Sage Journals: Discover world-class research

Abstract

Background:

Schizophrenia is one of the most complicated psychiatric disorders, and, although medication therapy continues to be the core treatment for schizophrenia, there is a need for psychotherapy that helps in providing patients comprehensive mental health care. Psychoeducation is one of the most recognized psychosocial interventions specific to schizophrenia. Further knowledge about the impact of this type of intervention on patients diagnosed with schizophrenia needs to be acquired.

Aim:

This review aimed to explore the effects of psychoeducational interventions on improving outcome measures for patients diagnosed with schizophrenia.

Methods:

The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline was used in this systematic review. Two reviewers were involved in screening articles for inclusion and in the data extraction process. The selected studies were assessed for quality using the ‘Consolidated Standards of Reporting Trial (CONSORT)’ checklist. Out of the 441 records identified, 11 papers were considered for full review (from 2000 to 2018).

Results:

The psychoeducational interventions showed a consistent improvement in many outcome measures. Most of the reviewed studies focused on outpatients and the method of delivering the psychoeducational interventions was mostly in lecture format.

Conclusion:

This systematic review of randomized controlled trial studies emphasizes the positive impact of psychoeducational interventions for patients diagnosed with schizophrenia concerning various outcome measures. The findings of this review have important implications for both nursing practice and research, as the information presented can be used by the administrators and stakeholders of mental health facilities to increase their understanding and awareness of the importance of integrating psychoeducational interventions in the routine care of patients diagnosed with schizophrenia.

Keywords

Schizophrenia systematic review randomized controlled trial psycho-education

Get full access to this article

View all access options for this article.

References

Aguglia

Pascolo-Fabrici

Bertossi

Bassi

(2007). Psychoeducational intervention and prevention of relapse among schizophrenic disorders in the Italian community psychiatric network. Clinical Practice and Epidemiology in Mental Health, 3(1), Article 7. https://doi.org/10.1186/1745-0179-3-7

Aho-Mustonen

Tiihonen

Repo-Tiihonen

Ryynänen

Miettinen

Räty

(2010). Group psychoeducation for long-term offender patients with schizophrenia: An exploratory randomised controlled trial. Criminal Behaviour and Mental Health, 21(3), 163–176. https://doi.org/10.1002/cbm.788

Barrio

Yamada

(2010). Culturally based intervention development: The case of Latino families dealing with schizophrenia. Research on Social Work Practice, 20(5), 483–492. https://doi.org/10.1177/1049731510361613

Bäuml

Pitschel-Walz

Volz

Engel

R. R.

Kissling

(2007). Psychoeducation in schizophrenia. The Journal of Clinical Psychiatry, 68(6), 854–861. https://doi.org/10.4088/jcp.v68n0605

Chądzyńska

Charzyńska

(2011). The participation of patients with schizophrenia in psychoeducation – The analyses from the patient’s perspective. Archives of Psychiatry and Psychotherapy, 2(2), 67–72.

Chien

W. T.

Thompson

D. R.

(2014). Effects of a mindfulness-based psychoeducation programme for Chinese patients with schizophrenia: 2-year follow-up. The British Journal of Psychiatry, 205(1), 52–59. doi:10.1192/bjp.bp.113.134635

Choe

Sung

Kang

Yoo

S. Y.

(2015). Impact of psychoeducation on knowledge of and attitude toward medications in clients with schizophrenia and schizoaffective disorders. Perspectives in Psychiatric Care, 52(2), 113–119. https://doi.org/10.1111/ppc.12106

CONSORT. (2010). CONSORT: Transparent reporting of trials-Blinding. http://www.consort-statement.org/checklists/view/32-consort/93-blinding

Daltio

Attux

Ferraz

(2015). Knowledge in schizophrenia: The Portuguese version of KAST (Knowledge About Schizophrenia Test) and analysis of social-demographic and clinical factors’ influence. Schizophrenia Research, 168(1–2), 168–173. https://doi.org/10.1016/j.schres.2015.07.009

10.

