Gender differences in patient and caregiver psychoeducation for schizophrenia |
| |
| Authors: | T. Reichhart G. Pitschel-Walz W. Kissling J. Bäuml T. Schuster C. Rummel-Kluge |
| |
| Affiliation: | 1. Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar der Technischen, Universität München, Möhlstrasse, 26, 81675 München, Germany;2. Institute of Medical Statistics and Epidemiology (IMSE), Technische Universität München, 22, Ismaninger Strasse, 81675 München, Germany;1. Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan;2. Center for Infection Control, National Taiwan University Hospital, Taipei, Taiwan;3. School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan;4. Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan;5. Planning and Management Office, National Taiwan University Hospital, Taipei, Taiwan;6. College of Medicine, National Taiwan University, Taipei, Taiwan;2. Division of Outcomes and Health Services Research, University of Texas Southwestern Medical Center, Dallas, Texas;1. Department of Radiology, Charité – Universitätsmedizin Berlin, Germany;2. SCO:SSiS Statistical Consulting, Germany;3. Imaging Science Institute Charité Berlin, Berlin, Germany;1. Department of Family Medicine, Fars Petroleum Industry Health Organization, Shiraz, Iran;2. Department of Pharmacotherapy, Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran |
| |
| Abstract: | ObjectiveThe aim of this research is to detect gender-related differences in patients and caregivers regarding knowledge about schizophrenia and attitudes towards drugs as well as gender as predictor for changes in these variables during psychoeducation.MethodsData sets of one randomised-controlled (study 1) and one naturalistic psychoeducation study (study 2) were reanalysed. Main outcome measures (knowledge about schizophrenia, drug attitude, confidence in medication) were assessed at baseline, post-intervention and 12 months after index discharge.ResultsThe reanalysed samples consisted in total of 1002 patients and 176 caregivers. In study 2, baseline knowledge was significantly better in male patients and female caregivers. All participants improved significantly their knowledge. The amount of knowledge gain did not differ between genders in either study or either group. Gender was not a major predictor of baseline knowledge or knowledge gain. Only in study 1 did gender significantly impact the knowledge gain from baseline to follow-up. Regarding improvement of drug attitude, females seemed to benefit significantly better from psychoeducation. In both studies, however, changes in drug attitudes respectively confidence in medication were best explained by lower corresponding baseline scores, not gender. Patients’ gender did not influence outcomes of their caregivers.ConclusionOur findings suggest that psychoeducational programs might be better adapted to males in order to improve their drug attitude. Concerning knowledge, gender-related changes do not seem to be necessary. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
