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Psychoeducation for caregivers of patients with bipolar disorder–Lessons learned from a feasibility study
Journal of Affective Disorders ( IF 6.6 ) Pub Date : 2021-03-31 , DOI: 10.1016/j.jad.2021.03.060
Rebecca L. Casarez , Jair C. Soares , Thomas D. Meyer

Introduction

The purpose of this study was to test the feasibility and potential efficacy of a 7-week psychoeducation intervention implemented in a group setting. The intervention was based on Miklowitz's (2008) psychoeducation component of Family-Focused Therapy.

Method

This was a feasibility randomized controlled trial study using a 2-group design (intervention and wait-list control). Twelve adult family members of those with bipolar disorder were randomized to receive 7 psychoeducation sessions immediately or after a 7-week waiting period. Outcomes were caregiver burden, depression, mental-well being, health status, and cortisol and interleukin-6 (IL-6) levels. Frequencies and percentages were used to calculate feasibility measures. The Wilcoxon Signed Rank Test was used to assess change over time during treatment.

Results

Twelve participants were recruited out of a projected sample size of 40. Feasibility rates included the following: 85% retention rate, 100% data collection rate, 94% attendance rate. The mean satisfaction score was 17.25, with potential scores of 4-20. There were trends in improvement in some of the variables (caregiver burden, mental well-being, IL-6) from pre-to post-intervention.

Limitation

The study lacked a sufficient sample size.

Conclusion

Although some feasibility results were positive and the participants were satisfied with the intervention, recruitment was challenging. The study setting was near downtown in a sprawling urban area. Also, potential participants often assume multiple role responsibilities. They often lacked the time to physically attend the sessions. Future studies could incorporate teleconference or virtual environment platforms.



中文翻译:

躁郁症患者护理人员的心理教育-可行性研究的经验教训

介绍

这项研究的目的是测试在小组环境中实施的为期7周的心理教育干预措施的可行性和潜在疗效。该干预措施是基于Miklowitz(2008)的“以家庭为中心的治疗”的心理教育组成部分。

方法

这是一项采用2组设计(干预和等待名单控制)的可行性随机对照试验研究。患有躁郁症的十二个成年家庭成员被随机分配立即接受心理教育,或在等待7周后接受7次心理教育。结果是照料者负担,抑郁,心理健康,健康状况以及皮质醇和白介素6(IL-6)水平。频率和百分比用于计算可行性度量。Wilcoxon签署秩检验用于评估治疗期间随时间的变化。

结果

从预计的40名样本中招募了12名参与者。可行性比率包括:保留率85%,数据收集率100%,出勤率94%。平均满意度得分为17.25,潜在得分为4-20。从干预前到干预后,某些变量(护理人员负担,心理健康,IL-6)都有改善的趋势。

局限性

该研究缺乏足够的样本量。

结论

尽管一些可行性研究结果是积极的,并且参与者对干预感到满意,但招募工作具有挑战性。研究环境位于市区附近的繁华地区。同样,潜在的参与者经常承担多重角色的责任。他们通常没有时间亲自参加会议。未来的研究可能会整合电话会议或虚拟环境平台。

更新日期:2021-04-06
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