Mindfulness-based family psychoeducation intervention for caregivers of young adults with first-episode psychosis: results at 9-month follow-up

To investigate the effects of a mindfulness-based family psychoeducation (MBFPE) intervention on caregivers and the young adults with first-episode psychosis in mental health care. Sixty-five caregivers were randomly assigned to the MBFPE program (n = 33) or an ordinary family psychoeducation (FPE)...

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Published in:Frontiers in psychiatry 2024-09, Vol.15, p.1460151
Main Authors: Zhang, Zoe Jiwen, Lo, Herman Hay Ming, Ho, Wing Chung, Lau, Elsa Ngar Sze, Ng, Siu Man, Mak, Winnie W S, Wong, Samuel Yeung Shan, Hung, Karen S Y, Lai, Iris Yuen Shan, Lo, Cola Siu Lin, Wong, Jessica Oi Yin, Lui, Simon S Y, Siu, Clara Man Wah, Yan, Eric Wai Ching, Chan, Sunny Ho Wan, Lin, Edmund, Wong, Gloria Oi Chi, Mak, Jonathan Wai Hung, Tam, Hillman Shiu Wah, Tse, Iris Huen Hung
Format: Article
Language:English
Subjects:
caregivers
expressed emotions
first-episode psychosis
mindfulness-based program
positive caregiving experience
Psychiatry
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Summary:To investigate the effects of a mindfulness-based family psychoeducation (MBFPE) intervention on caregivers and the young adults with first-episode psychosis in mental health care. Sixty-five caregivers were randomly assigned to the MBFPE program (n = 33) or an ordinary family psychoeducation (FPE) program (n = 32). Eighteen young adults in recovery (YAIR) also participated in the study. All of the participants completed the assessments before participating in the intervention (T1), after the intervention (T2), and at 9-month follow-up (T3). Intention-to-treat analyses were conducted. The caregivers reported a significant and large effect size on positive caregiving experiences based on a Time × Group analysis ( = 0.862, = 0.006). Among the YAIR participants, between-group differences were significant in their perceptions of caregivers' expressed emotions, including large effect sizes of perceived criticism ( = 1.396, = 0.049) and hostility ( = 1.444, = 0.043). Caregiver demographics, including age, education level, socioeconomic status, and number of family members, were found to moderate the effect sizes of the variables studied. This study provides evidence of the effects of MBFPE programs on the outcomes of caregivers and the young adults with first-episode psychosis in their care. Specifically, the MBFPE program in this study played a greater role in promoting positive caregiving experiences and changing caregivers' expressed emotions, especially their expressed criticism of YAIR, compared with the regular FPE program. Therefore, the application of mindfulness training to promote family care and YAIR recovery should be encouraged. ClinicalTrials.gov, identifier NCT03688009.
ISSN:1664-0640
1664-0640
DOI:10.3389/fpsyt.2024.1460151