조현병 단기 가족교육 프로그램이 가족 부담과 환자에 대한 감정에 미치는 효과
The Effect of a Short-Term Family Psychoeducation Program for Schizophrenia on Family Burden and Emotions Towards Patients
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
본 연구 결과를 통해 부산백병원 정신건강의학과에서 시행하고 있는 단기 가족교육 프로그램이 조현병 환자 가족의지식을 높일 뿐 아니라 불안감과 우울감을 감소시키는 데 효과적이라는 것을 증명하였다. 향후 단기 가족교육 프로그램의 참여율을 높이면서 많은 가족의 지속적인 참여를 유도할수 있도록 보완하는 것이 필요할 것으로 보인다.
Abstract
Objectives : The aim of this study was to investigate continuously on how a short-term family psychoeducation program for schizophrenia would change the emotional stress and the knowledge of the family members. Methods : Subjects were the family members who participated in the short-term family psychoeducation program for schizophrenia. The participants were asked to fill out self-reporting forms for 3 times-before commencing the 6-week family education, immediately after completing the program, and 3 months after completing the program respectively. Results : A total of 46 subjects participated, and 20 of them responded to all questionnaires. Three months after the completion of psychoeducation, depression and anxiety subscale score among the General Health Questionnaire-28 decreased by 2.60 (p=0.04) and 2.20 (p=0.04) respectively. In caregiver burden criterion, the score decreased by 9.45 (p=0.04) in 3 months after completing the education. In knowledge about schizophrenia test, the score increased by 2.60 score (p＜0.001), and this result was maintained after 3 months. Conclusion : It was found that a short-term family education program for schizophrenia was effective not only in improving the knowledge on the disease but also in reducing anxiety and depression, and this effect was maintained immediately after the psychoeducation and so was it as time passed as well. (Korean J Schizophr Res 2013;16:62-68)
참고문헌 (29)
- Lam DH, "Psychosocial family intervention in schizophrenia: a review of empirical studies", Psychol Med, 21, pp.423~441 (1991)
- Agnes BH, "Family education in mental illness" (1990), Guilford Press
- Goldstein MJ, "Psychosocial (nonpharmacological) treatment for schizophrenia. Vol 10" (1991), American Psychiatric Press
- Berkowitz R, "Educating relatives about schizophrenia", Schizophr Bull, 10, pp.418~429 (1984)
- Cozolino LJ, "The impact of education about schizophrenia on relatives varying in expressed emotion", Schizophr Bull, 14, pp.675~687 (1988)
- Birchwood M, "Expressed emotions and first episodes of schizophrenia", Br J Psychiatry, 151, pp.859~860 (1987)
- Tarrier N, "The assessment of psychophysiological reactivity to the expressed emotion of relatives of schizophrenic patients", Br J Psychiatry, 152, pp.618~624 (1988)
- Hogarty GE, "Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia. I. One-year effects of a controlled study on relapse and expressed emotion", Arch Gen Psychiatry, 43, pp.633~642 (1986)
- Leff J, "Social intervention in schizophrenic families", Lancet, 2, pp.1275~ (1982)
- American Psychiatric Association, "Practice guideline for the treatment of patients with schizophrenia", Am J Psychiatry, 154(4 Suppl), pp.1~63 (1997)
- Kreyenbuhl J, "The Schizophrenia Patient Outcomes Research Team (PORT): updated treatment recommendations 2009", Schizophr Bull, 36, pp.94~103 (2010)
- "Treatment of schizophrenia 1999. The expert consensus guideline series", J Clin Psychiatry, 60(Suppl 11), pp.3~80 (1999)
- Bhanji NH, "Managing schizophrenia during the stable phase: is there consensus among practice guidelines?", Can J Psychiatry, 47, pp.76~80 (2002)
- Lee YH, "Effect of a psychoeducational family therapy model for the families of schizophrenic patients", J Korean Neuropsychiatr Assoc, 39, pp.479~494 (2000)
- Son JW, "The effect of brief program of family education for families of inpatients with schizophrenia", J Korean Neuropsychiatr Assoc, 35, pp.1279~1297 (1996)
- Hong SW, "A study on psychological reaction and coping strategy in the family members of psychotic patients", J Korean Neuropsychiatr Assoc, 33, pp.117~129 (1994)
- Kang DH, "The objective and subjective family burden of schizophrenic patient", J Korean Neuropsychiatr Assoc, 34, pp.193~203 (1995)
- McWilliams S, "Schizophrenia: A five-year follow-up of patient outcome following psycho-education for caregivers", European Psychiatry, 27, pp.56~61 (2012)
- Goldberg DP, "A scaled version of the General Health Questionnaire", Psychological Medicine, 9, pp.139~145 (1979)
- Friedrich F, "The criterion validity of different versions of the General Health Questionnaire among non-psychiatric inpatients", Soc Psychiatry Psychiatr Epidemiol, 46, pp.635~641 (2011)
- Goodchild ME, "Chronicity and the General Health Questionnaire", Br J Psychiatry, 146, pp.55~61 (1985)
- Platt S, "Measuring the burden of psychiatric illness on the family: an evaluation of some rating scales", Psychol Med, 15, pp.383~393 (1985)
- Kim CK, "A preliminary study for the development of the family burden scale of schizophrenics", J Korean Neuropsychiatr Assoc, 38, pp.539~553 (1999)
- Compton MT, "Assessing knowledge of schizophrenia: development and psychometric properties of a brief, multiple-choice knowledge test for use across various samples", Psychiatry Res, 151, pp.87~95 (2007)
- Jang MH, "The Effect of the Structured Family Education on Knowl-edge·Attitude and Anxiety about Mental Illness for Families of Inpatients with Schizophrenia" (1998), Kyunghee Univ. Press
- Lee JY, "A study on effectiveness of family education program in lessening of the burden of the schizophrenia’s family" (1995), Bucheon: Catholic Univ. Press
- Kim MJ, "Family Education Program on the Knowledge and the Burden of Schizophrenia Patient’s Family", J Korean Acad Psychiatr Ment Health Nurs, 11, pp.273~284 (2002)
- Magliano L, "Implementing psychoeducational interventions in Italy for patients with schizophrenia and their families", Psychiatr Serv, 57, pp.266~269 (2006)
- Goldstein MJ, "Drug and family therapy in the aftercare of acute schizophrenics", Arch Gen Psychiatry, 35, pp.1169~1177 (1978)