Education in schizophrenia: How patients and their relatives assess the relapse prevention programme PREDUKA
Authors:
Lucie Bankovská Motlová 1,2; Eva Dragomirecká 2; Šárka Matelová 3; Renata Otevřelová 3; Radka Čermáková 2; Jan Čermák 2; Eva Lednická 4; Renata Hegedüšová 4; Tomáš Hübsch 5; Soňa Rothanzlová 5; Martinatomešová 6; Filip Španiel 1,2; Eva Kitzlerová 7
Authors place of work:
Univerzita Karlova v Praze, 3. lékařská fakulta
1; Psychiatrické centrum Praha
2; Psychiatrická léčebna Kroměříž
3; Univerzita Karlova v Praze, 1. lékařská fakulta, Ústřední vojenská nemocnice
4; Psychiatrické oddělení nemocnice Pardubice
5; Psychiatrická ambulance Sokolov
6; Univerzita Karlova v Praze, 1. lékařská fakulta, Psychiatrická klinika VFN
7
Published in the journal:
Čas. Lék. čes. 2010; 149: 21-25
Category:
Original Article
Summary
Antipsychotic medication and early relapse warning signs detection are the cornerstone of relapse prevention in schizophrenia spectrum disorders. Many patients do not use antipsychotic medication because of lack of information about its preventive effects and the risk of relapse. We introduce PREDUKA – PREventive EDUcational programme for relapse prevention. The goal of the programme is to deliver the information about schizophrenia to patients and their relatives. 178 patients and 252 relatives (118 mothers and 51 fathers) took part in 25 one-day psychoeducational programmes in 6 centres in the Czech Republic between January 2008 and June 2009 and anonymously fulfilled a short questionnaire. Patients and relatives assessed the programme with an average mark 1.4 (1 best, 5 worst). 49.4% patients and 49.0% relatives had received enough information about psychotic disorders during their hospitalization. Moreover 94.1% patients and 95.7% relatives confirmed acquiring new information on how to live with psychosis as a result of PREDUKA programme. 59.6% patients and 73.8% relatives were interested in ITAREPS - Information Technology Aided Relapse Prevention Programme. Mothers were significantly more interested (82.2%) than fathers (62.2%) (p = 0,031). Expressed high interest of patients and their relatives in both programmes indicates their readiness to become active and competent partners in the long-term treatment of schizophrenia spectrum disorders.
Key words:
schizophrenia, psychoeducation, quality of life.
Zdroje
1. Motlová L, Koukolík F. Citový mozek: neurobiologie, klinika, terapie. Praha: Galén 2006; 359 s.
2. ÚZIS. Ústav zdravotnických informací a statistiky České republiky 2006 (www.uzis.cz)
3. Robinson D, Woermer MG, Alvir JM, et al. Predictors of relapse following response from a first episode of schizophrenia or schizoaffective disorder. Arch Gen Psychiatry 1999; 56: 241–247.
4. Shepherd M, Watt D, Falloon I, et al. The natural-history of schizophrenia – A 5-year follow-up-study of outcome and prediction in a representative sample of schizophrenics. 1989; 15: 1–46.
5. Corrigan PW, Liberman RP, Engel JD. From non-compliance to collaboration in the treatment of schizophrenia. Hospital and Community Psychiatry 1990; 41: 1203–1211.
6. Vasudevan S, Tong Y, Steitz JA. Psychopharmacology: Perspectives on medication adherence and atypical antipsychotic medications. 2003; 54: 665–667.
7. Španiel F. Edukace v kontextu vývoje medicíny. Psychoedukace aneb jak vnést světlo do tmy. Bulletin Academia Medica Pragensia 2005; 1 (2): 3–5.
8. Bauml J, Pitschel-Walt G, Volz D, et al. Psychoeducation in schizophrenia: 7-year follow-up concerning rehospitalization and days in hospital in the munich psychosis information project study. J Clin Psychiatry 2007; 68: 854–861.
9. Mueser KT, Torrey WC, Lynde D, et al. Implementing evidence-based practices for people with severe mental illness. Behavioral Modification 2003; 27 (2): 387–411.
10. McFarlane WR, Dixon L, Luken E, Lucksted A. Family psychoeducation and schizophrenia: A review of the literature. Journal of Marital and Family Therapy 2003; 29 (2): 223–245.
11. Dyck DG, Hendryx MS, Short RA. Service use among patients with schizophrenia in psychoeducational multiple-family group treatment. Psychiatric Services 2002; 53: 749–754.