George

Bhattacharya

Abraham

(2016). Effect of psycho education program on antipsychotic drug compliance. Journal of Nursing and Health Science, 5(1), 53–60. https://www.researchgate.net/profile/Joshy_Abraham2/publication/295073070_Effect_of_Psycho_Education_Program_on_Antipsychotic_Drug_Compliance/links/56c6c06b08ae0d3b1b608216.pdf?origin=publication_list

11.

Gümüş

A. B.

(2008). Health education needs of patients with schizophrenia and their relatives. Archives of Psychiatric Nursing, 22(3), 156–165. https://doi.org/10.1016/j.apnu.2007.06.015

12.

Hasan

A. A.

Callaghan

Lymn

J. S.

(2015). Evaluation of the impact of a psycho-educational intervention for people diagnosed with schizophrenia and their primary caregivers in Jordan: A randomized controlled trial. BMC Psychiatry, 15(1), Article 72. https://doi.org/10.1186/s12888-015-0444-7

13.

Karakaş

S. A.

Okanlı

Yılmaz

(2016). The effect of internalised stigma on the self esteem in patients with schizophrenia. Archives of Psychiatric Nursing, 30, 648–652. https://doi.org/10.1016/j.apnu.2016.02.006

14.

Khalil

A. H.

ELNahas

Ramy

Abdel Aziz

Elkholy

El-Ghamry

(2018). Impact of a culturally adapted behavioural family psychoeducational programme in patients with schizophrenia in Egypt. International Journal of Psychiatry in Clinical Practice, 23, 62–71. https://doi.org/10.1080/13651501.2018.1480786

15.

Kryshtal

Kozhyna

Markova

Korovina

(2017). The dynamics of the level of social functioning and quality of life of patients with schizophrenia as a marker of the effectiveness of psychoeducational programs. Journal of Education, Health and Sport, 7, 618–624. https://doi.org/10.5281/Zenodo.825220

16.

Kulhara

Chakrabarti

Avasthi

Sharma

(2009). Psychoeducational intervention for caregivers of Indian patients with schizophrenia: A randomised-controlled trial. Acta Psychiatrica Scandinavica, 119(6), 472–483. https://doi.org/10.1111/j.1600-0447.2008.01304.x

17.

Arthur

(2005). Family education for people with schizophrenia in Beijing, China: Randomised controlled trial. The British Journal of Psychiatry, 187(4), 339–345. https://doi.org/10.1192/bjp.187.4.339

18.

Matsuda

Kohno

(2016). Effects of the nursing psychoeducation program on the acceptance of medication and condition-specific knowledge of patients with schizophrenia. Archives of Psychiatric Nursing, 30(5), 581–586. https://doi.org/10.1016/j.apnu.2016.03.008

19.

Moher

Liberati

Tetzlaff

Altman

D. G.

& The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Journal of Clinical Epidemiology, 62(10), 1006–1012.

20.

Motlova

L. B.

Balon

Beresin

E. V.

Brenner

A. M.

Coverdale

J. H.

Guerrero

A. P.

. . . Roberts

L. W.

(2017). Psychoeducation as an opportunity for patients, psychiatrists, and psychiatric educators: Why do we ignore it? Academic Psychiatry, 41(4), 447–451. https://doi.org/10.1007/s40596-017-0728-y

21.

Ngoc

Weiss

Trung

(2016). Effects of the family schizophrenia psychoeducation program for individuals with recent onset schizophrenia in Viet Nam. Asian Journal of Psychiatry, 22, 162–166. https://doi.org/10.1016/j.ajp.2016.06.001

22.

Pellet

Golay

Nguyen

Suter

Ismailaj

Bonsack

Favrod

(2019). The relationship between self-stigma and depression among people with schizophrenia-spectrum disorders: A longitudinal study. Psychiatry Research, 275, 115–119. https://doi.org/10.1016/j.psychres.2019.03.022

23.

Rami

Hussien

Rabie

Sabry

Missiry

M. E.

Ghamry

R. E.

(2018). Evaluating the effectiveness of a culturally adapted behavioral family psycho-educational program for Egyptian patients with schizophrenia. Transcultural Psychiatry, 55(5), 601–622. https://doi.org/10.1177/1363461518782520

24.

