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One-year outcome of low-intensity booster sessions versus care as usual in psychosis patients after a short-term psychoeducational intervention

Published online by Cambridge University Press:  16 April 2020

Ingrid Sibitz ,
Michaela Amering ,
Ralf Gössler ,
Annemarie Unger  and
Heinz Katschnig
Ingrid Sibitz
Affiliation:
Department of Psychiatry, Medical University of Vienna, Währinger Gürtel 18–20, A-1090Vienna, Austria Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria
Michaela Amering*
Affiliation:
Department of Psychiatry, Medical University of Vienna, Währinger Gürtel 18–20, A-1090Vienna, Austria
Ralf Gössler
Affiliation:
Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria
Annemarie Unger
Affiliation:
Department of Psychiatry, Medical University of Vienna, Währinger Gürtel 18–20, A-1090Vienna, Austria
Heinz Katschnig
Affiliation:
Department of Psychiatry, Medical University of Vienna, Währinger Gürtel 18–20, A-1090Vienna, Austria Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria
*
*Corresponding author. Tel.: +43 1 40400 3546; fax: +43 1 40400 3605. E-mail address:michaela.amering@meduniwien.ac.at (M. Amering).
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Abstract

Objective

In this study we aimed to evaluate long-term effects of a community-based, quality of life oriented psychoeducational intervention for schizophrenia with and without booster sessions.

Method

One hundred and three outpatients with a diagnosis of schizophrenia or schizoaffective disorder completed a 9-week psychoeducational programme. At the end of the programme groups were block-randomised to either an extension programme comprising monthly booster sessions for a further nine months (booster condition) or routine clinical care with no further group meetings (non-booster condition). Outcome measures were applied before and after the seminar and at 6 and 12 months.

Results

Positive effects were observed after the short-term 9-week programme with regard to symptoms, knowledge about the illness, illness concept, control convictions and quality of life. These effects were retained over the 12-month period in both conditions. The only relevant difference between the booster and the non-booster conditions concerned external control convictions.

Conclusion

Overall this 9-week programme has shown encouraging effects still present at 12 months after baseline independent of booster or non-booster conditions. Further studies are needed to explore whether a subgroup of patients, those with impaired neurocognitive and social functioning, can benefit significantly from booster sessions.

Keywords

SchizophreniaPsychoeducationQuality of lifeBooster sessionsFollow-up study
Type
Original article
Information
European Psychiatry , Volume 22 , Issue 4 , May 2007 , pp. 203 - 210
Copyright
Copyright © Elsevier Masson SAS 2007

