Impact of a culturally adapted behavioural family psychoeducational programme in patients with schizophrenia in Egypt

Afaf H. Khalil; Gihan ELNahas; Hisham Ramy; Karim Abdel Aziz; Hussien Elkholy; Reem El-Ghamry

doi:10.1080/13651501.2018.1480786

Impact of a culturally adapted behavioural family psychoeducational programme in patients with schizophrenia in Egypt

Afaf H. Khalil, Gihan ELNahas, Hisham Ramy, Karim Abdel Aziz, Hussien Elkholy, Reem El-Ghamry

Department of Psychiatry

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

Objective: To study the effect of a culturally adapted, structured family intervention on symptom severity, medication attitudes and knowledge, social functioning and quality of life in patients with schizophrenia. Methods: Thirty subjects with schizophrenia were selected to receive 14 sessions of a culturally adapted behavioural family psychoeducational programme (BFPEP). Another 30 subjects received standard treatment as usual (STU) for 6 months. Pre- and post-intervention outcomes were assessed using the Positive and Negative Syndrome Scale (PANSS), Drug Attitude Inventory 10-item scale (DAI-10), Quality of Life Scale (QLS) and Social Functioning Questionnaire (SFQ). Results: There was a no significant difference between BFPEP and STU at baseline on all measures. There was a significant difference (p <.05) between pre- and post-treatment scores for BFPEP on all measures, a significant difference (p <.05) between pre- and post-treatment scores for STU on all measures (favouring pre-treatment scores) and a significant difference (p <.05) favouring BFPEP over STU on all measures post-treatment. Conclusions: These results demonstrate the feasibility and effectiveness of implementing family therapy psychoeducational interventions in different cultural settings, with relatively minor modifications. This may have implications for mental health policy makers to make available such programmes for patients and mental health professionals.

Original language	English
Pages (from-to)	62-71
Number of pages	10
Journal	International Journal of Psychiatry in Clinical Practice
Volume	23
Issue number	1
DOIs	https://doi.org/10.1080/13651501.2018.1480786
Publication status	Published - Jan 2 2019

Keywords

Egypt
Schizophrenia
family therapy
psychoeducation

ASJC Scopus subject areas

Psychiatry and Mental health

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10.1080/13651501.2018.1480786

Cite this

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title = "Impact of a culturally adapted behavioural family psychoeducational programme in patients with schizophrenia in Egypt",

abstract = "Objective: To study the effect of a culturally adapted, structured family intervention on symptom severity, medication attitudes and knowledge, social functioning and quality of life in patients with schizophrenia. Methods: Thirty subjects with schizophrenia were selected to receive 14 sessions of a culturally adapted behavioural family psychoeducational programme (BFPEP). Another 30 subjects received standard treatment as usual (STU) for 6 months. Pre- and post-intervention outcomes were assessed using the Positive and Negative Syndrome Scale (PANSS), Drug Attitude Inventory 10-item scale (DAI-10), Quality of Life Scale (QLS) and Social Functioning Questionnaire (SFQ). Results: There was a no significant difference between BFPEP and STU at baseline on all measures. There was a significant difference (p <.05) between pre- and post-treatment scores for BFPEP on all measures, a significant difference (p <.05) between pre- and post-treatment scores for STU on all measures (favouring pre-treatment scores) and a significant difference (p <.05) favouring BFPEP over STU on all measures post-treatment. Conclusions: These results demonstrate the feasibility and effectiveness of implementing family therapy psychoeducational interventions in different cultural settings, with relatively minor modifications. This may have implications for mental health policy makers to make available such programmes for patients and mental health professionals.",

keywords = "Egypt, Schizophrenia, family therapy, psychoeducation",

author = "Khalil, {Afaf H.} and Gihan ELNahas and Hisham Ramy and {Abdel Aziz}, Karim and Hussien Elkholy and Reem El-Ghamry",

