Outcome of cognitive-behavioral therapy for relatives of people with severe mental disorders

  1. Rocío Polo-López 1
  2. Karmele Salaberria 1
  3. María Soledad Cruz-Sáez 1
  4. Enrique Echeburua 1
  1. 1 Universidad del País Vasco (España)
Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2016

Volumen: 28

Número: 3

Páginas: 227-234

Tipo: Artículo

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Otras publicaciones en: Psicothema

Resumen

Antecedentes: en los últimos 20 años, la investigación muestra que los familiares de las personas afectadas por una enfermedad mental grave (esquizofrenia, trastorno bipolar y adicciones) pueden sufrir malestar emocional y falta de autoestima. Objetivos: en este estudio se evalúa la eficacia a largo plazo de un tratamiento cognitivo-conductual diseñado para familiares de personas con enfermedad mental grave. Método: un total de 30 familiares que viven con una persona afectada por un trastorno mental grave recibió 10 sesiones individuales de terapia cognitivo-conductual. Resultados: el tratamiento fue eficaz para la reducción de los síntomas ansioso-depresivos, así como para la disminución de las emociones negativas. Conclusiones: este programa de apoyo psicológico ha demostrado ser eficaz como tratamiento para los familiares de las personas con graves problemas de salud mental, tanto en el postratamiento como en el seguimiento de los 12 meses.