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References

Amering, A.Sibitz, I.Gössler, R.Katschnig, H.Wissen—genießen—besser leben. Ein Seminar für Menschen mit Psychoseerfahrung. Bonn: Psychiatrie-Verlag, http://www.verlag.psychiatrie.de/buecher/ebooks/; 2002. Elektronisches Buch.Google Scholar
Andres, K.Pfammatter, M.Fries, A.Brenner, H.D.The significance of coping as a therapeutic variable for the outcome of psychological therapy in schizophrenia. Eur Psychiatry 2003;18:149–154.CrossRefGoogle Scholar
Atkinson, J.M.Coia, D.A.Harper Gilmour, H.Harper, J.P.The impact of education groups for people with schizophrenia on social functioning and quality of life. Br J Psychiatry 1996;168:199–204.CrossRefGoogle ScholarPubMed
Awad, A.G.Antipsychotic medications: compliance and attitudes towards treatment. Curr Opin Psychiatry 2004;17:75–80.CrossRefGoogle Scholar
Bäuml, J.Pitschel-Walz, G.Kissling, W.Psychoedukative Gruppen bei schizophrenen Psychosen: Spezifische Auswirkungen eines bifokalen Ansatzes auf Krankheitsbewältigung und Rezidivraten im 4-Jahreszeitraum. Ergebnisse der Münchner PIP-Studie. In: Dittmar, V.Klein, H.E.Schön, D., editors. Die Behandlung schizophrener Menschen. Integrative Therapiemodelle und ihre Wirksamkeit. Regensburg: S. Roderer Verlag; 1997. p. 169–195.Google Scholar
Bechdolf, A.Köhn, D.Knost, B.Schiller, S.Klosterkötter, J.Hambrecht, M.et al.A randomized comparison of group cognitive-behavioural therapy and group psychoeducation in acute patients with schizophrenia: outcome at 24 months. Acta Psychiatr Scand 2005;112:173–179.CrossRefGoogle ScholarPubMed
Bobes, J.Garcia-Portilla, P.Saiz, P.A.Bascaran, T.Bousono, M.Quality of life measures in schizophrenia. Eur Psychiatry 2005;20(Suppl. 3):S313–S317.CrossRefGoogle Scholar
Böker, W.Brenner, H.D.Genner, R., editors. Towards a comprehensive therapy for schizophrenia. Seattle: Hogrefe and Huber; 1997.Google Scholar
Brenner, H.D.Pfammatter, M.Psychological therapy in schizophrenia: what is the evidence? Acta Psychiatr Scand 2000;102(Suppl. 407):1997. p. 74–77.CrossRefGoogle Scholar
Byerly, M.Fisher, R.Carmody, T.Rush, A.J.A trial of compliance therapy in outpatients with schizophrenia or schizoaffective disorder. J Clin Psychiatry 2005;66:997–1001.CrossRefGoogle ScholarPubMed
Colom, F.Lam, D.Psychoeducation: improving outcomes in bipolar disorder. Eur Psychiatry 2005;20:359–364.CrossRefGoogle ScholarPubMed
Day, J.C.Bentall, R.P.Roberts, C.Randall, F.Rogers, A.Cattell, D.et al.Attitudes toward antipsychotic medication. The impact of clinical variables and relationships with health professionals. Arch Gen Psychiatry 2005;62:717–724.CrossRefGoogle ScholarPubMed
Drake, R.E.Mueser, K.T.Torrey, W.C.Miller, A.L.Lehman, A.F.Bond, G.R.et al.Evidence-based treatment of schizophrenia. Curr Psychiatry Rep 2000;2:393–397.CrossRefGoogle ScholarPubMed
Hamann, J.Leucht, S.Kissling, W.Shared decision making in psychiatry. Acta Psychiatr Scand 2003;107:403–409.CrossRefGoogle Scholar
Hiller, W.Zaudig, M.Mombour, W.IDCL/ICD 10 International Diagnostic Checklists. IDCL Internationale Diagnosen Checklisten für ICD-10 und DSM-IV. Bern: Verlag Huber; 1995.Google Scholar
Hogan, T.P.Awad, A.G.Eastwood, R.A self-report scale predictive of drug compliance in schizophrenia: reliability and discriminative ability. Psychol Med 1983;13:177–183.CrossRefGoogle Scholar
Hornung, W.P.Kieserg, A.Feldmann, R.Buchkremer, G.Psychoeducational training for schizophrenic patients: background, procedure and empirical findings. Patient Educ Counsel 1996;29:257–268.CrossRefGoogle ScholarPubMed
Hornung, W.P.Klingberg, S.Feldmann, R.Schonauer, K.Schulze Mönking, H.Collaboration with drug treatment by schizophrenic patients with and without psychoeducational training: results of a 1-year follow-up. Acta Psychiatr Scand 1998;97:213–219.CrossRefGoogle ScholarPubMed
Jaeger, J.Bitter, I.Czobor, P.Volavka, J.The measurement of subjective experience in schizophrenia: The Subjective Deficit Syndrome Scale. Compr Psychiatry 1990;31(3):216–226.CrossRefGoogle ScholarPubMed
Janè-Llopis, E.Katschnig, H.Improving quality of life through mental health promotion. In: Katschnig, H.Freeman, H.Sartorius, N., editors. Quality of life in mental disorders. 2nd ed.Chichester New York: John Wiley & Sons; 2006. p. 331–342.Google Scholar
