Outcome of cognitive-behavioral therapy for relatives of people with severe mental disorders

  1. Rocío Polo-López 1
  2. Karmele Salaberria 1
  3. María Soledad Cruz-Sáez 1
  4. Enrique Echeburua 1
  1. 1 Universidad del País Vasco (España)
Revista:
Psicothema

ISSN: 0214-9915

Any de publicació: 2016

Volum: 28

Número: 3

Pàgines: 227-234

Tipus: Article

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Altres publicacions en: Psicothema

Resum

Background: Over the past 20 years, research shows that families of people affected by severe mental illness (schizophrenia, bipolar disorder, and addiction) may suffer emotional distress and lack of self-esteem. Aims: In this study, long-term effectiveness of a cognitive-behavioral treatment designed for relatives of people with severe mental illness was evaluated. Method: A total of 30 relatives living with a person affected by a severe mental disorder received 10 sessions of tailored cognitive-behavioral therapy. Results: The study shows that the treatment was effective for the reduction of depression-anxiety symptoms, as well as for negative emotions and psychological distress. Conclusions: This psychological support program has shown to be effective as a treatment for the relatives of people with serious mental health problems both in the posttreatment and in the 12-month follow-up.

Referències bibliogràfiques

  • Barrowclough, C., & Tarrier, N. (1992). Families of schizophrenic patients: Cognitive-behavioural intervention. London, Chapman and Hall.
  • Bayés, R., Arranz, P., Barbero, J., & Barreto, P. (1997). Propuesta de un modelo integral para una intervención terapéutica paliativa [Proposal of a comprehensive model for palliative therapeutic intervention]. Medicina Paliativa, 3, 114-121.
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for Beck Depression Inventory-II. San Antonio, TX, Psychological Corporation.
  • Beck, A. T., Steer, R., & Carbin, M. (1998). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
  • Benton, T., & Lynch, J. (2006). Adjustment disorders. EMedicine. Retrieved from http://www.emedicine.com/Med/topic3348.htm
  • Botella, C., Baños, R.M., & Guillén, V. (2008). Una propuesta de tratamiento para los trastornos adaptativos: creciendo en la adversidad [A proposed treatment for adjustment disorders: Growing in adversity]. In Vázquez, C., & Hervás, G. (Eds.), Psicología positiva aplicada (pp. 129-154). Bilbao: Descleé de Brower.
  • Buckner, L., & Yeandle, S. (2011). Valuing carers 2011: Calculating the value of carers’ support. UK: University of Leeds.
  • Caqueo, A., Miranda, C., Lemos, S., Maturana, S.L., Ramírez, M., & Mascayano, F. (2014). An updated review on burden on caregivers of schizophrenia patients. Psicothema, 26, 235-343.
  • Derogatis, L. R. (1992). The SCL-90-R. Baltimore: Clinical Psychometric Research.
  • Derogatis, L. R., & Unger, R. (2010). Symptom Checklist-90-Revised. Corsini Encyclopedia of Psychology, 1-2.
  • Dixon, L., Adams, C., & Lucksted, A. (2000). Update of family psychoeducation for schizophrenia. Schizophrenia Bulletin, 26, 5-20.
  • Dixon, L. B., & Lehman, A. F. (1995). Family interventions for schizophrenia. Schizophrenia Bulletin, 21, 631-644.
  • Dixon, L.B., Lucksted, A., Medoff, D., Burland, J., Stewart, B., Lehman, A., Fang, L., Sturm, W., Brown, C., & Murray-Swank, A. (2011). Outcomes of a randomized study of a peer-taught family to family education program for mental illness. Psychiatric Services, 62, 591-597.
  • Echeburúa, E., Corral, P., & Fernández-Montalvo, J. (2000). Escala de inadaptación: propiedades psicométricas en contextos clínicos [Maladjustment scale: Psychometric properties in clinical settings]. Análisis y Modifi cación de Conducta, 26, 325-340.
  • Gallagher-Thomson, D., Lovett, S., Rose, J., McKibbin, C., Coon, D., Futterman, A., & Thomson, L. (2000). Impact of psychoeducational interventions on distressed family caregivers. Journal of Clinical Geropsychology, 6, 91-109.
  • Gleeson, J., Cotton, S., Alvarez, M., Wade, D., Crisp, K., & Newman, B. (2010). Family outcomes from a randomized control trial of relapse prevention therapy in first-episode psychosis. Journal of Clinical Psychiatry, 71, 475-483.
  • González, C., Martín, V., Pardo, G., Martínez, O., Alvarez, M., Rodríguez, J.M., Vázquez, J.L., & Crespo, B. (2010). Effects of family psichoeducation on expressed emotion and burden of care in first episode psychosis: A prospective observational study. Spanish Journal of Psychology, 13, 389-395.
  • Goodman, S., & Tully, E. (2006). Women and depression: A handbook for the social, behaviour, and biomedical sciences. In C. L. M. Keyes & S. H. Goodman (Eds.), Women and depression: A handbook for the social, behavioural, and biomedical sciences (pp. 241-280). New York, Cambridge University Press.
  • Grös, D. F., Antony, M. M., Simms, L. J., & McCabe, R. E. (2007). Psychometric Properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): Comparison to the State-Trait Anxiety Inventory (STAI). Psychological Assessment, 19, 369-381.
  • Jacobson, N. S., & Truax, P. (1991). Clinical signifi cance: A statistical approach to Refining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.
  • Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. Bulletin of the World Organization, 82, 858-866.
  • Kuipers, E., Onwumere, J., & Bebbington, P. (2010). Cognitive model of caregiving in psychosis. British Journal of Psychiatry, 196, 259-265.
  • Lobban, F., Postlethwaite, A., Glentworth, D., Pinfold, V., Wainwright, L., Dunn, G., Clancy, A., & Haddock, G. (2013). A systematic review of randomised controlled trials of interventions reporting outcomes for relatives of people with psychosis. Clinical Psychology Review, 33, 372-382.
  • Magliano, L., Fiorillo, A., Malangone, Cl., De Rosa, C., & Maj, M. (2006). Patient functioning and family burden in a controlled, real-wold trial of family psychoeducation for schizophrenia. Psychiatric Services, 57, 1784-1791.
  • McGlinchey, J. B., Atkins, D., & Jacobson, N. S. (2002). Clinical signifi cance methods: Which one to use and how useful are they. Behavior Therapy, 33, 529-550.
  • National Institute for Health and Clinical Excellence (NICE) (2009). Schizophrenia: Core interventions in the treatment and management of schizophrenia in primary and secondary care, NCG 82. London: NICE. Retrieved from: www.nice.org.uk/nicemedia/live/11786/43608/43608.pdf
  • Ogles, B. M., Lunnen, K. M., & Bonesteel, K. (2001). Clinical significance: History, application, and current practice. Clinical Psychology Review, 21, 421-446.
  • Olesen, J., Gustavsson, A., Svensson, M., Wittchen, H., & Johnsson, B. (2012). The economic cost of brain disorders in Europe. European Journal of Neurology, 19, 155-162.
  • Olfson, M., Mojtabai, R., Sampson, N. Hwang, I., Druss, B., Wang, P., Wells, K., Pincus, H., & Kessler, R. (2009). Dropout from outpatients mental health care in the United States. Psychiatric Services, 60, 898-907.
  • Patford, J. (2007). For poorer: How men experience, understand and respond to problematic aspects of a partner’s gambling. Gambling Research, 19, 7-20.
  • Patford, J. (2009). For Worse, for Poorer and in Ill Health: How Women Experience, Understand and Respond to a Partner’s gambling problems. International Journal of Mental Health and Addiction, 7, 177-189.
  • Palacios-Espinosa, X., & Jiménez-Solanilla, K.O. (2008). Estrés y depresión en cuidadores informales de pacientes con trastorno afectivo bipolar [Stress and depression in caregivers of patients with bipolar disorder]. Avances en Psicología Latinoamericana, 26, 195-210.
  • Perlick, D., Miklowitz, D., López, N., Chou, J., Kalvin, C., Adzhiashvili, V., & Aronson, A. (2010). Family-focused treatment for caregivers of patients with bipolar disorder. Bipolar Disorder, 12, 627-637.
  • Polo-López, R., Echeburúa, E., Berry, K., & Salaberría, K. (2014). Piloting a cognitive-behavioural intervention for family members living with individuals with severe mental disorders. Behavior Modifi cation, 38, 619-635.
  • Remor, E., Amorós, M., & Carrobles J. A., (2010). Efi cacia de un programa manualizado de intervención en grupo para la potenciación de las fortalezas y recursos psicológicos [Effectiveness of a standardized group program intervention for the empowerment of strenghts and personal resources]. Anales de Psicología, 26, 49-57.
  • Rychtarik, R. G., & McGillicuddy, N. E. (2006). Preliminary evaluation of a coping skills training program for those with pathological-gambling partner. Journal of Gambling Studies, 22, 165-178.
  • Robins, R., Hendin, H., & Trzesniewski, K. (2001). Measuring global self-esteem: Construct validation of a single-item measure and the Rosenberg Self-Esteem scale. Personality and Social Psychology Bulletin, 27, 151-161.
  • Rosenberg, A. (1965). Society and adolescent self-image. New Jersey, Princeton.
  • Russo, J., Vitalino, P. P., Brewer, D. D., Katon, W., & Becker, J. (1995). Psychiatric disorders in spouse caregivers of care recipients with alzheimer’s disease an matched controls: A diathesis-stress model of psychopathology. Journal of Abnormal Psychology, 104, 197-204.
  • Sandín, B., & Chorot, P. (2003). Cuestionario de afrontamiento del estrés (CAE): desarrollo y validación preliminar [Stress coping questionnaire: Development and preliminary validation]. Revista de Psicopatología y Psicología Clínica, 8, 39-54.
  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Inventory. Palo Alto, Consulting Psychological Press. Retrieved from http://hdl.handle.net/10477/2895
  • Treanor, L., Lobban, F., & Barrowclough, Ch. (2011). Relatives’ responses to psychosis: An exploratory investigation of low expressed emotion relatives. Psychology and Psychotherapy: Theory, research and practice.
  • Stanbridge, R. I., Burbach, F. R., Lucas, A. S., & Carter, K. (2003). A study of families’ satisfaction with a family interventions in psychosis services in Somerset. Journal of Family Therapy, 25, 181-204.
  • The Schizophrenia Commission (2012). The abandoned illness: A report from the Schizophrenia Commission. London: Rethink Mental Illness. Retrieved from http://www.rethink.org/media/514093/TSC_main_ report_14.nov.pdf
  • Ward, R.A. (1977). The impact of subjective age and stigma on older persons. Journal of Gerontology, 32, 227-232.
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