Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observation
IntroductionThe Profamille V3.2 multi-family psycho-educational program directed at caregivers of relatives with schizophrenia or schizophrenia related disorder has been shown to decrease the annual prevalence of suicide attempts. It has been reported that psychoeducation of families can sometimes i...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1370566/full |
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| author | Yann Hode Romain Padovani Wydad Hikmat Nathalie Guillard-Bouhet Jérome Attal Marie-Cecile Bralet Marie-Cecile Bralet Marie-Cecile Bralet Marie-Cecile Bralet Mélanie Biotteau Isabelle Chereau Boudet Olivier Canceil Olivier Canceil Aurélie Montagne Larmurier Céline Roussel Stéphanie Lemestré Dominique Willard |
| author_facet | Yann Hode Romain Padovani Wydad Hikmat Nathalie Guillard-Bouhet Jérome Attal Marie-Cecile Bralet Marie-Cecile Bralet Marie-Cecile Bralet Marie-Cecile Bralet Mélanie Biotteau Isabelle Chereau Boudet Olivier Canceil Olivier Canceil Aurélie Montagne Larmurier Céline Roussel Stéphanie Lemestré Dominique Willard |
| author_sort | Yann Hode |
| collection | DOAJ |
| description | IntroductionThe Profamille V3.2 multi-family psycho-educational program directed at caregivers of relatives with schizophrenia or schizophrenia related disorder has been shown to decrease the annual prevalence of suicide attempts. It has been reported that psychoeducation of families can sometimes improve compliance with treatment. This study investigates whether the Profamille program improves compliance and thus reduces the risk of suicide among patients.MethodThis is a retrospective study of 179 groups of family caregivers, encompassing 1946 participants enrolled in Module 1 of the Profamille program and followed up one year after completion of the module. Evaluations were conducted using questionnaires filled out by family caregivers at three distinct times: prior to beginning the program, upon its completion, and again one year following its conclusion. The annual prevalence of suicide attempts was measured both before the program began and one year after its conclusion, while compliance to treatment was evaluated at the start and end of the program.ResultAfter the Profamille program, the annual prevalence of suicide attempts fell by a factor of 2 (p-value = 0.00002) and patient compliance improved (p-value <0.000001). This reduction in suicide attempts was observed independently of improved compliance. Compliance seems to have an additional effect, but only after participation in the program.ConclusionThe Profamille program reduces patients' risk of suicide even when patients are not taking the treatment. When family psychoeducation is not proposed in schizophrenia or schizophrenia related disorder, this can represent a loss of chance for patients. |
| first_indexed | 2024-04-24T13:39:20Z |
| format | Article |
| id | doaj.art-187fee1545304e2f947077c77314c757 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-24T13:39:20Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-187fee1545304e2f947077c77314c7572024-04-04T09:05:07ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-04-011510.3389/fpsyt.2024.13705661370566Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observationYann Hode0Romain Padovani1Wydad Hikmat2Nathalie Guillard-Bouhet3Jérome Attal4Marie-Cecile Bralet5Marie-Cecile Bralet6Marie-Cecile Bralet7Marie-Cecile Bralet8Mélanie Biotteau9Isabelle Chereau Boudet10Olivier Canceil11Olivier Canceil12Aurélie Montagne Larmurier13Céline Roussel14Stéphanie Lemestré15Dominique Willard16Association Psychoeducation PROFAMILLE, Chatenois, FranceIndependent Researcher, Le Tampon, Réunion, FrancePsychiatric Hospital of Kelaa Sraghna, Ministry of Health, Morocco, Kelâa des Sraghna, MoroccoCREATIV Centre de REhabilitation et d'Activités Thérapeutiques Intersectoriel de la Vienne, Centre Hospitalier Henri Laborit, Poitiers, FranceLa Colombière, Centre Hospitalier Universitaire de Montpellier, Montpellier, FranceCRISALID-HDF (Department Support of cognitive remediation and psychosocial rehabilitation- South Hauts de France area), Etablissement Public de Santé Mentale Oise, Clermont de l Oise, FranceINSERM Unit Research 1247 GRAP, Picardie Jules Vernes University, Amiens, FranceGDR 3557 Research network, Addiction and Psychiatry, Paris, FranceCentre Hospitalier Isarien, Clermont de l’Oise, France0Centre Hospitalier Universitaire de Tours, Tours, France1Centre Expert Schizophrenie, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont Ferrand, France2Fondation Santé des Etudiants de France, Paris, France3Sante Mentale France, Paris, France4Service de Psychiatrie Adulte, Centre Hospitalier Universitaire de Caen, Caen, France5Centre Hospitalier Annecy Genevois (CH Annecy), Metz-Tessy, France6Association de psychoéducation des Familles Profamille Liège Belgique, Liège, Belgium7Pôle PEPIT (Pôle Hospitalo-Universitaire d’Evaluation Prévention et Innovation Thérapeutique), Groupe Hospitalier Universitaire Paris psychiatrie et neurosciences, Paris, FranceIntroductionThe Profamille V3.2 multi-family psycho-educational program directed at caregivers of relatives with schizophrenia or schizophrenia related disorder has been shown to decrease the annual prevalence of suicide attempts. It has been reported that psychoeducation of families can sometimes improve compliance with treatment. This study investigates whether the Profamille program improves compliance and thus reduces the risk of suicide among patients.MethodThis is a retrospective study of 179 groups of family caregivers, encompassing 1946 participants enrolled in Module 1 of the Profamille program and followed up one year after completion of the module. Evaluations were conducted using questionnaires filled out by family caregivers at three distinct times: prior to beginning the program, upon its completion, and again one year following its conclusion. The annual prevalence of suicide attempts was measured both before the program began and one year after its conclusion, while compliance to treatment was evaluated at the start and end of the program.ResultAfter the Profamille program, the annual prevalence of suicide attempts fell by a factor of 2 (p-value = 0.00002) and patient compliance improved (p-value <0.000001). This reduction in suicide attempts was observed independently of improved compliance. Compliance seems to have an additional effect, but only after participation in the program.ConclusionThe Profamille program reduces patients' risk of suicide even when patients are not taking the treatment. When family psychoeducation is not proposed in schizophrenia or schizophrenia related disorder, this can represent a loss of chance for patients.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1370566/fullschizophreniapsychoeducationsuicidecompliancetreatmentfamily intervention |
| spellingShingle | Yann Hode Romain Padovani Wydad Hikmat Nathalie Guillard-Bouhet Jérome Attal Marie-Cecile Bralet Marie-Cecile Bralet Marie-Cecile Bralet Marie-Cecile Bralet Mélanie Biotteau Isabelle Chereau Boudet Olivier Canceil Olivier Canceil Aurélie Montagne Larmurier Céline Roussel Stéphanie Lemestré Dominique Willard Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observation Frontiers in Psychiatry schizophrenia psychoeducation suicide compliance treatment family intervention |
| title | Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observation |
| title_full | Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observation |
| title_fullStr | Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observation |
| title_full_unstemmed | Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observation |
| title_short | Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observation |
| title_sort | family psychoeducation in schizophrenia and schizophrenia related disorder treatment compliance and suicidal risk reduction questions about their relationship from a naturalistic observation |
| topic | schizophrenia psychoeducation suicide compliance treatment family intervention |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1370566/full |
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