12. Motlova L., Dragomirecka E, Spaniel F, et al. Relapse prevention in schizophrenia: Does group family psychoeducation matter? One-year prospective follow-up field study. International Journal of Psychiatry in Clinical Practice, 2006; 10 (1): 38–44.
13. Lincoln TM, Wilhelm K, Nestoriuc Y. Effectiveness of psychoeducation for relapse, symptoms, knowledge, adherence and functioning in psychotic disorders: a meta-analysis. Schizophrneia Res 2007; 96: 232–245.
14. Achieving the promise: Transpforming mental health care in America. Pub no SMA-03-3832. Rockville, Md, Department of health and human services. The prezident’s new freedom commision on mental health, 2003.
15. Raboch J, Anders M, Praško J, Kellerová P. Psychiatrie. Doporučené postupy psychiatrické péče II. Inphofarm, a.s., 2006.
16. Seifertová D, Praško J, Horáček J, Hőschl C. Postupy v léčbě psychických poruch. Academia Medica Pragensis a Medical Tribune, 2008.
17. Sherman MD. The support and family education (SAFE) Program: mental health facto for families. Psychiatric Services 2003; 54: 35–37.
18. Rummel-Kluge CH, Pitschel-Walz G, Maulm J, Kissling W. Psychoeducation in schizophrenia – results of a survey of all psychiatric institutions in Germany, Austria and Switzerland. Schizophrenia Bulletin 2006; 32 (4): 765–775.
19. Motlová L, Španiel F, Kitzlerová E, et al. PREDUKA: preventivně-edukační program prevence relapsů psychózy 2007.
20. Motlová L. Zkušenosti s psychoedukačními skupinami PRELAPSE v Psychiatrickém centru Praha. Biologické podklady Psychických poruch (editoři: Sikora J, Fišar Z, Petrovický P, Jirák R), 1997; 176–178
21. Kapur S, Mizrahi R, Li M. From dopamine to salience to psychosis-linking biology, pharmacology and phenomenology of psychosis. 2005; 79: 59–68.
22. Spaniel F, Novak T, Motlova L, et al. Information technology aided relapse prevention program in schizophrenia (ITAREPS): reliability and validity of the early warning signs questionnaire. Psychiatrie 2007; 11: 157–159.
23. Dixon L, Mc Farlane WR, Lefley H, et al. Evidence-based practices for services to family members of people with psychiatric disabilities. Psychiatr Serv 2001; 52: 903–910.
24. Bankovská-Motlová L, Dragomirecká E, Čermák J, et al. Rodinná psychoedukace u schizofrenie: demografické charakteristiky a kvalita života příbuzných. Psychiatrie 2009; 13 (4): 136–139.
25. Mc Williams S, Hill S, Mannion N, et al. Caregiver psychoeducation for schizophrenia: is gender important? Eur Psychiatry 2007; 22 (5): 323–327.
26. Wancata J, Freidl M, Krautgartner M, et al. Gender aspects of parentęnmeeds of schizophrenia patients. Soc Psychiatr Epidemiol 2008; 43: 968–974.
27. McGorry PD, Edwards J, Miholopoulos C, et al. EPPIC: An evolving system of early detection and optimal management. Schizophr Bull 1996; 22: 305–326.
28. Larsen TK, Friis S, Haar U, et al. Early detection and intervention in first-episode schizophrenia: A critical review. Acta Psychiatr Scand 2001; 103: 323–334.
29. Carbone S, Harrigan S, Mc Gorry PD, et al. Duration of untreated psychosis and 12-month outcome in first-episode psychosis: The impact of treatment approach. Acta Psychiatr Scand 1999; 100: 96–104.
30. Browne S, Clarke M, Gervin M, et al. Determinants of quality of life at first presentation with schizophrenia. Br J Psychiatry 2000; 176: 173–176.
31. Motlova L, Dragomirecka E, Spaniel F, Selepova P. The influence on family psychoeducation in schizophrenia on quality of life. Psychiatrie 2002; 4 (Suppl. 2): 42–45.
32. Prince DJ. Therapeutic alliance, illness awareness, and number of hospitalizations for schizophrenia. J Nerv Ment Dis 2007; 195: 170–174.
33. Sibitz I, Amering M, Gossler R, et al. Patient’s perspective on what works in psychoeducational groups for schizophrenia. Soc Psychiatr Epidemiol 2007; 42 (11): 909–915.
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