Mindfulness-based family psychoeducation intervention for caregivers of young adults with first-episode psychosis: results at 9-month follow-up.

Autor:	Zhang ZJ; Department of Applied Social Sciences, Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China., Lo HHM; Department of Applied Social Sciences, Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China., Ho WC; Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR, China., Lau ENS; Department of Educational Administration & Policy, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China., Ng SM; Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong SAR, China., Mak WWS; Department of Educational Administration & Policy, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China., Wong SYS; Department of Educational Administration & Policy, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China., Hung KSY; Department of General Adult Psychiatry, Castle Peak Hospital, Hong Kong, Hong Kong SAR, China., Lai IYS; Department of General Adult Psychiatry, Castle Peak Hospital, Hong Kong, Hong Kong SAR, China., Lo CSL; Department of General Adult Psychiatry, Castle Peak Hospital, Hong Kong, Hong Kong SAR, China., Wong JOY; Department of General Adult Psychiatry, Castle Peak Hospital, Hong Kong, Hong Kong SAR, China., Lui SSY; Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong SAR, China., Siu CMW; Kowloon Hospital, Hospital Authority, Hong Kong, Hong Kong SAR, China., Yan EWC; Kowloon Hospital, Hospital Authority, Hong Kong, Hong Kong SAR, China., Chan SHW; Centre for Health and Clinical Research, University of the West of England, Bristol, United Kingdom., Lin E; Department of General Adult Psychiatry, Castle Peak Hospital, Hong Kong, Hong Kong SAR, China., Wong GOC; Lingnan University, Hong Kong, Hong Kong SAR, China., Mak JWH; Hong Kong Family Welfare Society, Hong Kong, Hong Kong SAR, China., Tam HSW; Department of Applied Social Sciences, Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.; Heartfelt Listening Counselling Space, Hong Kong, Hong Kong SAR, China., Tse IHH; Hong Kong Family Welfare Society, Hong Kong, Hong Kong SAR, China.
Jazyk:	angličtina
Zdroj:	Frontiers in psychiatry [Front Psychiatry] 2024 Sep 26; Vol. 15, pp. 1460151. Date of Electronic Publication: 2024 Sep 26 (Print Publication: 2024).
DOI:	10.3389/fpsyt.2024.1460151
Abstrakt:	Objectives: To investigate the effects of a mindfulness-based family psychoeducation (MBFPE) intervention on caregivers and the young adults with first-episode psychosis in mental health care. Methods: Sixty-five caregivers were randomly assigned to the MBFPE program (n = 33) or an ordinary family psychoeducation (FPE) program (n = 32). Eighteen young adults in recovery (YAIR) also participated in the study. All of the participants completed the assessments before participating in the intervention (T1), after the intervention (T2), and at 9-month follow-up (T3). Results: Intention-to-treat analyses were conducted. The caregivers reported a significant and large effect size on positive caregiving experiences based on a Time × Group analysis ( g = 0.862, p = 0.006). Among the YAIR participants, between-group differences were significant in their perceptions of caregivers' expressed emotions, including large effect sizes of perceived criticism ( g = 1.396, p = 0.049) and hostility ( g = 1.444, p = 0.043). Caregiver demographics, including age, education level, socioeconomic status, and number of family members, were found to moderate the effect sizes of the variables studied. Conclusion: This study provides evidence of the effects of MBFPE programs on the outcomes of caregivers and the young adults with first-episode psychosis in their care. Specifically, the MBFPE program in this study played a greater role in promoting positive caregiving experiences and changing caregivers' expressed emotions, especially their expressed criticism of YAIR, compared with the regular FPE program. Therefore, the application of mindfulness training to promote family care and YAIR recovery should be encouraged. Clinical Trial Registration: ClinicalTrials.gov, identifier NCT03688009. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. (Copyright © 2024 Zhang, Lo, Ho, Lau, Ng, Mak, Wong, Hung, Lai, Lo, Wong, Lui, Siu, Yan, Chan, Lin, Wong, Mak, Tam and Tse.)
Databáze:	MEDLINE
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