Psychoeducation Therapy Research Articles

Comparing the effectiveness of mind–body practices (MBPs) and various psychological methods on occupational stress among healthcare workers: a network meta-analysis of randomized controlled trials

ObjectivesThe purpose of this study is to compare the efficacy of mind–body practices (MBPs) and multiple psychological methods, and identify the optimal method for relieving work-related stress among healthcare workers (HCWs) by network meta-analysis (NMA).MethodsWe applied six electronic databases, namely PubMed, Web of Science, Embase, PsycINFO, Cochrane, and Chinese National Knowledge Infrastructure to identify relevant RCTs from inception to September 16, 2023, and implemented a search strategy based on the PICOS principles. Data selection, extraction, and analysis of bias were carried out independently and in duplicate by separate researchers. State 16.0 was used to conduct NMA for comparing the effectiveness of various therapies.ResultsWe identified 23 studies including MBPs and three different psychological therapies, namely mindfulness-related therapy (MRT), psychoeducational therapy (PT), and comprehensive therapy (CT), which were divided into eleven specific techniques, namely yoga, meditation techniques (MT), Qigong, muscle relaxation(MR), biofeedback therapy (BT), mindfulness-based interventions (MBIs), modified mindfulness-based stress reduction (MBSR-M), mindfulness-based interventions combined with others (MBIs-C), mindfulness-based awareness(MBA), PT and CT. Our NMA results of MBPs and three psychological therapies showed MBPs (SMD = -0.90, CrI:-1.26, -0.05, SUCRA = 99%) were effective for occupational stress in HCWs, followed by MRT(SMD = -0.48, CrI:-0.87, -0.08, SUCRA = 66.5%). NMA results of eleven specific techniques showed yoga (SMD = 1.36, CrI:0.91, 1.81, SUCRA = 97.5%) was the most effective technique in relieving the stress of HCWs, followed by MR (SMD = 1.36, CrI:0.91, 1.81, SUCRA = 87.3%).ConclusionsOur study suggested MBPs may be the most effective intervention to improve the occupational stress of HCWs. Furthermore, yoga is likely to be the most optimal of MBPs. Hospital managers should attach importance to yoga in addressing occupational stress among medical workers.

Effectiveness of psychoeducational intervention on quality of life among patients with affective disorders

An important psychological problem that has been connected to suicide, medical costs, fatalities, and morbidity is emotional distress. By contrasting the normal functioning of people with mental disorders in specialized medical settings, this paper seeks to bridge the gap. Living circumstances often deteriorate due to emotional factors, particularly during manic or hypomanic episodes. Methods: Our goal was to determine if a collective psychoeducational therapy might improve patients' quality of life (QOL). A total of 120 patients who met the inclusion requirements were chosen, and they were divided into control and experimental categories, respectively, with n = 60 each. Pre-testing was done on the control as well as the experimental populations using the WHO QoL Brief and sociodemographic data. In contrast to the control group, which got standard treatment, the group participating in the experiment underwent a seven-session, twice-weekly group psychoeducational therapy program over a period of three months. The follow-up evaluation was administered to both groups right away, six months after the intervention had concluded. With P significant at 0.05, data were analyzed using the two-way repeated measures analysis of variance (RM ANOVA) for one factor repetitions and the Bonferroni 't' test for post-hoc multiple comparisons. Results: We discovered a substantial variance between the control and experimental groups (P 0.001). Between the tests (baseline, immediately after, and six months later), a considerable change was seen (P 0.001). The group X test correlations showed a significant difference (P 0.001). Conclusions: The findings of the research demonstrated that psychoeducation of BD patients may enhance their standard of living in spite of consuming medicine.

