One-year outcome of low-intensity booster sessions versus care as usual in psychosis patients after a short-term psychoeducational intervention. |
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| Authors: | Ingrid Sibitz Michaela Amering Ralf G?ssler Annemarie Unger Heinz Katschnig |
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| Institution: | 1. Institute of Molecular Regenerative Medicine, Paracelsus Medical University Salzburg, Salzburg, Austria;2. Spinal Cord Injury and Tissue Regeneration Center Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria;3. Organic and Analytical Chemistry, Weihenstephan-Triesdorf University of Applied Sciences, Straubing, Germany;4. Laboratory of Psychiatry and Exp. Alzheimer''s Research, Department of Psychiatry and Psychotherapy, Innsbruck Medical University, Innsbruck, Austria;5. Division of Neurobiochemistry, Biocenter, Innsbruck Medical University, Innsbruck, Austria;1. Department of Psychology, University of Miami, Coral Gables, FL, USA;2. Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA;3. Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA;4. Center for Behavioral Intervention Technologies (CBITs), Northwestern University, Chicago, IL, USA;5. Department of Psychiatry and Behavioral Sciences, University of Miami, Miami, FL, USA;6. Institute for Neuro Immune Medicine, Nova Southeastern University, Davie, FL, USA;1. Clinical Psychiatry Department, Dijon University Hospital, 21000 Dijon, France;2. EA 481 “Neurosciences Laboratory”, Franche-Comté University, 1 place du Maréchal Leclerc, 25030 Besançon Cedex, France;3. Clinical Psychiatry Department, Besançon University Hospital, 25030 Besançon Cedex, France;4. INSERM Technological Innovation Clinical Investigation Centre (INSERM CIC-IT 808), Besançon University Hospital, 25030 Besançon Cedex, France;5. Community Psychiatry, Department of Psychiatry, University Hospital Center and University of Lausanne, Switzerland;6. La Source, School of Nursing Science, University of Applied Sciences of Western Switzerland, Lausanne, Switzerland;7. Clinical Psychiatry Department, Hospital of Novillars, 25220 Novillars, France;8. Clinical Psychiatry Department, Hospital of Saint-Ylie, 39100 Dole, France;9. Clinical Psychiatry Department, Hospital of Bavilliers, 90800 Bavilliers, France;10. Clinical Psychiatry Department, Hospital of Rouffach, 68250 Rouffach, France;11. Clinical Psychiatry Department, Strasbourg University Hospital, 67000 Strasbourg, France |
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| Abstract: | OBJECTIVE: In this study we aimed to evaluate long-term effects of a community-based, quality of life oriented psychoeducational intervention for schizophrenia with and without booster sessions. METHOD: One hundred and three outpatients with a diagnosis of schizophrenia or schizoaffective disorder completed a 9-week psychoeducational programme. At the end of the programme groups were block-randomised to either an extension programme comprising monthly booster sessions for a further nine months (booster condition) or routine clinical care with no further group meetings (non-booster condition). Outcome measures were applied before and after the seminar and at 6 and 12 months. RESULTS: Positive effects were observed after the short-term 9-week programme with regard to symptoms, knowledge about the illness, illness concept, control convictions and quality of life. These effects were retained over the 12-month period in both conditions. The only relevant difference between the booster and the non-booster conditions concerned external control convictions. CONCLUSION: Overall this 9-week programme has shown encouraging effects still present at 12 months after baseline independent of booster or non-booster conditions. Further studies are needed to explore whether a subgroup of patients, those with impaired neurocognitive and social functioning, can benefit significantly from booster sessions. |
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