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Fatima Jessy, M.
- Empowerment of Caregivers of Persons with Schizophrenia:A Group Psychoeducational Intervention
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Authors
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1 Government Institute of Mental Health Kilpauk, Chennai, Tamil Nadu, IN
2 Department of Psychiatry, Government Institute of Mental Health, Kilpauk, Chennai, Tamil Nadu, IN
1 Government Institute of Mental Health Kilpauk, Chennai, Tamil Nadu, IN
2 Department of Psychiatry, Government Institute of Mental Health, Kilpauk, Chennai, Tamil Nadu, IN
Source
IAHRW International Journal of Social Sciences Review, Vol 6, No 4 (2018), Pagination: 579-583Abstract
Schizophrenia is an enigmatic mental disorder affecting 1 % of the general population at any given time in any society. The disabling nature and chronicity of the illness mandates long-term course of treatment and care. In the recent decades mental health service delivery is undergoing a wide shift from institutionalization to community based care. This vests home-based care for the person with Schizophrenia on caregivers and seeks for their empowerment on effective caring. To study the effectiveness of a group psychoeducational intervention for caregivers of persons with Schizophrenia. The study employed a before and after without control research design where 120 caregivers of persons with Schizophrenia were recruited using purposive sampling technique. The participants were assessed using Knowledge about Schizophrenia Interview (KASI) and Family Attitude Questionnaire (FAQ) before and after the group intervention which focused on dissemination of information regarding the illness and other psychosocial inputs. The knowledge about diagnosis, symptoms, etiology, medication, course, prognosis and management were found to be improved significantly (t=56.33, p<.000) after the psychoeducational intervention. The participants were found to have a significant decrease in the way the caregivers expressed their critical comments, hostility, dissatisfaction and emotional over involvement. They were able to show a higher level of warmth (t-62.96, p<.000) after the intervention. Caring for a person with schizophrenia is highly challenging and it might result in a negative emotional atmosphere in the patient's family. The results prove that a periodic group psychoeducation intervention along with ongoing pharmacotherapy would be beneficial in providing better care for persons with schizophrenia.Keywords
Schizophrenia, Caregivers, Group Psychoeducational Intervention.References
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- Socio-Demographic Influences on the Level of Knowledge and Expressed Emotions among Caregivers of Persons with Schizophrenia
Abstract Views :212 |
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Authors
Affiliations
1 Department of Psyehiatry, Government Institute of Mental Health, Kilpauk, Chennai, Tamil Nadu, IN
2 Soeial Welfare Offieer, Government Institute of Mental Health, Kilpauk, Chennai, Tamil Nadu, IN
1 Department of Psyehiatry, Government Institute of Mental Health, Kilpauk, Chennai, Tamil Nadu, IN
2 Soeial Welfare Offieer, Government Institute of Mental Health, Kilpauk, Chennai, Tamil Nadu, IN
Source
Indian Journal of Health and Wellbeing, Vol 9, No 6 (2018), Pagination: 905-910Abstract
Schizophrenia is a severe mental disorder often associated with disability and poor quality of life. In India, almost the persons with schizophrenia are living in their families, the family caregivers play a vital role and hence they are to be integrated within the treatment plan. So, it is inevitable that they need to have knowledge about illness, treatment and available support for etfective caring and management. The aim of the study was to examine the influence of socio-demographic factors on the level of knowledge about schizophrenia and expressed emotions among caregivers of persons with schizophrenia. The family caregivers who were involved in taking care of persons with schizophrenia diagnosed falling under ICD -10 criteria. There were 120 samples, in all. The study employed a expost-facto research design, where 120 caregivers of persons with schizophrenia were selected using purposive sampling technique. Knowledge about Schizophrenia Interview (KASI) and Family Attitude Questionnaire (FAQ) were used for assessment. Findings indicate, except age and gender, other socio-demographic factors did not play much significant role in any of the dimensions of KASI such as in diagnosis, symptomatology, etiology, medication, course, prognosis and management of schizophrenia and found to have a higher scores in their critical comments, hostility, dissatisfaction and emotional over involvement and less score in warmth. Caring for a person with schizophrenia is highly challenging and it might result in a negative emotional atmosphere in the patient's family if they lack knowledge about schizophrenia.Keywords
Schizophrenia, Caregivers, Knowledge about Schizophrenia, Expressed Emotions.References
- Cassidy, E., Hill, S., & O'Callaghan, E. (2001). Efficacy of a psychoeducational intervention in improving relatives' knowledge about schizophrenia and reducing rehospitalization. European Psychiatry, 16,446-450.
- De Haan, L., Welbom, K., & Linszen, D. (2004). Opinions of mothers on the first episode andthe start of treatment of their child. European Psychiatry, 9(4), 226-229.
- Jungbaner, J., Wittmund, B., Dietrich, S., & Argermeyer (2004). The disregarded caregivers subjective burden in spouses of schizophrenia patients. Schizophrenia Bulletine, 30(3), 665-675.
