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Effects of Family Psychoeducation on Expressed Emotion and Burden of Care in First-Episode Psychosis: A Prospective Observational Study

Published online by Cambridge University Press:  10 January 2013

César González-Blanch ,
Vanessa Martín-Muñoz ,
Gema Pardo-García ,
Obdulia Martínez-García ,
Mario Álvarez-Jiménez ,
José Manuel Rodríguez-Sánchez ,
José Luis Vázquez-Barquero  and
Benedicto Crespo-Facorro
César González-Blanch*
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
Vanessa Martín-Muñoz
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
Gema Pardo-García
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
Obdulia Martínez-García
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
Mario Álvarez-Jiménez
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
José Manuel Rodríguez-Sánchez
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
José Luis Vázquez-Barquero
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
Benedicto Crespo-Facorro
Affiliation:
Hospital Universitario Marqués de Valdecilla (Spain)
*
Correspondence concerning this article should be addressed to César González-Blanch Hospital Universitario “Marqués de Valdecilla”. Unidad de Investigación en Psiquiatría de Cantabria. Avda. Valdecilla s/n. Edificio 2 de Noviembre. Planta 2a. 39008 Santander. Cantabria. (Spain). Phone: +34-942202537. Fax: +34-942203447. E-mail: cgblanch@terra.es
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Abstract

The present study aimed to examine the levels and interactions of family burden (FB) and expressed emotion (EE) in first episode psychosis (FEP) patients and, secondly, to observe the potential change after a brief psychoeducational group intervention implemented in a real world clinical setting. Twenty-three key relatives of FEP patients received a brief psychoeducational group intervention. FB and EE were assessed before and after the intervention. EE-change and correlations between variables were examined. Half of the sample of key-relatives showed high levels of EE. No severe family burden was observed. FB and EE did not change after the intervention. Family subjective and objective burden were correlated with emotional overinvolvement, but not with criticism. Brief psychoeducational groups may not be sufficient to reduce FB and EE associated to the experience of caregiving for a family member with a first-episode psychotic disorder.

El presente estudio tiene por objetivo examinar los niveles y las interacciones de la sobrecarga familiar (SF) y emoción expresada (EE) en cuidadores de pacientes con un primer episodio de psicosis (PEP) y, secundariamente, observar su potencial cambio después de un grupo psicoeducativo breve implementado en un contexto asistencial rutinario. Veintitrés familiares clave de pacientes con un PEP recibieron una breve intervención grupal de tipo psicoeducativo. SF y EE fueron evaluados antes y después de la intervención. Se examinó tanto el cambio de la SF y la EE como las correlaciones entre ellas. La mitad de la muestra de familiares mostró altos nivel de EE. No se observó una SF grave. Ni la SF ni la EE cambiaron después de la intervención. La sobrecarga familiar objetiva y subjetiva correlacionaron con la sobreimplicación, pero no con los comentarios críticos. Los grupos psicoeducativos breves pueden no ser suficiente para reducir la SF y la EE asociada a la experiencia

Keywords

expressed emotionburdenfirst-episode psychosispsychoeducationfamily interventionemoción expresadasobrecargaprimer episodio de psicosispsicoeducaciónintervención con familias
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 13 , Issue 1 , May 2010 , pp. 389 - 395
Copyright
Copyright © Cambridge University Press 2010

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