Effectiveness of Psychoeducational Programs for Caregivers of Family Members with Chronic Disease: A Meta-Analysis

This research aims to evaluate the effectiveness of psychoeducational programs in Turkey to reduce the stress of caring for people with chronic illnesses. The psychological, emotional, and physical demands on caregivers, often leading to stress and burnout, underscore the need for such programs. Nine papers were included in a meta-analysis, and statistical analysis was conducted using JASP 0.12.2.0 software. The results showed that psychoeducational therapies significantly reduced caregivers' perceived load, supporting their inclusion in routine treatment for chronic illnesses. The research emphasizes the role of psychoeducational interventions in improving the experience of providing care by providing vital information, coping skills, and emotional support mechanisms. This can lead to better health outcomes and a higher quality of life for those with chronic illnesses. The report also underscores the need for caregiver support policies and programs in healthcare, acknowledging their crucial role in the healthcare ecosystem. Further research is needed to improve the design and content of psychoeducational programs to meet caregivers' diverse needs in various settings. This meta-analysis provides strong evidence of the benefits of psychoeducational programs in reducing stress and laying the groundwork for future studies and policy formulation to support caregiver support in chronic disease treatment.

EFEKTIFITAS PSIKOEDUKASI "KESMEN" TERHADAP STATUS KESEHATAN MENTAL REMAJA

Teenagers are a group of people who are at risk of quickly experiencing stress. Long-term stress conditions in adolescents contribute to the incidence of anxiety and depression. Ways to overcome adolescent psychological stress can be done by expanding knowledge related to adolescent mental health, one of which is the use of psychoeducational interventions. This type of research was a quasi-experimental pre-posttest research with a control group. The aim of this research was to determine the effectiveness of psychoeducational therapy using the "Kesmen" module on the emotional mental status of adolescents. The population of this study were students at junior high schools in the city of Bandung. The time for carrying out the research is from September to October. The research sample of 100 students was divided into 50 students into the intervention group and 50 students into the control group. The sample was selected using proportional sampling with inclusion and exclusion criteria. The data collection technique is by measuring the emotional mental health status of students using the standard SRQ 29 questionnaire. Data analysis uses the McNemar test. The results of the research in the intervention group showed a p-value of 0.000, where this value was <0.05, indicating that there was a very significant reduction in emotional mental status disorders. It can be concluded that providing Kesmen psychoeducation is very effective in reducing emotional mental status disorders in adolescents.

Impact of Cognitive Behavior Therapy on Sexual Dysfunction of Women in Reproductive Age: A Systematic Review

Background A large number of women suffer from sexual dysfunction. Cognitive behavior therapy (CBT) is a psycho-educational therapy the main purpose of which is to help the individual alter their dysfunctional beliefs and behaviors. We investigated the impact of CBT on reproductive-aged women’s sexual function. Methods The present study is a systematic review and meta-analysis in which a number of databases (Web of Science, PubMed, Scopus, Cochrane Library, and Embase) were searched from inception to November 2023. Clinical trials examining the impact of CBT on female sexual dysfunction were included. This study evaluated female sexual function and its components, including satisfaction, discomfort, lubrication, arousal, climax, desire, and assertiveness. We used Review Manager version 5.3 for performing the meta-analysis. P values less than 0.05 were considered statistically significant. Results Seven articles including a total of 448 women with sexual dysfunction were reviewed. The participants’ mean age in the CBT groups was 33.43 ± 6.04 years and that of the control group was 33.24 ± 5.97, which were not significantly different. Our results indicated that CBT is efficient in improving the total score of women’s sexual function (SMD = 1.34, 95% CI = (1.02, 1.65), I2 = 86%), sexual satisfaction, lubrication, desire, orgasm, and assertiveness compared with the control group. However, CBT had no positive effect on reducing sexual pain. Conclusion Based on the result of the current study, CBT can be suggested as an effective treatment method along with other treatments for women with sexual problems.

Influence of Psycho-Educational Therapy on Anxiety in Children with Cancer Undergoing Chemotherapy

Cancer is still a significant health problem that causes a high mortality rate worldwide. It affects not only adults but also children. One of the types of cancer commonly suffered by children is leukemia. Chemotherapy is one of the treatments for leukemia. Unfortunately, chemotherapy often leads to issues in children, such as anxiety. This aimed to determine the influence of psycho-Education on anxiety in children with leukemia undergoing chemotherapy. This method using a pre-experimental design with one group pretest posttest. The sample was obtained using total sampling, consisting of 25 respondents. Psycho-educational therapy was conducted three times, and it consisted of four sessions in each activity, namely: Session 1 (education about cancer and treatment therapy), Session 2 (effects of chemotherapy), Session 3 (actions and prevention of chemotherapy side effects), and Session 4: stress management (teaching various non-pharmacological stress management techniques). The intervention was administered three times before the scheduled chemotherapy for 15 minutes. The researcher used Anxiety test by using the Spence Children's Anxiety Scale (SCAS). Results: The Wilcoxon test results showed a p-value of 0.001. Based on the research findings, it indicated that there is an influence of Psycho-Educational Therapy on anxiety in children with leukemia undergoing chemotherapy.

