Süt E., Gündoğan N., Evliyaoğlu Ateş Z., Akbaydar B., Keser G., Çetin S., ...Daha Fazla
NEUROSCIENCE APPLIED, cilt.3, sa.Supplement 2, ss.60, 2024 (Scopus)
-
Yayın Türü:
Makale / Özet
-
Cilt numarası:
3
Sayı:
Supplement 2
-
Basım Tarihi:
2024
-
Doi Numarası:
10.1016/j.nsa.2024.104210
-
Dergi Adı:
NEUROSCIENCE APPLIED
-
Derginin Tarandığı İndeksler:
Scopus
-
Sayfa Sayıları:
ss.60
-
Dokuz Eylül Üniversitesi Adresli:
Evet
Özet
Background: Bipolar disorder and schizophrenia are psychiatric disorders that impose a significant burden on both patients and their caregivers [1]. Early diagnosis and treatment of these disorders are crucial and psychosocial interventions are increasingly used [2] [3]. While intervention studies predominantly assess their impact on patients, there is comparatively less research on their impact on caregivers. Onset of bipolar and psychotic disorders typically occurs during late adolescence and early adulthood, a period when individuals often reside with their families and require substantial caregiver involvement in their care [4]. Additionally, studies examining the effects of early interventions in psychotic and bipolar disorders together are limited. By considering the common features of these disorders, combining studies on early interventions is thought to provide valuable information for future research. Objective: This study aimed to investigate the effects of Family-Focused Therapy (FFT) on patients and families in the early period of bipolar disorder and schizophrenia. Methods: Individuals aged between 15-21, who had been diagnosed within two years, were included in the study. The results of the Shortened Level of Expressed Emotion Scale completed by adolescents, and the Beck Depression Inventory (BDI), Zarit Caregiver Burden Scale, World Health Organization Quality of Life Assessment (WHOQOL), and McMaster Family Assessment Device completed by parents before and after therapy were evaluated. The results of 10 Bipolar Disorder (BD) and 10 Psychotic Disorder (PD) patients in remission, along with their parents who completed 9-week FFT sessions were examined. Results: After FFT sessions, lack of emotional support and irritability scores decreased in BD and PD-parent groups (p=0.01, p=0.004; p=0.02, p=0.005; respectively). In family functionality, BD-parent group reported benefits in problem-solving (p=0.013), communication (p=0.023), and general functioning (p=0.15) subdomains. In the PD-parent group, only a significant difference in the behavior control subdomain (p=0.002) was observed after FFT. In line with this, our results suggested that the BD-parent group benefited in more areas than the PD-parent group for family functionality. Following FFT sessions, depressive symptoms significantly reduced in the BD-parent group (p=0.009), but not in PD-parent group. Additionally, caregiver burden scores showed a statistically significant decrease both BD-and PD-parent groups (p=0.004, p=0.022). Pearson Correlation Analysis was conducted to evaluate the correlation between the differences in baseline and post-therapy scores for parental quality of life, caregiver burden, and depression scores. The analysis revealed a significant negative correlation between the changes in the quality of life and caregiver burden (r=-0.51, p=0.021). Conclusion: Our findings demonstrate that family interventions have positive effects on family functionality and caregiver burden among caregivers. In the PD-parent group, a significant reduction in depressive symptoms was not observed, highlighting the potential need for additional interventions for caregivers. Treating parents' depressive symptoms could positively impact youths' treatment compliance and functionality. This study is significant as it is the first pilot study to collectively assess the effects of Family Focused Therapy on caregivers of young individuals diagnosed with new-onset bipolar disorder and psychotic disorder, and further investigation is warranted to explore factors contributing to differences in therapeutic outcomes between the two groups.