Expressed emotions, burden and family functioning in schizophrenic and bipolar I patients of a multimodal intervention programme: PRISMA
| Autor: | Yuli Agudelo Berruecos, Alexandra Ramírez, Ana M. Díaz-Zuluaga, Carlos López-Jaramillo, Juan David Palacio, Kelly Duica, Sigifredo Ospina, Cristian Vargas |
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| Rok vydání: | 2017 |
| Předmět: |
Family therapy
Occupational therapy medicine.medical_specialty Multivariate analysis Neuropsychology medicine.disease 030227 psychiatry Substance abuse 03 medical and health sciences 0302 clinical medicine Schizophrenia Intervention (counseling) medicine General Earth and Planetary Sciences Bipolar disorder Psychology Psychiatry 030217 neurology & neurosurgery General Environmental Science Clinical psychology |
| Zdroj: | Revista Colombiana de Psiquiatría (English ed.). 46:2-11 |
| ISSN: | 2530-3120 |
| DOI: | 10.1016/j.rcpeng.2017.03.008 |
| Popis: | Introduction Bipolar disorder and schizophrenia are causes of major suffering in patients. Nevertheless, they also affect family and caregiver functioning. This is important because the participation and involvement of families and caregivers is essential to achieve an optimal treatment. Objective To describe the level of expressed emotions, burden, and family functioning of bipolar and schizophrenic patients and, to evaluate the efficacy of the multimodal intervention (MI) versus traditional intervention (TI) in family functioning and its perception by patients and caregivers. Material and methods A prospective, longitudinal, therapeutic-comparative study was conducted with 302 patients (104 schizophrenic and 198 bipolar patients) who were randomly assigned to a MI or TI groups of a multimodal intervention programme PRISMA. MI group received care from psychiatry, general medicine, neuropsychology, family therapy, and occupational therapy. TI group received care from psychiatry and general medicine. Hamilton, Young and SANS, SAPS scales were applied to bipolar and schizophrenic patients, respectively. The EEAG, FEICS, FACES III and ECF were also applied at the initial and final time. Results There were statistically significant differences in socio-demographic and clinical variables in schizophrenia vs bipolar group: 83% vs 32.2% were male, 37 vs 43 mean age, 96% vs 59% were single, 50% vs 20% unemployed, and 20% vs 40% had college studies. In addition, 2 vs 2.5 numbers of hospitalisations, 18 vs 16 mean age of substance abuse onset and, 55 vs 80 points in EEAG. There were no statistically significant differences in family scales after conducting a multivariate analysis on thr initial and final time in both groups. Conclusions This study did not show changes in variables of burden and family functioning between bipolar and schizophrenic groups that were under TI vs MI. |
| Databáze: | OpenAIRE |
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