Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysis
Abstract Background Severe mental disorders – such as schizophrenia, bipolar disorder, and substance use disorders – exert a negative impact not only on affected people but also on their carers. To support carers of people with severe mental disorders, several psychosocial interventions have been...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823024720/type/journal_article |
| _version_ | 1797387609872269312 |
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| author | Gaia Sampogna Elaine Brohan Mario Luciano Neerja Chowdhary Andrea Fiorillo |
| author_facet | Gaia Sampogna Elaine Brohan Mario Luciano Neerja Chowdhary Andrea Fiorillo |
| author_sort | Gaia Sampogna |
| collection | DOAJ |
| description |
Abstract
Background
Severe mental disorders – such as schizophrenia, bipolar disorder, and substance use disorders – exert a negative impact not only on affected people but also on their carers. To support carers of people with severe mental disorders, several psychosocial interventions have been developed.
Methods
This systematic review and meta-analysis aimed to assess whether psychosocial interventions for carers of persons with schizophrenia, bipolar disorder, or substance use disorders produce benefit/harm with respect to a series of outcomes – including subjective and objective burden, depressive symptoms, well-being/quality of life, sleep, skills/knowledge, self-efficacy, physical health – as compared to standard support/support as usual or other control conditions.
Results
In carers of persons with schizophrenia, psychoeducational interventions were associated with significant improvement in personal burden, well-being, and knowledge about the illness; and a supportive-educational intervention with an improvement in personal burden. In carers of persons with bipolar disorder, psychoeducational interventions were associated with significant improvement in personal burden and depressive symptoms; family-led supportive interventions with an improvement in family burden; family-focused intervention and online “mi.spot” intervention with a significant reduction in depressive symptoms. Psychosocial interventions used for carers of persons with substance use disorders were found to be overall effective on the level of well-being, but the low number of trials did not allow detection of differences between the various psychosocial interventions.
Conclusions
The quality of the evidence ranged from very low to moderate, suggesting the need for further better-quality research.
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| first_indexed | 2024-03-08T22:28:31Z |
| format | Article |
| id | doaj.art-9cf35525819c4cdf91b52c34862253d0 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-08T22:28:31Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-9cf35525819c4cdf91b52c34862253d02023-12-18T09:18:01ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-01-016610.1192/j.eurpsy.2023.2472Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysisGaia Sampogna0https://orcid.org/0000-0002-9547-2793Elaine Brohan1https://orcid.org/0000-0001-7400-6884Mario Luciano2https://orcid.org/0000-0002-4338-1371Neerja Chowdhary3Andrea Fiorillo4https://orcid.org/0000-0002-6926-0762Department of Mental Health, University of Campania “L. Vanvitelli”, Naples, Italy WHO Collaborating Centre for Research and Training, Naples, ItalyDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandDepartment of Mental Health, University of Campania “L. Vanvitelli”, Naples, Italy WHO Collaborating Centre for Research and Training, Naples, ItalyDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandDepartment of Mental Health, University of Campania “L. Vanvitelli”, Naples, Italy WHO Collaborating Centre for Research and Training, Naples, Italy Abstract Background Severe mental disorders – such as schizophrenia, bipolar disorder, and substance use disorders – exert a negative impact not only on affected people but also on their carers. To support carers of people with severe mental disorders, several psychosocial interventions have been developed. Methods This systematic review and meta-analysis aimed to assess whether psychosocial interventions for carers of persons with schizophrenia, bipolar disorder, or substance use disorders produce benefit/harm with respect to a series of outcomes – including subjective and objective burden, depressive symptoms, well-being/quality of life, sleep, skills/knowledge, self-efficacy, physical health – as compared to standard support/support as usual or other control conditions. Results In carers of persons with schizophrenia, psychoeducational interventions were associated with significant improvement in personal burden, well-being, and knowledge about the illness; and a supportive-educational intervention with an improvement in personal burden. In carers of persons with bipolar disorder, psychoeducational interventions were associated with significant improvement in personal burden and depressive symptoms; family-led supportive interventions with an improvement in family burden; family-focused intervention and online “mi.spot” intervention with a significant reduction in depressive symptoms. Psychosocial interventions used for carers of persons with substance use disorders were found to be overall effective on the level of well-being, but the low number of trials did not allow detection of differences between the various psychosocial interventions. Conclusions The quality of the evidence ranged from very low to moderate, suggesting the need for further better-quality research. https://www.cambridge.org/core/product/identifier/S0924933823024720/type/journal_articleburdencarerspsychosocial interventionsquality of lifesevere mental disorders |
| spellingShingle | Gaia Sampogna Elaine Brohan Mario Luciano Neerja Chowdhary Andrea Fiorillo Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysis European Psychiatry burden carers psychosocial interventions quality of life severe mental disorders |
| title | Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysis |
| title_full | Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysis |
| title_fullStr | Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysis |
| title_full_unstemmed | Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysis |
| title_short | Psychosocial interventions for carers of people with severe mental and substance use disorders: a systematic review and meta-analysis |
| title_sort | psychosocial interventions for carers of people with severe mental and substance use disorders a systematic review and meta analysis |
| topic | burden carers psychosocial interventions quality of life severe mental disorders |
| url | https://www.cambridge.org/core/product/identifier/S0924933823024720/type/journal_article |
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