Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysis.

Autor:	Sampogna G; Department of Mental Health, University of Campania 'L. Vanvitelli', Naples, Italy.; WHO Collaborating Centre for Research and Training, Naples, Italy., Brohan E; Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland., Luciano M; Department of Mental Health, University of Campania 'L. Vanvitelli', Naples, Italy.; WHO Collaborating Centre for Research and Training, Naples, Italy., Chowdhary N; Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland., Fiorillo A; Department of Mental Health, University of Campania 'L. Vanvitelli', Naples, Italy.; WHO Collaborating Centre for Research and Training, Naples, Italy.
Jazyk:	angličtina
Zdroj:	European psychiatry : the journal of the Association of European Psychiatrists [Eur Psychiatry] 2023 Nov 24; Vol. 66 (1), pp. e98. Date of Electronic Publication: 2023 Nov 24.
DOI:	10.1192/j.eurpsy.2023.2472
Abstrakt:	Background: Severe mental disorders - such as schizophrenia, bipolar disorder, and substance use disorders - exert a negative impact not only on affected people but also on their carers. To support carers of people with severe mental disorders, several psychosocial interventions have been developed. Methods: This systematic review and meta-analysis aimed to assess whether psychosocial interventions for carers of persons with schizophrenia, bipolar disorder, or substance use disorders produce benefit/harm with respect to a series of outcomes - including subjective and objective burden, depressive symptoms, well-being/quality of life, sleep, skills/knowledge, self-efficacy, physical health - as compared to standard support/support as usual or other control conditions. Results: In carers of persons with schizophrenia, psychoeducational interventions were associated with significant improvement in personal burden, well-being, and knowledge about the illness; and a supportive-educational intervention with an improvement in personal burden. In carers of persons with bipolar disorder, psychoeducational interventions were associated with significant improvement in personal burden and depressive symptoms; family-led supportive interventions with an improvement in family burden; family-focused intervention and online "mi.spot" intervention with a significant reduction in depressive symptoms. Psychosocial interventions used for carers of persons with substance use disorders were found to be overall effective on the level of well-being, but the low number of trials did not allow detection of differences between the various psychosocial interventions. Conclusions: The quality of the evidence ranged from very low to moderate, suggesting the need for further better-quality research.
Databáze:	MEDLINE
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