Viewing Study NCT01731977



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Last Modification Date: 2024-10-26 @ 10:59 AM
Study NCT ID: NCT01731977
Status: COMPLETED
Last Update Posted: 2016-01-05
First Post: 2012-11-18

Brief Title: Strengths-Based Family Psychoeducation for Youth Psychosis
Sponsor: Nagoya City University
Organization: Nagoya City University

Study Overview

Official Title: Effectiveness of the Strengths-Based Family Psychoeducation for Youth Psychosis Randomized Controlled Trial
Status: COMPLETED
Status Verified Date: 2016-01
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The onset of Psychosis forces family members to bear a heavy burden of care The mental well-being of the family is so complicated that it is important to relieve their psychological stresses Although family psychoeducation has been established as an evidence-based practice especially for schizophrenia few studies have primarily intended to reduce the distress of the family due to the burden of care MacFarlanes multifamily psychoeducation is one of the representative models of a group setting which is based on the behavioral therapeutic approach In such psychological interventions it has been emphasized to focus on the strengths that a person originally has for coping with difficulties The intervention of mainly drawing the strengths from the family might empower them and lighten their psychological burden

The first 2-5 years from the onset of psychosis is regarded as the critical period to improve the prognosis so the intervention including more recent-onset psychotic patients might be of use With regard to a setting of the psychoeducational intervention a homogeneous group one can make the program better fitted for their problems The present study aims to examine if the strength-based family psychoeducaiton for youth psychosis in a group setting in addition to the treatment as usual would be more effective for alleviating the psychological distresses of the family than the treatment as usual alone Moreover its impact on the family of recent-onset psychosis is explored as the subgroup
Detailed Description: Psychosis principally involving schizophrenia is a severe mental illness that commonly develops at a young age and often has a chronic course The onset of Psychosis forces family members to bear a heavy burden of care It has been documented over and over again that the mental well-being of the family is complicated More than a dozen per cent of the family have the morbidity corresponding to be depressive and anxiety disorders It is important to relieve their psychological stresses

The concept of the burden of care is so broad and complex that its simple definition is a challenging issue It is usually defined as objective impacts on the household and subjective consequences which contain physical economic emotional and psychological components The psychological component involves the stigma against psychiatric disorders The studies of intervention to the family having a psychotic member have been mostly conducted for the primary interest of reducing the rate of relapse and rehospitalization of the psychotic Their rationale of the intervention is based on the roles of the family that develop the illness and cause a relapse eg etiological relationship or expressed emotion Although family psychoeducation has been established as an evidence-based practice especially for schizophrenic patients few studies have primarily intended to reduce the burden of their family

Among various types of family psychoeducation the group setting is considered as a better method in terms of the creation of social support networks limited medical resources and cost-effectiveness MacFarlanes multifamily psychoeducation is one of the representative models of a group setting which is composed of joining sessions an educational workshop and structured problem-solving group sessions MacFarlanes model is based on the behavioral therapeutic approach that mainly aims at stopping a vicious cycle The cycle of schizophrenia is peculiarly caused by expressed emotion which is negative one expressed by the family that lead to a high relapse rate eg hostility or criticism

In such psychological interventions it has been emphasized to focus not only on the vicious cycle but also on strengths The strengths are defined as the power that a person has originally for coping with difficulties The intervention of mainly drawing out the strengths of the family might empower them to face difficulties voluntarily and lighten their psychological burden However to date the effectiveness of family psychoeducation based on the strengths approach has not been confirmed

The onset of psychosis is generally at a young age The first 2-5 years from the onset of psychosis is regarded as the critical period to improve the prognosis so the intervention including more recent-onset psychotic patients might be of use Additionally the family of a young patient has been reported to have strong concerns about returning to school going to work and getting married With regard to a setting of the psychoeducational intervention a homogeneous group one can make the program better fitted for their problems and heighten group cohesiveness

The present study aims to examine if the strength-based family psychoeducaiton for youth psychosis in a group setting in addition to the treatment as usual would be more effective for alleviating the psychological distresses of the family than the treatment as usual alone Moreover its impact on the family of recent-onset psychosis is explored as the subgroup

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
No 29 OTHER_GRANT Aichi Health Promotion Foundation None