The Effectiveness of Psychological Education Based on Olson Model on Family Cohesion of Schizophrenic Patients in Bushehr

Document Type : Original Article

Authors

1 PhD student in Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran.

2 Assistant Professor, Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran.

3 Associate Professor, Department of Social Medicine, Bushehr University of Medical Sciences, Iran and Associate Professor, Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran

Abstract

Background: Family cohesion affects health, mental and physical well-being, academic achievement, and emotional health of the family with disturbance of family environment and feelings of depression, aggressive behaviors and delinquency, and disruption of family members' self-concept.

Objectives: This study aimed to investigate the effectiveness of psychological education based on Olson's model on family cohesion of schizophrenic patients in Bushehr.

Method: The research method was semi-experimental with a pretest-posttest and follow-up design. The statistical population consisted of 425 patients in all families of schizophrenic patients who were treated in the province's medical centers (both governmental and nongovernmental) in Bushehr in 2019. The sample size in this study will be 30 parents of schizophrenic patients. All of them had inclusion criteria and were selected by convenience sampling method and randomly assigned to the experimental and control group. Data obtained by Faces-IV Scale and analyzed using multivariate analysis of covariance and post-test by Spss.22.

Results: The results showed that psychological training based on the Olson model effectively improved family cohesion of schizophrenic patients (p<0.001).

Conclusion: Providing psychological services is necessary to promote and cohere the families of schizophrenic patients, so it can be said that psychological training based on family cohesion and flexibility can be used to promote and cohere the families of schizophrenic patients and provide the ground for their psychological care.

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Barnes E, Simpson S, Griffiths E, Hood K, Craddock N, Smith DJ. Developing an online psychoeducation package for bipolar disorder. Journal of Mental Health. 2011 Feb 1;20(1):21-31.
https://doi.org/10.3109/09638237.2010.525565
PMid:21271823
 
2. Çakir S, Özerdem A. Psychotherapeutic and psychosocial approaches in bipolar disorder: a systematic literature review. Turk Psikiyatri Dergisi. 2010 Jul 1;21(2):1.
https://doi.org/10.5080/u6157
PMid:20514565
 
3. Cavus MF, Gokcen A. Psychological capital: Definition, components and effects. Journal of Education, Society and Behavioural Science. 2015:244-55.
https://doi.org/10.9734/BJESBS/2015/12574
PMid:26270806
 
4. Brown CA, Weisman de Mamani A. The mediating effect of family cohesion in reducing patient symptoms and family distress in a culturally informed family therapy for schizophrenia: A parallel-process latent-growth model. Journal of consulting and clinical psychology. 2018 Jan;86(1):1.
https://doi.org/10.1037/ccp0000257
PMid:29172590 PMCid:PMC5754235
 
5. Robelo-Zarza O, Vargas-Huicochea I, Kelsall N, Rodríguez-Machain A. Suffering Depression: Illness Perception of Informal Primary Caregivers of Medical Students With Major Depressive Disorder. Journal of Patient Experience. 2020 Sep 10:2374373520958514.
https://doi.org/10.1177/2374373520958514
PMid:33457617 PMCid:PMC7786746
 
6. Gama CS, Kunz M, Magalhães PV, Kapczinski F. Staging and neuroprogression in bipolar disorder: a systematic review of the literature. Brazilian Journal of Psychiatry. 2013 Mar;35(1):70-4.
https://doi.org/10.1016/j.rbp.2012.09.001
PMid:23567604
 
7. Gaudiano BA, Weinstock LM, Miller IW. Improving treatment adherence in bipolar disorder: A review of current psychosocial treatment efficacy and recommendations for future treatment development. Behavior modification. 2008 May;32(3):267-301.
https://doi.org/10.1177/0145445507309023
PMid:18391049 PMCid:PMC3691269
 