Blessing or curse: the role of authoritarian filial piety and self-efficacy in caregiver gains among Chinese family caregivers caring for physically impaired older adults

BackgroundThis study investigated the effects of authoritarian filial piety (AFP) and caregiver self-efficacy on the caregiving experience of adult children of physically impaired older adults. Socio-cultural stress and coping model was applied to test the influence of AFP on caregiver gains.MethodsA total of 601 Chinese adult children caregivers and care-recipient dyads participated in this cross-sectional study in 2021. Four instruments were used to collect data: the 4-item Zarit Burden Interview, Positive Aspects of Caregiving Scale, Caregiver Task Inventory Scale, and Authoritarian Filial Piety Scale. All mediation and moderated mediation effects were estimated using SPSS 26.0.ResultsCaregiver self-efficacy was found to not only mediate but also help family caregivers convert their burden into positive gains. AFP moderates the association between caregiver burden and self-efficacy, as well as between caregiver burden and caregiver gains.ConclusionsThis study provides valuable insights into filial piety, elucidating AFP’s comprehensive impact on cognitive appraisals of caregiving. Culturally sensitive psychoeducational therapy, addressing AFP expectations and boosting caregiver self-efficacy, is recommended to enhance positive caregiving outcomes.

The Influence of Family Psychoeducation on Family Knowledge, Ability and Burden in the Care of People with Schizophrenia at the Psychiatric Polyclinic of Pariaman Hospital

This study aims to determine the influence of family psychoeducation on knowledge, abilities and family burden in caring for people with Schizophrenia at the Psychiatric Polyclinic at Pariaman Regional Hospital. This research was carried out at Pariaman Hospital from September 2022 to September 2023. This type of research is quantitative and quasi-experimental with a control group. The population in this study were families of ODS who visited the mental health clinic at Pariaman Regional Hospital, totalling 94 people and a sample of 32 people. The data collection tool/instrument used was a questionnaire. Data analysis in this research uses the Validity Test, Reliability Test, Univariate Analysis and Bivariate Analysis. The results of this study show that family psychoeducation therapy has a positive impact on increasing the knowledge and abilities of families who care for family members with Schizophrenia. A comparison between families who received Psychoeducational therapy and those who did not showed significant differences in knowledge, abilities and family burden. Family Psychoeducational Therapy can be considered an effective intervention in supporting families who care for family members with Schizophrenia in the psychiatric polyclinic of Pariaman Hospital.

S3 Guideline Atopic dermatitis: Part1 - General aspects, topical and non-drug therapies, special patient groups.

This S3 guideline was created based on the European S3 guideline, with special consideration of the medical conditions in the German-speaking region and incorporating additions from the previous German-language version. The interdisciplinary guideline commission consisted of representatives from the German Dermatological Society, the Professional Association of German Dermatologists, the Austrian Society of Dermatology and Venereology, the Swiss Society of Dermatology and Venereology, the German Society for Allergology and Clinical Immunology, the German Society for Pediatric and Adolescent Medicine, the Professional Association of Pediatricians and Adolescent Medicine, the Society for Pediatric Allergology and Environmental Medicine, the German Society for Pediatric Rehabilitation and Prevention, the German Society for Psychosomatic Medicine and Medical Psychotherapy, the German Network for Health Services Research, the German Eczema Association and the German Allergy and Asthma Association. This first part of the guideline focuses on the definition and diagnostic aspects of atopic dermatitis (AD), addressing topical therapy as well as non-pharmacological treatment approaches such as UV therapy, psychoeducational therapy, dietary interventions for AD, allergen immunotherapy for AD, and complementary medicine. This part of the guideline also covers specific aspects of AD in children and adolescents, during pregnancy and lactation, and in the context of family planning. Additionally, it addresses occupational aspects of AD and highlights the perspective of the patients. The second part of the guideline, published separately, addresses the systemic therapy of AD.

