조현병 환자의 집단 가족 교육에 대한 고찰 및 국내 상황에 적용 가능한 프로그램 제언
Review of Group Family Psychoeducation for Schizophrenia and Recommendation of Program Applicable to Korean Situation
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Family psychoeducation is a potent therapeutic tool for schizophrenia and is strongly recommended in major treatment guidelines. Family psychoeducation is effective for improving the psychopathology and therapeutic adherence of the patients as well as reducing the burden of the illness and the stress of family members. Despite its effectiveness, family psychoeducation is underutilized. Group family psychoeducation appears to be quite effective because it enhances the social network of family members and activates therapeutic factors, such as universalization, acceptance, interpersonal learning, and instillation of hope in the group. This review article overviews the currently published group family psychoeducation programs in detail, including number, length, and contents of sessions. The author recommends two-track group family psychoeducation, which may be suitable for the Korean situation: 1) large open group psychoeducation course that deals with general knowledge about schizophrenia; and 2) small closed group intensive psychoeducation course that covers discussions about the psychological needs and strengths of each family, communication, and problem-solving skill training and self-care.
Abstract
Family psychoeducation is a potent therapeutic tool for schizophrenia and is strongly recommended in major treatment guidelines. Family psychoeducation is effective for improving the psychopathology and therapeutic adherence of the patients as well as reducing the burden of the illness and the stress of family members. Despite its effectiveness, family psychoeducation is underutilized. Group family psychoeducation appears to be quite effective because it enhances the social network of family members and activates therapeutic factors, such as universalization, acceptance, interpersonal learning, and instillation of hope in the group. This review article overviews the currently published group family psychoeducation programs in detail, including number, length, and contents of sessions. The author recommends two-track group family psychoeducation, which may be suitable for the Korean situation: 1) large open group psychoeducation course that deals with general knowledge about schizophrenia; and 2) small closed group intensive psychoeducation course that covers discussions about the psychological needs and strengths of each family, communication, and problem-solving skill training and self-care.
참고문헌 (56)
- clinical psychiatry, "Kaplan and Sadock’s synopsis of psychiatry: behavioral sciences", pp.2015, Sadock BJ
- Lefley HP, "Family burden and family stigma in major mental illness", Am Psychol, 44, pp.556~560 (1989)
- Kreyenbuhl J, "The Schizophrenia Patient Outcomes Research Team (PORT): updated treatment recommendations 2009", Schizophr Bull, 36, pp.94~103 (2010)
- National Collaborating Centre for Mental Health, "Psychosis and schizophrenia in adults: treatment and management: updated edition 2014", NICE clinical guideline, 178, pp.1~59 (2014)
- 김성완, "조현병 환자를 위한 정신사회적 중재", 신경정신의학, 57(3), pp.235~243 (2018), 대한신경정신의학회[DOI]
- McFarlane WR, "Family interventions for schizophrenia and the psychoses:a review", Fam Process, 55, pp.460~482 (2016)
- Pharoah F, "Family intervention for schizophrenia", Cochrane Database Syst Rev, (4), pp.CD000088~ (2006)
- Korean Society for Schizophrenia Research, "Understanding schizophrenia" (2013), Koonja
- McFarlane WR, "Multifamily groups in the treatment of severe psychiatric disorders" (2004), The Guilford Press
- Anderson CM, "Expressed emotion and social networks of parents of schizophrenic patients", Br J Psychiatry, 144, pp.247~255 (1984)
- Dyck DG, "Service use among patients with schizophrenia in psychoeducational multiple-family group treatment", Psychiatr Serv, 53, pp.749~754 (2002)
- Yalom ID, "Inpatient group psychotherapy" (1983), Basic Books
- Song MS, "Family psychoeducation for Koreans with a Schizophrenic Patient in the Family", J Soc Korean Women Psychiatr, 17, pp.11~18 (2019)
- 임희수, "만성조현병 환자 가족의 극복력 증진 프로그램의 개발 및 효과", Journal of Korean Academy of Nursing, 43(1), pp.133~142 (2013), 한국간호과학회
- 신혜경, "조현병 단기 가족교육 프로그램이 가족 부담과 환자에 대한 감정에 미치는 효과", 대한조현병학회지, 16(2), pp.62~68 (2013), 대한조현병학회
- 설진화, "퇴원한 정신분열병 환자와 가족에 대한 지역사회복지관에서의 단기가족교육 프로그램의 효과", 한국사회복지학, 56(2), pp.261~283 (2004), 한국사회복지학회
- Lee YH, "Effect of a psychoeducational family therapy model for the families of schizophrenic patients", J Kor Neuropsychiar Assoc, 39, pp.479~494 (2000)
- Son JW, "The effect of brief program of family education for families of inpatients with schizophrenia", J Korean Neuropsychiar Assoc, 35, pp.1279~1297 (1996)
- Son MJ, "Psychoeducation program in small group for family with schizophrenia", Journal of Social Science Research, 2, pp.383~398 (1995)
- Öksüz E, "The effects of psychoeducation on the expressed emotion and family functioning of the family members in first-episode schizophrenia", Community Ment Health J, 53, pp.464~473 (2017)
- Mercado M, "Generalizability of the NAMI family-to-family education program : evidence from an efficacy study", Psychiatr Serv, 67, pp.591~593 (2016)
