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Family psychoeducational interventions for schizophrenia in routine settings: impact on patients' clinical status and social functioning and on relatives' burden and resources

Published online by Cambridge University Press:  18 May 2011

Lorenza Magliano ,
Andrea Fiorillo ,
Claudio Malangone ,
Corrado de Rosa ,
Grazia Favata ,
Annarita Sasso ,
Monica Prezioso ,
Laura Pezzenati ,
Floralba Gentile  and
Lucetta Casale
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Lorenza Magliano*
Affiliation:
Dipartimento di Psichiatria, Università di Napoli SUN, Napoli; Centro di Salute Mentale di
Andrea Fiorillo
Affiliation:
Dipartimento di Psichiatria, Università di Napoli SUN, Napoli; Centro di Salute Mentale di
Claudio Malangone
Affiliation:
Dipartimento di Psichiatria, Università di Napoli SUN, Napoli; Centro di Salute Mentale di
Corrado de Rosa
Affiliation:
Dipartimento di Psichiatria, Università di Napoli SUN, Napoli; Centro di Salute Mentale di
Grazia Favata
Affiliation:
Torino
Annarita Sasso
Affiliation:
Torino
Monica Prezioso
Affiliation:
Milano
Laura Pezzenati
Affiliation:
Milano
Floralba Gentile
Affiliation:
La Spezia
Lucetta Casale
Affiliation:
La Spezia
Emi Bondi
Affiliation:
Bormio
Giuseppina Robustelli Test
Affiliation:
Bormio
Michele Di Lella
Affiliation:
Tortona
Elisabetta Discussi
Affiliation:
Tortona
Francesco Degl'Innocenti
Affiliation:
Firenze
Rossella Bellini
Affiliation:
Firenze
Rita Di Nunzio
Affiliation:
Foggia
Lucia Matrella
Affiliation:
Foggia
Rosa Salmeri
Affiliation:
Catania
Rosario Cantone
Affiliation:
Catania
Luisa Gargiulo
Affiliation:
Sorrento
Aniello Esposito
Affiliation:
Sorrento
Vincenzo Delcuratolo
Affiliation:
Barletta
Maria Giannini
Affiliation:
Barletta
Luisa Maresca
Affiliation:
Angri
Giovanna Cavaliere
Affiliation:
Angri
Barbara Scandone
Affiliation:
Settimo Torinese
Matteo Folla
Affiliation:
Settimo Torinese
Mauro Raffaeli
Affiliation:
Roma
Paola Innocente
Affiliation:
Roma
Flavia Dagianti
Affiliation:
Roma
Stefania Lucania
Affiliation:
Vetralla
Angela Scorsino
Affiliation:
Vetralla
Francesco Bardicchia
Affiliation:
Castel del Piano
Gennaro Cerullo
Affiliation:
Castel del Piano
Riccardo Curreli
Affiliation:
Oristano
Silvana Miscali
Affiliation:
Oristano
Mario Scordato
Affiliation:
Pace del Mela (ME)
Graziella Campo
Affiliation:
Pace del Mela (ME)
Mario Maj
Affiliation:
Dipartimento di Psichiatria, Università di Napoli SUN, Napoli; Centro di Salute Mentale di
*
Address for correspondence: Prof. L. MagHano, Dipartimento di Psichiatria, Università di Napoli SUN. Largo Madonna delle Grazie. 80138 Napoli. Fax:+39-81-5666523 E-mail: lorenza.magliano@unina2.it
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Summary

Objective — This study explored the effectiveness of a psychoeducational family intervention for schizophrenia on patients' clinical status and disability and relatives' burden and perceived support. Methods — The study has been carried out in 17 mental health centres. In each of them, 2 professionals were trained in a psychoeducational intervention and applied it for six months with families of users with schizophrenia. At baseline and six months later, patients' clinical status and disability, and relatives' burden, social network and professional support were assessed by validated tools. Results — Of the seventy-one recruited families, 48 (68%) completed the intervention. At six months, a significant improvement was found in patients' clinical status and social functioning, as well as in relatives' burden and social and professional support. In particular, the percentage of patients with poor or very poor global social functioning dropped from 50% to 27% at six months. Forty percent of patients and 45% of relatives reported a significant improvement in their social contacts over the intervention period. Conclusions — The results of this study confirm the hypothesis that psychoeducational family interventions may have a significant effect on social outcome and family burden in schizophrenia when provided in routine conditions.

Declaration of Interest: none of the authors has had any interest or he/she has received any form of support, including that from drug companies and honoraria for lectures and consultancies, potentially in conflict with this scientific work. None of the authors has received any form of fee for his/her participation in this study. This study was supported by grants received from the “M. Lugli” Foundation (grant n. 2/18/8) and from the National Institute of Health, Italy (grant no. 1AL/F3).

Keywords

family psychoeducational interventionsschizophreniadisabilityfamily burdensocial network.
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 15 , Issue 3 , September 2006 , pp. 219 - 227
Copyright
Copyright © Cambridge University Press 2006

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References

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