note = "Funding Information: The authors thank Prof. Lisa Dixon M.D., M.P.H., Professor of Psychiatry, University of Maryland, School of Medicine, Director of the Division of Health Services Research for her support in training one of the researchers and providing the handout of the training material. The authors would like to also express their gratitude to Dr. Ahmed El Shafei and Dr. Moataz Ragheb and the research team in the Institute of Psychiatry, Ain Shams University for their help throughout the study. The authors thank the patients and their families who dedicated their time and attention to participate in this work. Publisher Copyright: {\textcopyright} 2018, {\textcopyright} 2018 Informa UK Limited, trading as Taylor & Francis Group.",

year = "2019",

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doi = "10.1080/13651501.2018.1480786",

language = "English",

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T1 - Impact of a culturally adapted behavioural family psychoeducational programme in patients with schizophrenia in Egypt

AU - Khalil, Afaf H.

AU - ELNahas, Gihan

AU - Ramy, Hisham

AU - Abdel Aziz, Karim

AU - Elkholy, Hussien

AU - El-Ghamry, Reem

N1 - Funding Information: The authors thank Prof. Lisa Dixon M.D., M.P.H., Professor of Psychiatry, University of Maryland, School of Medicine, Director of the Division of Health Services Research for her support in training one of the researchers and providing the handout of the training material. The authors would like to also express their gratitude to Dr. Ahmed El Shafei and Dr. Moataz Ragheb and the research team in the Institute of Psychiatry, Ain Shams University for their help throughout the study. The authors thank the patients and their families who dedicated their time and attention to participate in this work. Publisher Copyright: © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.

PY - 2019/1/2

Y1 - 2019/1/2

N2 - Objective: To study the effect of a culturally adapted, structured family intervention on symptom severity, medication attitudes and knowledge, social functioning and quality of life in patients with schizophrenia. Methods: Thirty subjects with schizophrenia were selected to receive 14 sessions of a culturally adapted behavioural family psychoeducational programme (BFPEP). Another 30 subjects received standard treatment as usual (STU) for 6 months. Pre- and post-intervention outcomes were assessed using the Positive and Negative Syndrome Scale (PANSS), Drug Attitude Inventory 10-item scale (DAI-10), Quality of Life Scale (QLS) and Social Functioning Questionnaire (SFQ). Results: There was a no significant difference between BFPEP and STU at baseline on all measures. There was a significant difference (p <.05) between pre- and post-treatment scores for BFPEP on all measures, a significant difference (p <.05) between pre- and post-treatment scores for STU on all measures (favouring pre-treatment scores) and a significant difference (p <.05) favouring BFPEP over STU on all measures post-treatment. Conclusions: These results demonstrate the feasibility and effectiveness of implementing family therapy psychoeducational interventions in different cultural settings, with relatively minor modifications. This may have implications for mental health policy makers to make available such programmes for patients and mental health professionals.

AB - Objective: To study the effect of a culturally adapted, structured family intervention on symptom severity, medication attitudes and knowledge, social functioning and quality of life in patients with schizophrenia. Methods: Thirty subjects with schizophrenia were selected to receive 14 sessions of a culturally adapted behavioural family psychoeducational programme (BFPEP). Another 30 subjects received standard treatment as usual (STU) for 6 months. Pre- and post-intervention outcomes were assessed using the Positive and Negative Syndrome Scale (PANSS), Drug Attitude Inventory 10-item scale (DAI-10), Quality of Life Scale (QLS) and Social Functioning Questionnaire (SFQ). Results: There was a no significant difference between BFPEP and STU at baseline on all measures. There was a significant difference (p <.05) between pre- and post-treatment scores for BFPEP on all measures, a significant difference (p <.05) between pre- and post-treatment scores for STU on all measures (favouring pre-treatment scores) and a significant difference (p <.05) favouring BFPEP over STU on all measures post-treatment. Conclusions: These results demonstrate the feasibility and effectiveness of implementing family therapy psychoeducational interventions in different cultural settings, with relatively minor modifications. This may have implications for mental health policy makers to make available such programmes for patients and mental health professionals.

KW - Egypt

KW - Schizophrenia

KW - family therapy

KW - psychoeducation

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Impact of a culturally adapted behavioural family psychoeducational programme in patients with schizophrenia in Egypt

Abstract

Keywords

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