8. Hancock KM, Swain J, Hainsworth CJ, Dixon AL, Koo S, Munro K. Acceptance and commitment therapy versus cognitive behavior therapy for children with anxiety: Outcomes of a randomized controlled trial. Journal of Clinical Child & Adolescent Psychology. 2018 Mar 4;47(2):296-311.
https://doi.org/10.1080/15374416.2015.1110822
PMid:26998803
 
9. Olson D. FACES IV and the circumplex model: Validation study. Journal of marital and family therapy. 2011 Jan;37(1):64-80.
https://doi.org/10.1111/j.1752-0606.2009.00175.x
PMid:21198689
 
10. Olson DH, Larson PJ, Olson-Sigg A. Couple checkup: Tuning up relationships. Journal of Couple & Relationship Therapy. 2009 May 29;8(2):129-42.
https://doi.org/10.1080/15332690902813810
 
11. Ghanbari Panah A, Sharif Mustaffa M. A Model of Family Functioning Based on Cohesion, Flexibility and Communication across Family Life Cycle in Married Women. International Journal of Psychology. 2019;13(2):195-228.
 
12. Kumar B, Singh AR. Efficacy of Social Skills Training for the Persons with Chronic Schizophrenia. Qualitative Report. 2015 May 1;20(5).
https://doi.org/10.46743/2160-3715/2015.2143
 
13. Kelly EL, Moen P, Oakes JM, Fan W, Okechukwu C, Davis KD, Hammer LB, Kossek EE, King RB, Hanson GC, Mierzwa F. Changing work and work-family conflict: Evidence from the work, family, and health network. American sociological review. 2014 Jun;79(3):485-516.
https://doi.org/10.1177/0003122414531435
PMid:25349460 PMCid:PMC4208075
 
14. Sado M, Inagaki A, Koreki A, Knapp M, Kissane LA, Mimura M, Yoshimura K. The cost of schizophrenia in Japan. Neuropsychiatric disease and treatment. 2013;9:787.
https://doi.org/10.2147/NDT.S41632
PMid:23785238 PMCid:PMC3682806
 
15. Koutra K, Simos P, Triliva S, Lionis C, Vgontzas AN. Linking family cohesion and flexibility with expressed emotion, family burden and psychological distress in caregivers of patients with psychosis: A path analytic model. Psychiatry research. 2016 Jun 30;240:66-75.
https://doi.org/10.1016/j.psychres.2016.04.017
PMid:27085666
 
16. Carvalho JC, Freitas PP, Leuschner A, Olson DH. Healthy functioning in families with a schizophrenic parent. Journal of Family Psychotherapy. 2014 Jan 2;25(1):1-1.
https://doi.org/10.1080/08975353.2014.881685
 
17. Jo A, Kim H, Lee JY, Kim JM, Jeong MH, Chung YC, Sohn SJ, Kim SW. The effects of patient personality traits and family cohesion on the treatment delay for patients with first‐episode schizophrenia spectrum disorder. Early Intervention in Psychiatry. 2020 Sep 2.
https://doi.org/10.1111/eip.13029
PMid:32881414
 
18. Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. Lippincott Williams & Wilkins; 2011 Dec 26.
 
19. Smith EP, Prinz RJ, Dumas JE, Laughlin J. Latent models of family processes in African American families: Relationships to child competence, achievement, and problem behavior. Journal of Marriage and Family. 2001 Nov;63(4):967-80.
https://doi.org/10.1111/j.1741-3737.2001.00967.x
 
20. Steele A, Maruyama N, Galynker I. Psychiatric symptoms in caregivers of patients with bipolar disorder: a review. Journal of affective disorders. 2010 Feb 1;121(1-2):10-21.
https://doi.org/10.1016/j.jad.2009.04.020
PMid:19443040
 
21. Villarreal-Zegarra D, Paz-Jesús A. Cohesión, adaptabilidad y composición familiar en adolescentes del Callao, Perú. Propósitos y Representaciones. 2017 Jul;5(2):21-64.
https://doi.org/10.20511/pyr2017.v5n2.158
Razavi International Journal of Medicine
Volume 8, Issue 1234
October 2020
Pages 28-32

Files

Share

How to cite

Statistics