[Introduction of a psychoeducational and support group for caregivers of patients living with schizophrenia].

Q4 Medicine Psychiatria Hungarica Pub Date : 2023-01-01
Julia Markovits, Anna Nyulászi, János Réthelyi
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Abstract

In recent years there has been a shift in the long-term treatment of patients living with schizophrenia, the institutional focus being increasingly replaced by outpatient and community-based interventions. Relatives of patients with schizophrenia play a key role in treatment, greatly assisting the monitoring of patients' condition and facilitating their involvement in long-term care. The challenges associated with the varied symptoms of schizophrenia place an increased burden on family members, including psychological distress often accompanied by a deterioration in quality of life. In this context, the literature and international protocols highlight the need for interventions involving the patients' family, which in most cases focus on psychoeducation and development of communication skills. At the Department of Psychiatry and Psychotherapy, Semmelweis University, we have initiated and organized psychoeducational support groups for relatives of patients living with schizophrenia since August 2019. The first half of the 10-session training focuses on providing information about the disease, therapeutic options, and relapse prevention, reflecting on the family members' own experiences. In the second half of the training, we focus on the psychological difficulties that family members face in their daily lives, such as stress management and communication problems within the family, stigmatization and decreased self-care. In this article besides summarizing the literature, we present the structure of the training for relatives and our experiences with the process of the groups, including our future plans and possibilities for improvement.

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[介绍精神分裂症患者护理人员的心理教育和支持小组]。
近年来,精神分裂症患者的长期治疗发生了转变,机构的重点日益被门诊和社区干预所取代。精神分裂症患者的亲属在治疗中发挥着关键作用,极大地协助监测患者的病情,并促进他们参与长期护理。精神分裂症各种症状所带来的挑战加重了家庭成员的负担,包括常常伴有生活质量下降的心理困扰。在这种情况下,文献和国际协议强调需要涉及患者家庭的干预措施,在大多数情况下,这些干预措施侧重于心理教育和沟通技巧的发展。Semmelweis大学精神病学和心理治疗系自2019年8月以来,我们发起并组织了精神分裂症患者亲属的心理教育支持小组。10期培训的前半部分侧重于提供有关疾病、治疗方案和预防复发的信息,并反思家庭成员自己的经历。在培训的后半部分,我们重点关注家庭成员在日常生活中面临的心理困难,如压力管理和家庭内部的沟通问题,污名化和自我照顾的减少。在这篇文章中,除了总结文献外,我们还介绍了亲属培训的结构和我们在小组过程中的经验,包括我们未来的计划和改进的可能性。
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来源期刊
Psychiatria Hungarica
Psychiatria Hungarica Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
0
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