Evidence map›Paper›PMID 37888048›Full record

ArticleJournal of personalized medicine2023

Improvements in Treatment Adherence after Family Psychoeducation in Patients Affected by Psychosis: Preliminary Findings.

Salvatore Iuso, Melania Severo, Nicoletta Trotta, Antonio Ventriglio, Pietro Fiore, Antonello Bellomo, Annamaria Petito

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Salvatore IusoDepartment of Humanistic Studies, University of Foggia and Italy, 71122 Foggia, Italy.ORCID 0000-0002-9372-1899
Melania SeveroDepartment of Clinical and Experimental Medicine, Viale Pinto, Policlinico Riuniti di Foggia, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0003-1929-497X
Nicoletta TrottaDepartment of Clinical and Experimental Medicine, Viale Pinto, Policlinico Riuniti di Foggia, University of Foggia, 71122 Foggia, Italy.
Antonio VentriglioDepartment of Clinical and Experimental Medicine, Viale Pinto, Policlinico Riuniti di Foggia, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0002-3934-7007
Pietro FioreDepartment of Clinical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.
Antonello BellomoDepartment of Clinical and Experimental Medicine, Viale Pinto, Policlinico Riuniti di Foggia, University of Foggia, 71122 Foggia, Italy.
Annamaria PetitoDepartment of Clinical and Experimental Medicine, Viale Pinto, Policlinico Riuniti di Foggia, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0001-7788-3591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Family psychoeducation is a well-recognized intervention which aims to improve the outcomes of illness in patients affected by psychosis. It has benefits in treatment adherence and leads to a reduction in relapses, higher levels of patient insight, and lower levels of stress within the family and among caregivers. (2) Methods: Eight patients and their families were recruited and randomly assigned to a Falloon-based family psychoeducation (FPP) intervention, and nine patients and their families were randomized to a Gestalt-based family intervention (GT). We compared the outcomes of these two treatment groups at a baseline assessment (T0), at the end of the programs (T1), and 6 and 12 months after the end of the programs (T2 and T3). The assessments included examinations of cognition (The Mini-Mental State Examination (MMSE) and The Five Point Test (5 Point)), the psychopathology and severity of illness (The Brief Psychiatric Rating Scale (BPRS), The Positive and Negative Syndrome Scale (PANSS), and The Clinical Global Impression Scale (CGI)), expressed emotion in families (Expressed Emotionality (Family Questionnaire-EE)), patient quality of life (The World Health Organization Quality of Life-BREF (WHOQOL-B)), social functioning (The Personal Social Performance (SPS)), aggression (Modified Overt Aggression Scale (MOAS)), and treatment adherence (The Brief Medication Adherence Report Scale (BMARS)). The primary aim was to test whether the FFP vs. GT program was more effective in improving treatment adherence over time. (3) Results: treatment adherence improved much more in the FFP group over time at any follow-up: +43.1% at T1, +24.0% at T2, and +41.6% at T3. Other characteristics, including psychopathology and the clinical stability of the subject, did not change over time. (4) Discussion: Family psychoeducation based on the Falloon program was effective at improving treatment adherence and contributed to avoiding relapses in the long term. Further studies on larger samples should be conducted to confirm this evidence, and similar psychoeducational programs should be routinely promoted in the clinical setting.

Indexed as

adherenceFalloonfamily psychoeducationGestaltpsychosis

Identifiers

PMID37888048
PMCPMC10608243

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.