Building up Leadership Skills in Vulnerable Social Groups. Case Study in Bipolar Disorder and Psychoeducation Contribution

The focus of this study is on the psychoeducation therapy program, which is widely utilized in the field of mental health. The study aims to examine the effects of this program on individuals who are dealing with a mental disease. The main aim is to establish a support network for oneself and one's immediate social connections. Moreover, the text explicitly acknowledges bipolar disorder, a psychiatric ailment distinguished by alternating spells of elevated or irritable mood and melancholy. To streamline the examination of these issues, a determination was taken to divide them into two separate elements. The introductory portion of the text provides an explanation of the importance of psychoeducational therapy, specifically within the framework of bipolar disorder. Following this, the subsequent phase of this research suggests the implementation of a psychoeducational program consisting of carefully designed sessions, considering the findings and analysis. The continuous examination encompasses both the procedural aspects and the contextual factors. This study emphasizes the significance of recognizing individuals above the limitations imposed by their circumstances, so exposing the wide potential for leadership within marginalized social groups. The results of the study support the notion of adopting a more comprehensive and inclusive strategy for cultivating leadership skills, emphasizing the significance of psychoeducation as a catalyst for personal growth and change.

Xenophobia amidst and post-COVID-19 pandemic.

Xenophobia amidst and post-COVID-19 pandemic.

Psychoeducational Therapy To Increase Self Efficacy In Patients With Pulmonary Tuberculosis

Pulmonary Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis. Pulmonary TB can be cured with treatment carried out for 6-8 months. To achieve recovery, the patient must have good self-efficacy so that he will be motivated to recover and strengthen himself to complete the treatment. During TB treatment various problems, both physiological and psychological, can arise, one of which is related to self-efficacy. Increasing self-efficacy during the treatment period is important so that management of psychoeducational therapy is needed. This study to determine the effect of psychoeducational therapy on self-efficacy in pulmonary TB patients in the work area of ​​the Gerung Health Center. This study uses a quantitative research type with the One Group Pre-Post Test Design approach. The sample in this study were 16 people. The research instrument was the GFCSES (Guide For Constructing Self Efficacy Scale) to measure self-efficacy in pulmonary TB patients. Data analysis with Paired T Test. The results showed a p-value of 0.000 (<α 0.05), so it can be concluded that there is a significant effect between psychoeducational therapy on self-efficacy in pulmonary TB patients in the working area of ​​the Gerung Public Health Center. Based on the results of this study, it is necessary to include material related to psychological changes such as self-efficacy in pulmonary TB patients during the treatment process provided by health workers through education carried out in activities at the family integrated service post or health services. Psychoeducational therapy can increase self-efficacy in pulmonary tuberculosis patients
 
 Keyword: Psychoeducational therapy, self efficacy, pulmonary TB

Oncofertility-related psycho-educational therapy for young adult patients with breast cancer and their partners: randomized controlled trial.

A couples' psycho-educational program called Oncofertility! Psycho-Education and Couple Enrichment (O!PEACE) therapy was created and its effect when provided before cancer treatment was examined. This multicenter randomized controlled trial with nonmasking, parallel two-group comparison enrolled women aged 20 to 39years with early-stage breast cancer and their partners. They were randomly assigned to receive O!PEACE (37 couples) or usual care (37 couples). Primary end points were cancer-related posttraumatic stress symptoms, symptoms of depression, and anxiety. Secondary end points were stress-coping strategies, resilience, and marital relationship. Women receiving psycho-educational therapy had significantly reduced Impact of Event Scale-revised version for Japanese scores (p=.011, ηp 2 = = .089). For patients with Impact of Event Scale-revised version for Japanese scores at baseline ≥18.27, O!PEACE therapy improved these scores when compared with usual care (U=172.80, p=.027, r=0.258). A >5-point reduction was present in 59.3% and 30% of women in the O!PEACE therapy and usual-care groups, respectively. For partners, O!PEACE therapy significantly improved stress-coping strategies (95% CI, -0.60 to -0.05; p=.018, ηp 2 = = .074) and escape-avoidance marital communication (95% CI, -0.33 to -0.08; p=.001, ηp 2 =.136). O!PEACE therapy significantly improved the partners' support (95% CI, 0.10-0.50; p=.001, ηp 2 =.127), the rate of receiving fertility preservation consultations, and knowledge levels. O!PEACE therapy before cancer treatment can improve posttraumatic stress symptoms, stress-coping behavior, and marital relationships. Larger sample sizes and longer term follow-up are required. A psycho-educational program, the Oncofertility! Psycho-Education and Couple Enrichment (O!PEACE) therapy program was developed and evaluated for women diagnosed with breast cancer and their partners. A multicenter randomized controlled trial showed that the O!PEACE psycho-educational therapy, with only two precancer treatment sessions, can reduce cancer-related posttraumatic stress symptoms and improve oncofertility knowledge and marital relationships in young adult patients with breast cancer. The therapy could also improve stress-coping strategies in marital communications with their partners. Couples may use O!PEACE psycho-educational therapy to consider fertility preservation and improve their psychosocial aspects.