- Koukia, E., & Madianos, M. (2005). The effect of rehabilitation of Schizophrenic patients on their family atmosphere and the emotional well-being of caregivers. European Journal of Psychiatry, 19(), 55-64.
- Ng, R.M.K., Mui, J., Cheung, H.K., & Leung, S.P. (2001). Expressed emotion and relapse of schizophrenia in Hong Kong. Hong Kong Journal of Psychiatry, H(), 4-11.
- Soma Hazra, S., Chakrabarti, S., Sahu, K.K., Pillai, R.R., & Khess, C.R.J. (2010). Attitude towards mental illness and expressed emotion of key relatives of persons with schizophrenia: Nuclear vs joint family. Indian Journal of Social Psychiatry, 26(-2), 52-58.
- Suman, C., Baldev, S., Murthy, S.R., & Wig, N.N. (1990). Helping chronic schizophrenics and their families in the community initial observations. Indian Journal of Psychiatry, 22,97-103.
- Thara, R.,Padmavati, R.,Aynkran, J.R., & John, S. (2008). Community mental health in India: Arethink. International Journal of Mental Health Systems, 2(1), 11.
- Van Os, J.,& Kapur, S. (2009). Schizophrenia. Lancet, 374(22), 635-645.
- Knowledge and Expressed Emotions of Caregivers Towards Schizophrenia
Abstract Views :589 |
PDF Views:1
Authors
Affiliations
1 Government Institute of Mental Health, Kilpauk, Chennai, Tamil Nadu, IN
1 Government Institute of Mental Health, Kilpauk, Chennai, Tamil Nadu, IN
Source
Indian Journal of Positive Psychology, Vol 10, No 2 (2019), Pagination: 70-75Abstract
Schizophrenia is a severe mental disorder affecting 3-5 / 1000 of the general population at any given time in any society. In India, caregivers in the family play a vital role in providing care by attending to the physical and emotional needs of their ill relatives. It tends to affect young people during their most productive years and, if left untreated, the illness can continue till their end. The management of schizophrenia can be challenging. Hence, it is inevitable that the caregivers need to have knowledge about illness, treatment and available support for effective management. The aim of the study was to examine the level of knowledge about illness and expressed emotions among the caregivers of persons with schizophrenia. The total 120 caregivers who involved in providing care of persons with schizophrenia were samples. The caregivers of persons with schizophrenia diagnosed falling under International Classification of Disease 10 diagnostic criteria were selected using purposive sampling technique. Knowledge about Schizophrenia Interview (KASI) and Family Attitude Questionnaire (FAQ) were used for assessment. The findings revealed that male caregivers have better knowledge in diagnosis (t=2.05*, p<.05) while females have higher knowledge in course and prognosis (t=2.65**, p<.01). They have inadequate knowledge in other dimensions of KASI such as in symptomatology, etiology, medication and management of schizophrenia. They also had higher scores in their expressed emotions like critical comments, hostility, dissatisfaction and emotional over involvement and less score in warmth. The finding suggests need for psycho -educational intervention to enhance knowledge about schizophrenia and to improve positive emotional atmosphere.Keywords
Schizophrenia, Caregivers, Knowledge about Schizophrenia, Expressed Emotions.References
- Cassidy, E., Hill, S., & O'Callaghan, E. (2001). Efficacy of a psychoeducational intervention in improving relatives' knowledge about schizophrenia and reducing rehospitalization. European Psychiatry, 16,446-450.
- De Haan, L., Welbom, K., & Linszen, D. (2004). Opinions of mothers on the first episode and the start of treatment of their child. European Psychiatry, 9(4), 226-229.
- Hazra, S., et al. (2010). Attitude towards mental illness and expressed emotion ofkey relatives ofpersons with schizophrenia: Nuclear vsjoint family. Indian Journal of Social Psychiatry, 26(1-2), 52 - 58.
- Jungbauer, J., Wittmund, B., Dietrich, S., & Argermeyer (2004). The disregarded caregivers subjective burden in spouses of schizophrenia patients. Schizophrenia Bulletine, 30(3), 665-675.
- Koukia, E., & Madianos, M. (2005). The effect of rehabilitation of Schizophrenic patients on their family atmosphere and the emotional well-being of caregivers. European Journal of Psychiatry, 19(), 55-64.
- Ng, R.M.K., Mui, J., Cheung, H.K., & Leung, S.P. (2001). Expressed emotion and relapse of schizophrenia in Hong Kong. Hong Kong Journal of Psychiatry, 77(1), 4-11.
- Suman, C., Baldev, S., Srinivasa, M.R., & Wig, N.N. (1990). Helping chronic schizophrenics and their families in the community initial observations. Indian Journal of Psychiatry, 22, 97.
- Thara, R., Padmavati, R , Aynkran, J.R., & John, S. (2008) Community mental health in India: A rethink. International Journal of Mental Health Systems, 2 ,11.
- Van Os, J., & Kapur, S. (2009). Schizophrenia. Lancet, 374(22)., 635-645.