P, Dittmann S, Severus E, Seemuller F, Born C, Forsthoff A, Licht RW, Grunze H: Impact of Cognitive- Psychoeducational Interventions in Bipolar patients and their Relatives. Eur Psychiatry 2006, 21:81-86.
• [35]Chien WT, Thompson DR, Norman I: Evaluation of A Peer- Led Mutual Support Group for Chinese Families of People with Schizophrenia. Am J Community Psychol 2008, 42(1–2):122-135.
• [36]Signe A, Solve E: Intervention for family caregivers of people with dementia reduces caregiver burden: development and effect after 6 and 12 months. Scand J Caring Sci 2008, 22:98-109.
• [37]Karanci AN: Caregivers of Turkish schizophrenic patients: Causal attributions, burdens and attitudes to help from the health professional. Soc Psychiatry Psychiatr Epidemiol 2004, 30(6):261-268.