Influence of Acceptance Commitment Therapy (ACT) on Quality of Life of Cancer Patients: Literature Review

Introduction: The International Agency for Research on Cancer (IARC) estimates that 1 in 5 men and 1 in 5 women in the world's population will develop cancer at some point in their lives. One in eight men and one in eleven women with cancer will die. Acceptance Commitment Therapy (ACT) is a therapy that can be used to change the negative behavior of cancer patients. Objective: The purpose of this study was to explore the effect of ACT on improving the quality of life in cancer patients. Methods: This research uses a literature review method. The sample consists of 4 journals sourced from the academic databases PubMed, Google Scholar and Elseiver. Result and Discussion: The results showed that ACT had an effect on improving the quality of life of cancer patients. ACT can be given in conjunction with other therapies such as psychoeducational therapy, CBT, AT, assertive group activities, family support and others. ACT is very beneficial for cancer patients, because ACT can improve health behavior and quality of life for patients. Conclusion: ACT has an effect on improving the quality of life. Suggestion Mental Hospital in collaboration with educational institutions to develop ACT as an alternative therapy to improve the quality of life in cancer patients.

Assess of Combinations of Non-Pharmacological Interventions for the Reduction of Irritability in Patients with Dementia and their Caregivers: A Cross-Over RCT.

Introduction: Dementia is a very common disorder that affects people over 65 years old all over the world. Apart from the cognitive decline, Behavioral and Psychological Symptoms of Dementia (BPSD) are a crucial matter in dementia, because they affect up to 90% of the patients during the course of their illness. Irritability has been found to be a common BPSD and one of the most distressing behaviors for the caregivers. The aim of the current study was to explore the efficacy of a combination of non-pharmacological interventions to treat irritability. Methods: Sixty patients with different types and stages of dementia with irritability were participated in a cross-over RCT. Three non-pharmacological interventions were used; (a) Validation Therapy (VT)/Psycho-educational program, (b) Aromatherapy/massage and (c) Music Therapy (MT). The study assessed the three non-pharmacological interventions in order to find the most effective combination of the interventions. This study did not compare pharmacological and non-pharmacological treatments. The interventions lasted for five days. There was no drop-out rate. All patients were assessed at baseline using Mini Mental State of Examination (MMSE), Addenbrooke’s Cognitive Examination Revised (ACE-R), Geriatric Depression Scale (GDS), Functional Rating Scale for symptoms in dementia (FRSSD), and Neuropsychiatric Inventory (NPI) (sub questions for irritability). Only NPI used for the assessment after each intervention. The analyses used categorical variables, Wilcoxon signed-rank test, Chi-square test and z value score. Results: The most effective combination of non-pharmacological interventions was Aromatherapy/massage (p = 0.003)-VT plus Psycho-educational program (p = 0.014) plus MT (p = 0.018). The same combination was the most effective for the caregivers’ burden, too (p = 0.026). Conclusions: The above combination of non-pharmacological interventions can reduce irritability in patients with dementia and caregivers’ burden.