Katschnig, H.Freeman, H.Sartorius, N., editors. Quality of life in mental disorders. 2nd ed.Chichester New York: John Wiley & Sons; 2006.Google ScholarPubMed
Kay, S.R.Fiszbein, A.Opler, L.A.The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13(2):2006. p. 261–276.CrossRefGoogle Scholar
Kemp, R.Kirov, G.Everitt, B.Hayward, P.David, A.Randomised controlled trial of compliance therapy. 18-month follow-up. Br J Psychiatry 1998;172:413–419.CrossRefGoogle ScholarPubMed
Kopelowicz, A.Liberman, R.P.Integrating treatment with rehabilitation for persons with major mental illnesses. Psychiatr Serv 2003;54:1491–1498.CrossRefGoogle ScholarPubMed
Krampen, G.FKK, Fragebogen zu Kompetenz- und Kontrollüberzeugungen. Göttingen: Hogrefe; 1991.Google Scholar
Linden, M.Nather, J.Wilms, H.U.Zur Definition, Bedeutung und Messung der Krankheitskonzepte von Patienten. Die Krankheitskonzeptskala (KK-Skala) für schizophrene Patienten. Fortschr Neurol Psychiatr 1988;56:35–43.CrossRefGoogle Scholar
Lohaus, A.Schmitt, G.M.KKG, Fragebogen zur Erhebung von Kontrollüberzeugungen zu Krankheit und Gesundheit. Göttingen: Hogrefe; 1989.Google Scholar
Martindale, B.Bateman, A.Crowe, M.Marginson, F., editors. Psychosis. Psychological approaches and their effectiveness. London: Gaskell; 2000.Google Scholar
Mezzich, J.E.Ruiperez, M.A.Perez, C.Yoon, G.Liu, J.Mahmud, S.The Spanish version of the quality of life index. presentation and validation. J Nerv Ment Dis 2000;188(5):2000. p. 301–305.CrossRefGoogle Scholar
Mueser, K.T.Bellack, A.S.Wade, J.H.Sayers, S.L.Rosenthal, C.K.The assessment of the educational needs of chronic psychiatric patients and their relatives. Br J Psychiatry 1992;160:674–680.CrossRefGoogle ScholarPubMed
Mueser, K.T.Corrigan, P.W.Hilton, D.W.Tanzman, B.Schaub, A.Gingerich, S.et al.Illness management and recovery: a review of the research. Psychiatr Serv 2002;53:1272–1284.CrossRefGoogle Scholar
O'Donnell, C.Donohoe, G.Sharkey, L.Owens, N.Migone, M.Harries, R.et al.Compliance therapy: a randomised controlled trial in schizophrenia. BMJ 2003;327(7419):834.CrossRefGoogle Scholar
Paley, G.Shapiro, D.A.Lessons from psychotherapy research for psychological interventions for people with schizophrenia. Psychol Psychother Theory Res Pract 2002;75:5–17.CrossRefGoogle ScholarPubMed
Pekkala, E.Merinder, L.Psychoeducation for schizophrenia. Cochrane Database Syst Rev 2002 CD002831.CrossRefGoogle Scholar
Pitschel-Walz, G.Bäuml, J.Bender, W.Engel, R.R.Wagner, M.Kissling, W.Psychoeducation and compliance in the treatment of schizophrenia: results of the Munich Psychosis Information Project Study. J Clin Psychiatry 2006;67:443–452.CrossRefGoogle ScholarPubMed
Rummel, C.B.Hansen, W.P.Helbig, A.Pitschel-Walz, G.Kissling, W.Peer-to-peer psychoeducation in schizophrenia: a new approach. J Clin Psychiatry 2005;66:1580–1585.CrossRefGoogle ScholarPubMed
Sibitz, I.Katschnig, H.Gössler, R.Amering, M.“Wissen—genießen—besser leben”—Ein Seminar für Psychoseerfahrene zur Verbesserung der Lebensqualität und Verringerung der Verletzlichkeit. Psychiatr Prax 2006;33(4):170–176 (in German).CrossRefGoogle Scholar
Sibitz, I.Amering, M.Gössler, R.Unger, A.Katschnig, H.How patients view psychoeducational groups: a qualitative study, Submitted for publication.Google Scholar
Ueland, T.Rund, B.R.Cognitive remediation for adolescents with early onset psychosis: a 1-year follow-up study. Acta Psychiatr Scand 2005;111:193–201.CrossRefGoogle ScholarPubMed
Whisman, M.A.The efficacy of booster maintenance sessions in behavior therapy: review and methodological critique. Clin Psychol Rev 1990;10:155–170.CrossRefGoogle Scholar
Yamada, K.Watanabe, K.Nemoto, N.Fujita, H.Chikaraishi, C.Yamauchi, K.et al.Prediction of medication noncompliance in outpatients with schizophrenia: 2-year follow-up study. Psychiatry Res 2006;141:61–69.CrossRefGoogle ScholarPubMed
Zygmunt, A.Olfson, M.Boyer, C.A.Mechanic, D.Interventions to Improve Medication Adherence in Schizophrenia. Am J Psychiatry 2002;159:1653–1664.CrossRefGoogle Scholar
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