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

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

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


Authors

Zoe Jiwen Zhang

Herman Hay Ming Lo

Wing Chung Ho

Elsa Ngar Sze Lau

Siu Man Ng

Winnie W S Mak

Samuel Yeung Shan Wong

Karen S Y Hung

Iris Yuen Shan Lai

Cola Siu Lin Lo

Jessica Oi Yin Wong

Simon S Y Lui

Clara Man Wah Siu

Eric Wai Ching Yan

Profile image of Sunny Chan

Dr Sunny Chan Sunny.Chan@uwe.ac.uk
Senior Lecturer in Occupational Therapy

Edmund Lin

Gloria Oi Chi Wong

Jonathan Wai Hung Mak

Hillman Shiu Wah Tam

Iris Huen Hung Tse



Abstract

Objectives: 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.

Methods: 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).

Results: 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 (g = 0.862, p = 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 (g = 1.396, p = 0.049) and hostility (g = 1.444, p = 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.

Conclusion: 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.

Clinical trial registration: ClinicalTrials.gov, identifier NCT03688009.

Journal Article Type Article
Acceptance Date Sep 3, 2024
Online Publication Date Sep 26, 2024
Publication Date Sep 26, 2024
Deposit Date Oct 12, 2024
Publicly Available Date Oct 14, 2024
Journal Frontiers in Psychiatry
Electronic ISSN 1664-0640
Publisher Frontiers Media
Peer Reviewed Peer Reviewed
Volume 15
Article Number 1460151
DOI https://doi.org/10.3389/fpsyt.2024.1460151
Keywords mindfulness-based program, caregivers, first-episode psychosis, expressed emotions, positive caregiving experience
Public URL https://uwe-repository.worktribe.com/output/13283600

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