Self-guided digital treatment with virtual reality for panic disorder and agoraphobia: a study protocol for a randomized controlled trial

BackgroundCognitive behavioral therapy is the first-line treatment for patients with panic disorder (PD) and agoraphobia (AG). Yet, many patients remain untreated due to limited treatment resources. Digital self-guided short-term treatment applications may help to overcome this issue. While some therapeutic applications are already supported by health insurance companies, data on their efficacy is limited. The current study investigates the effect of self-guided digital treatment comprising psychoeducation and virtual reality exposure therapy (VRET).MethodsThirty patients diagnosed with PD, AG, or panic disorder with agoraphobia (PDA) will be randomly assigned to either the experimental group (EG) or the control group (CG). Participants of both groups will undergo baseline diagnostics in the first two sessions. The subsequent treatment for the EG consists of a self-guided 6-week phase of application-based psychoeducation, one therapy session preparing for the VRET, and 4 weeks of application-based self-guided VRET. To control for the potential effects of the therapy session with the therapist, the CG will receive relaxation and stress-reduction training instead. All patients will then undergo a closing session which terminates with the post-assessment (~ 10 weeks after baseline assessment) and a follow-up assessment 6 weeks following the closing session. Symptom severity (primary outcome) will be assessed at baseline, interim, post-treatment, and follow-up. Additionally, remission status (secondary outcome) will be obtained at follow-up. Both measures will be compared between the groups.DiscussionThe current study aims at providing insights into the efficacy of short-term treatment applications including psychoeducation and self-guided VRET. If successful, this approach might be a feasible and promising way to ease the burden of PD, AG, and PDA on the public health system and contribute to a faster access to treatment.Trial registrationISRCTN ISRCTN10661970. Prospectively registered on 17 January 2022.

Efficacy of interventions to manage sexual dysfunction in women with cancer: a systematic review.

Cancer and its treatment negatively affect female sexual health and function. The prevalence of female sexual dysfunction after cancer is between 33% and 43%. Numerous studies have addressed treatment options for sexual dysfunction in women with cancer, but it still remains a challenge to select the most efficacious option for patients. To compile and appraise recent evidence of any interventions for managing sexual dysfunction in female cancer survivors. A literature search of the electronic databases MEDLINE, EMBASE, PsycINFO, and Cochrane Central Register of Controlled Trials (January 2011 to February 2021) was conducted using general search terms of "women", "cancer", "intervention", "sexual dysfunction". We included randomized controlled trials (RCTs) and uncontrolled before-after studies that evaluated the efficacy of intervention for female sexual dysfunction in women with history of cancer. Methodological quality of studies was assessed using Risk of Bias (RoB) 2.0 for RCTs and National Institutes of Health (NIH) assessment tools for uncontrolled before-after studies. Thirty-six studies were included for qualitative synthesis (14 RCTs (n = 1284), 17 uncontrolled trials (n = 589), and 5 cohort studies (n = 497). Only four studies were at low risk of bias. Topical interventions (vaginal gels or creams) were able to alleviate vaginal dryness and dyspareunia, with intravaginal dehydroepiandrosterone (DHEA) (6.5 mg) gel showing evidence of improved sexual function. Evidence for estriol-lactobacilli vaginal tablets was unreliable due to a small-scale study. Psychoeducational therapy (internet-based cognitive behavioral therapy [CBT]) studies typically were at high risk of bias, but all displayed significant improvements of sexual function. Both laser therapy (fractional CO2 and erbium) and multimodal approach studies were at concerning risk of bias, although suggesting beneficial effects on sexual function. The most reliable evidence for improvement was from a study of DHEA vaginal gel, but in general, gels or creams were useful in reducing dyspareunia. Pharmacological, psychoeducational, laser therapy, and multimodal approaches demonstrated potential in managing cancer-related sexual issues, but most were small in size (10-70 participants), with moderate to high risk of bias. Therefore, large-scale, double-blind, RCTs with long-period follow-up, and at low risk of bias are needed to show efficacy for these interventions.