Ran

Chan

C. L.

Guo

Xiang

(2015). The effectiveness of psychoeducational family intervention for patients with schizophrenia in a 14-year follow-up study in a Chinese rural area. Psychological Medicine, 45(10), 2197–2204. https://doi.org/10.1017/s0033291715000197

25.

Ran

M. S.

Xiang

M. Z.

Chan

C. L.

Leff

Simpson

Huang

M. S.

. . . Li

S. G

. (2003). Effectiveness of psychoeducational intervention for rural Chinese families experiencing schizophrenia–a randomised controlled trial. Social Psychiatry and Psychiatric Epidemiology, 38(2), 69–75. https://doi.org/10.1007/s00127-003-0601-z

26.

Rotondi

A. J.

Anderson

C. M.

Haas

G. L.

Eack

S. M.

Spring

M. B.

Ganguli

. . . Rosenstock

(2010). Web-based psychoeducational intervention for persons with schizophrenia and their supporters: One-year outcomes. Psychiatric Services, 61(11), 1099–1105. https://doi.org/10.1176/ps.2010.61.11.1099

27.

Sariah

A. E.

Outwater

A. H.

Malima

K. I.

(2014). Risk and protective factors for relapse among individuals with schizophrenia: A qualitative study in Dar es Salaam, Tanzania. BMC Psychiatry, 14(1), Article 240. https://doi.org/10.1186/s12888-014-0240-9

28.

Sharaf

A. Y.

Ossman

L. H.

Lachine

O. A.

(2012). A cross-sectional study of the relationships between illness insight, internalized stigma, and suicide risk in individuals with schizophrenia. International Journal of Nursing Studies, 49(12), 1512–1520.

29.

Soliman

E. S.

Mahdy

R. S.

Fouad

H. A.

(2018). Impact of psychoeducation program on quality of life of schizophrenic patients and their caregivers. Egyptian Journal of Psychiatry, 39(39), 35–41. https://doi.org/10.4103/ejpsy.ejpsy_34_17

30.

Spaniel

Bakstein

Anyz

Hlinka

Sieger

Hrdlicka

. . . Höschl

(2016). Relapse in schizophrenia: Definitively not a bolt from the blue. Neuroscience Letters, 669, 68–74. https://doi.org/10.1016/j.neulet.2016.04.044

31.

Srivastava

Panday

(2016). Psychoeducation an effective tool as treatment modality in mental health. The International Journal of Indian Psychology, 4(1), 123–130. https://doi.org/18.01.153/20160401

32.

Tabeleão

Tomasi

De Avila Quevedo

(2018). A randomized, controlled trial of the effectiveness of a psychoeducational intervention on family caregivers of patients with mental disorders. Community Mental Health Journal, 54(2), 211–217. https://doi.org/10.1007/s10597-017-0126-7

33.

Uchino

Maeda

Uchimura

(2012). Psychoeducation may reduce self-stigma of people with schizophrenia and schizoaffective disorder. The Kurume Medical Journal, 59(1–2), 25–31. https://doi.org/10.2739/kurumemedj.59.25

34.

Von Maffei

Görges

Kissling

Schreiber

Rummel-Kluge

. (2015). Using films as a psychoeducation tool for patients with schizophrenia: A pilot study using a quasi-experimental pre-post design. BMC Psychiatry, 15(1), 1–7. https://doi.org/10.1186/s12888-015-0481-2

35.

World Health Organization. (2017). WHO-AIMS report on mental health system in Jordan. WHO and Ministry of Health. http://www.who.int/mental_health/evidence/mh_aims_report_jordan_jan_2011_en.pdf

36.

Chiang

Natarajan

Fusaro-Davis

Cimpeanu

Liu

. . . Fan

(2019). Pilot lifestyle education intervention for patients with severe mental illness during the inpatient stay. Asian Journal of Psychiatry, 40, 15–17. https://doi.org/10.1016/j.ajp.2019.01.005

37.

Zhao

Sampson

Xia

Jayaram

M. B.

(2015). Psychoeducation (brief) for people with serious mental illness. Cochrane Database of Systematic Reviews, 4, CD010823. https://doi.org/10.1002/14651858.cd010823.pub2

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.37 MB

0.10 MB

0.13 MB

A systematic review of randomized controlled trials of psychoeducation interventions for patients diagnosed with schizophrenia