Provision of group psychoeducation for relatives of persons in inpatient depression treatment – a cross-sectional survey of acute care hospitals in GermanyReportar como inadecuado




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BMC Psychiatry

, 14:143

Social psychiatry, therapy and provision of mental health care

Abstract

BackgroundDepressive disorders are often recurrent and place a high burden on patients and their relatives.
Psychoeducational groups for relatives may reduce relatives’ burden, help prevent relapses in patients, and are recommended by the German -National Disease Management Guideline Unipolar Depression-.
Since there is limited knowledge on the provision of psychoeducational groups for relatives of persons in inpatient depression treatment, we conducted a survey among acute care hospitals in Germany.

MethodsWe conducted a two-step cross-sectional survey.
Step I consisted of a questionnaire asking the heads of all psychiatric-psychosomatic acute care hospitals in Germany N = 512 whether psychoeducational groups for relatives were provided within depression treatment, and if not, the reasons for not implementing them.
In group offering hospitals the person responsible for conducting psychoeducational groups received a detailed questionnaire on intervention characteristics step II.
We performed descriptive data analysis.

ResultsThe response rate was 50.2% N = 257 in step I and 58.4% in step II N = 45.
35.4% of the responding hospitals offered psychoeducational groups for relatives of patients with depressive disorders.
According to the estimates of the respondents, relatives of about one in five patients took part in psychoeducational groups in 2011.
Groups were mostly provided by two moderators 62.2% as continuous groups 77.8%, without patients’ participation 77.8%, with up to ten participants 65.9%, consisting of four or fewer sessions 51.5% which lasted between one and one and a half hours each 77.8%.
The moderators in charge were mostly psychologists 43.9% or physicians 26.8%.
Approximately one third used published manuals.
Reasons for not conducting such psychoeducational groups were lack of manpower 60.1%, time 44.9% and financial constraints 24.1%.
25.3% mentioned adequate concepts of intervention as a required condition for initiating such groups.

ConclusionsOnly a small proportion of relatives of patients with depressive disorders participated in psychoeducational groups in 2011 in Germany.
Mostly short interventions were favoured and main implementation barriers were scarce resources.
Brief interventions that fit with healthcare routine should be developed and tested within randomised controlled trials.
This could promote the provision of psychoeducational groups for relatives as evidence-based practice in inpatient depression treatment in Germany.

KeywordsPsychoeducation Relatives Family Depressive disorders Inpatient treatment Germany  Download fulltext PDF



Autor: Fabian Frank - Christine Rummel-Kluge - Mathias Berger - Eva M Bitzer - Lars P Hölzel

Fuente: https://link.springer.com/



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