Impact of psycho-educational therapy on disease activity, quality of life, psychological status, treatment satisfaction and adherence in systemic lupus erythematosus patients

Aim of the workTo evaluate the impact of group psychotherapy and patient education on disease activity, quality of life, psychological symptoms, perceived stress, satisfaction to treatment, and medication adherence in systemic lupus erythematosus (SLE) patients. Patients and methodsThis study recruited 80 SLE patients divided equally into intervention and control groups, the intervention group received 12 sessions of group psychotherapy and patient education. SLE disease activity index (SLEDAI) was assessed. The following questionnaires were conducted: Symptom Checklist-90-Revised (SCL-90-R), perceived stress scale (PSS), Short Form 36 (SF36), Treatment Satisfaction Questionnaire for Medications (TSQM), and Medication Adherence Rating Scale-5 (MARS-5). ResultsThe mean age of the patients was 32.3 ± 7.4 years and disease duration 7.5 ± 5.7 years. They were 77 females and 3 males. At baseline, the SLEDAI, global severity index of SCL-90-R, PSS, SF36, TSQM and MARS-5 were comparable between both groups. After 3 months of the psycho-educational program, the intervention group exhibited significant improvement of SCL-90-R: anxiety (p = 0.052), depression (p = 0.002), global severity index (p = 0.001), PSS (p < 0.001), SF36 [limitations due to emotional problem (p < 0.001), emotional well-being (p < 0.001), MCS (p = 0.029), PCS (p = 0.001)], TSQM [effectiveness (p < 0.001), convenience (p = 0.026), side effects (p = 0.001), global satisfaction (p = 0.005) scores] and MARS-5 (p < 0.001) with no significant difference in SLEDAI (p = 0.802). ConclusionIntegration of a psycho-educational program in the management of SLE patients was associated with improvement of depression, anxiety, perceived stress, quality of life, satisfaction with treatment, and medication adherence, with no impact on disease activity.

Minimizing the Psychological Impact of the Covid-19 Pandemic on Vulnerable Groups: Elderly and Mental Disorders Through Family Psychoeducation

The increase in the number of COVID-19 cases has had a negative impact on everyone's mental health, including vulnerable groups of the elderly and people with mental disorders. This is because the elderly and people with mental disorders have difficulty adjusting and are unfamiliar with their social environment. The purpose of this service is to provide support through family psychoeducation to minimize the psychological impact on vulnerable groups. Lecture and discussion methods are used to increase family knowledge in caring for the elderly and mental disorders. To measure the psychological condition of the vulnerable group, the SRQ-20 questionnaire was used and analyzed statistically (dependent t-test). Role play and simulation methods are used to improve family skills in caring for, managing burdens and utilizing health services. The results showed that there was an influence of psychoeducation on the psychological condition of the elderly with p-value &lt;α (0.04&lt;0.05), and for the mental disorder group it also showed that the treatment given in the form of family psychoeducation therapy gave benefits to psychological conditions with p-value &lt;α (0.00). &lt;0.05). This therapy is proven to be effective because it can provide information on the ability of families experiencing distress, provide education to them to improve their ability to understand and have strong coping so that problems do not occur in family relationships.

ADHD symptoms and school impairment history in parents of ADHD children are a fundamental diagnostic and therapeutic clue

BackgroundAttention Deficit and Hyperactivity Disorder (ADHD) is a multi-factorial condition, with inheritance playing a major role. Recognizing parents’ ADHD represents a clue not only for an earlier diagnosis of the disease in their children, but also to optimize psycho-educational therapy outcomes, by addressing the impairment of parenting related to untreated ADHD. This study aimed to assess the frequency of features suggestive of ADHD during childhood among parents of affected children, and the presence of school and emotional impairment.MethodsWe administered the Wender Utah Rating Scale-25, a self-assessment tool for the retrospective identification of symptoms consistent with ADHD during childhood, to a cohort of 120 parents of 60 children with ADHD, and to a consistent number of “controls”.ResultsThe WURS-25 proved positive in 49.1% of fathers and 30.0% of mothers of ADHD patients, compared to 1.7% of fathers and 1.7% of mothers of non-ADHD patients (p < 0.0001).The questions addressing learning and emotional impairment provided significantly higher scores in parents with an overall positive test compared to those with negative test (p < 0.0001).ConclusionsThis study demonstrates a remarkably high rate of symptoms consistent with ADHD during childhood in parents of affected children. Physicians should be aware that this is a relevant anamnestic clue and, given the relevance of parents’ role in the management of children with ADHD, an important issue to address in order to optimize patients’ treatment.