- Dixon LB, "Outcomes of a randomized study of a peer-taught familyto-family education program for mental illness", Psychiatr Serv, 62, pp.591~597 (2011)
- Fallahi Khoshknab M, "The effects of group psychoeducational programme on family burden in caregivers of Iranian patients with schizophrenia", J Psychiatr Ment Health Nurs, 21, pp.438~446 (2014)
- Chien WT, "The effectiveness of mutual support group intervention for Chinese families of people with schizophrenia : a randomised controlled trial with 24-month follow-up", Int J Nurs Stud, 50, pp.1326~1340 (2013)
- Fiorillo A, "The impact of a psychoeducational intervention on family members’ views about schizophrenia : results from the OASIS Italian multi-centre study", Int J Soc Psychiatry, 57, pp.596~603 (2011)
- Koolaee AK, "The outcome of family interventions for the mothers of schizophrenia patients in Iran", Int J Soc Psychiatry, 56, pp.634~646 (2010)
- Chow W, "Multi-family psycho-education group for assertive community treatment clients and families of culturally diverse background : a pilot study", Community Ment Health J, 46, pp.364~371 (2010)
- González-Blanch C, "Effects of family psychoeducation on expressed emotion and burden of care in first-episode psychosis : a prospective observational study", Span J Psychol, 13, pp.389~395 (2010)
- McWilliams S, "Caregiver psychoeducation for first-episode psychosis", Eur Psychiatry, 25, pp.33~38 (2010)
- Kulhara P, "Psychoeducational intervention for caregivers of Indian patients with schizophrenia : a randomised-controlled trial", Acta Psychiatr Scand, 119, pp.472~483 (2009)
- Chan SW, "Evaluation of a psychoeducation program for Chinese clients with schizophrenia and their family caregivers", Patient Educ Couns, 75, pp.67~76 (2009)
- Gutiérrez-Maldonado J, "Effects of a psychoeducational intervention program on the attitudes and health perceptions of relatives of patients with schizophrenia", Soc Psychiatry Psychiatr Epidemiol, 44, pp.343~348 (2009)
- Gutiérrez-Maldonado J, "Effectiveness of a psychoeducational intervention for reducing burden in Latin American families of patients with schizophrenia", Qual Life Res, 16, pp.739~747 (2007)
- Chien WT, "Evaluation of a peer-led mutual support group for Chinese families of people with schizophrenia", Am J Community Psychol, 42, pp.122~134 (2008)
- Sota S, "Effect of a family psychoeducational program on relatives of schizophrenia patients", Psychiatry Clin Neurosci, 62, pp.379~385 (2008)
- Chien WT, "Effectiveness of psychoeducation and mutual support group program for family caregivers of chinese people with schizophrenia", Open Nurs J, 2, pp.28~39 (2008)
- Chien WT, "A family psychoeducation group program for chinese people with schizophrenia in Hong Kong", Psychiatr Serv, 58, pp.1003~1006 (2007)
- Carrà G, "Family interventions for schizophrenia in Italy : randomized controlled trial", Eur Arch Psychiatry Clin Neurosci, 257, pp.23~30 (2007)
- Magliano L, "Patient functioning and family burden in a controlled, real-world trial of family psychoeducation for schizophrenia", Psychiatr Serv, 57, pp.1784~1791 (2006)
- So HW, "Efficacy of a brief intervention for carers of people with firstepisode psychosis : a waiting list controlled study", Hong Kong J Psychiatr, 16, pp.92~100 (2006)
- Yamaguchi H, "Direct effects of short-term psychoeducational intervention for relatives of patients with schizophrenia in Japan", Psychiatry Clin Neurosci, 60, pp.590~597 (2006)
- Thara R, "Family education in schizophrenia : a comparison of two approaches", Indian J Psychiatry, 47, pp.218~221 (2005)
- Cheng LY, "Psychoeducation program for Chinese family carers of members with schizophrenia", West J Nurs Res, 27, pp.583~599 (2005)
- Ran MS, "Effectiveness of psychoeducational intervention for rural Chinese families experiencing schizophrenia--a randomised controlled trial", Soc Psychiatry Psychiatr Epidemiol, 38, pp.69~75 (2003)
- Chou KR, "The effects of support groups on caregivers of patients with schizophrenia", Int J Nurs Stud, 39, pp.713~722 (2002)
- Merinder LB, "Patient and relative education in community psychiatry : a randomized controlled trial regarding its effectiveness", Soc Psychiatry Psychiatr Epidemiol, 34, pp.287~294 (1999)
- Morris E, "First psychosis liaison unit family education programme", Psychiatr Bull, 23, pp.212~214 (1999)
- Birchwood M, "Specific and non-specific effects of educational intervention for families living with schizophrenia. A comparison of three methods", Br J Psychiatry, 160, pp.806~814 (1992)
- Posner CM, "Family psychoeducational support groups in schizophrenia", Am J Orthopsychiatry, 62, pp.206~218 (1992)
- Kane CF, "A comparison of short-term psychoeducational and support groups for relatives coping with chronic schizophrenia", Arch Psychiatr Nurs, 4, pp.343~353 (1990)
- Abramowitz IA, "Impact of an educational support group on family participants who take care of their schizophrenic relatives", J Consult Clin Psychol, 57, pp.232~236 (1989)
- ". Available from"[URL]
- Pim C, "The effects of family interventions on relatives’ burden: a meta-analysis", J Mental Health, 8, pp.275~285 (1999)
- Mari JJ, "An overview of family interventions and relapse on schizophrenia : meta-analysis of research findings", Psychol Med, 24, pp.565~578 (1994)
- Pilling S, "Psychological treatments in schizophrenia: I. Meta-analysis of family intervention and cognitive behaviour therapy", Psychol Med, 32, pp.763~782 (2002)