Referencias bibliográficas

  • Barrowclough, C., & Tarrier, N. (1992). Families of schizophrenic patients: Cognitive-behavioural intervention. London, Chapman and Hall.
  • Bayés, R., Arranz, P., Barbero, J., & Barreto, P. (1997). Propuesta de un modelo integral para una intervención terapéutica paliativa [Proposal of a comprehensive model for palliative therapeutic intervention]. Medicina Paliativa, 3, 114-121.
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for Beck Depression Inventory-II. San Antonio, TX, Psychological Corporation.
  • Beck, A. T., Steer, R., & Carbin, M. (1998). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
  • Benton, T., & Lynch, J. (2006). Adjustment disorders. EMedicine. Retrieved from http://www.emedicine.com/Med/topic3348.htm
  • Botella, C., Baños, R.M., & Guillén, V. (2008). Una propuesta de tratamiento para los trastornos adaptativos: creciendo en la adversidad [A proposed treatment for adjustment disorders: Growing in adversity]. In Vázquez, C., & Hervás, G. (Eds.), Psicología positiva aplicada (pp. 129-154). Bilbao: Descleé de Brower.
  • Buckner, L., & Yeandle, S. (2011). Valuing carers 2011: Calculating the value of carers’ support. UK: University of Leeds.
  • Caqueo, A., Miranda, C., Lemos, S., Maturana, S.L., Ramírez, M., & Mascayano, F. (2014). An updated review on burden on caregivers of schizophrenia patients. Psicothema, 26, 235-343.
  • Derogatis, L. R. (1992). The SCL-90-R. Baltimore: Clinical Psychometric Research.
  • Derogatis, L. R., & Unger, R. (2010). Symptom Checklist-90-Revised. Corsini Encyclopedia of Psychology, 1-2.
  • Dixon, L., Adams, C., & Lucksted, A. (2000). Update of family psychoeducation for schizophrenia. Schizophrenia Bulletin, 26, 5-20.
  • Dixon, L. B., & Lehman, A. F. (1995). Family interventions for schizophrenia. Schizophrenia Bulletin, 21, 631-644.
  • Dixon, L.B., Lucksted, A., Medoff, D., Burland, J., Stewart, B., Lehman, A., Fang, L., Sturm, W., Brown, C., & Murray-Swank, A. (2011). Outcomes of a randomized study of a peer-taught family to family education program for mental illness. Psychiatric Services, 62, 591-597.
  • Echeburúa, E., Corral, P., & Fernández-Montalvo, J. (2000). Escala de inadaptación: propiedades psicométricas en contextos clínicos [Maladjustment scale: Psychometric properties in clinical settings]. Análisis y Modifi cación de Conducta, 26, 325-340.
  • Gallagher-Thomson, D., Lovett, S., Rose, J., McKibbin, C., Coon, D., Futterman, A., & Thomson, L. (2000). Impact of psychoeducational interventions on distressed family caregivers. Journal of Clinical Geropsychology, 6, 91-109.
  • Gleeson, J., Cotton, S., Alvarez, M., Wade, D., Crisp, K., & Newman, B. (2010). Family outcomes from a randomized control trial of relapse prevention therapy in first-episode psychosis. Journal of Clinical Psychiatry, 71, 475-483.
  • González, C., Martín, V., Pardo, G., Martínez, O., Alvarez, M., Rodríguez, J.M., Vázquez, J.L., & Crespo, B. (2010). Effects of family psichoeducation on expressed emotion and burden of care in first episode psychosis: A prospective observational study. Spanish Journal of Psychology, 13, 389-395.
  • Goodman, S., & Tully, E. (2006). Women and depression: A handbook for the social, behaviour, and biomedical sciences. In C. L. M. Keyes & S. H. Goodman (Eds.), Women and depression: A handbook for the social, behavioural, and biomedical sciences (pp. 241-280). New York, Cambridge University Press.
  • Grös, D. F., Antony, M. M., Simms, L. J., & McCabe, R. E. (2007). Psychometric Properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): Comparison to the State-Trait Anxiety Inventory (STAI). Psychological Assessment, 19, 369-381.
  • Jacobson, N. S., & Truax, P. (1991). Clinical signifi cance: A statistical approach to Refining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.
  • Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. Bulletin of the World Organization, 82, 858-866.
  • Kuipers, E., Onwumere, J., & Bebbington, P. (2010). Cognitive model of caregiving in psychosis. British Journal of Psychiatry, 196, 259-265.
  • Lobban, F., Postlethwaite, A., Glentworth, D., Pinfold, V., Wainwright, L., Dunn, G., Clancy, A., & Haddock, G. (2013). A systematic review of randomised controlled trials of interventions reporting outcomes for relatives of people with psychosis. Clinical Psychology Review, 33, 372-382.
  • Magliano, L., Fiorillo, A., Malangone, Cl., De Rosa, C., & Maj, M. (2006). Patient functioning and family burden in a controlled, real-wold trial of family psychoeducation for schizophrenia. Psychiatric Services, 57, 1784-1791.
  • McGlinchey, J. B., Atkins, D., & Jacobson, N. S. (2002). Clinical signifi cance methods: Which one to use and how useful are they. Behavior Therapy, 33, 529-550.
  • National Institute for Health and Clinical Excellence (NICE) (2009). Schizophrenia: Core interventions in the treatment and management of schizophrenia in primary and secondary care, NCG 82. London: NICE. Retrieved from: www.nice.org.uk/nicemedia/live/11786/43608/43608.pdf
  • Ogles, B. M., Lunnen, K. M., & Bonesteel, K. (2001). Clinical significance: History, application, and current practice. Clinical Psychology Review, 21, 421-446.
  • Olesen, J., Gustavsson, A., Svensson, M., Wittchen, H., & Johnsson, B. (2012). The economic cost of brain disorders in Europe. European Journal of Neurology, 19, 155-162.
  • Olfson, M., Mojtabai, R., Sampson, N. Hwang, I., Druss, B., Wang, P., Wells, K., Pincus, H., & Kessler, R. (2009). Dropout from outpatients mental health care in the United States. Psychiatric Services, 60, 898-907.
  • Patford, J. (2007). For poorer: How men experience, understand and respond to problematic aspects of a partner’s gambling. Gambling Research, 19, 7-20.
  • Patford, J. (2009). For Worse, for Poorer and in Ill Health: How Women Experience, Understand and Respond to a Partner’s gambling problems. International Journal of Mental Health and Addiction, 7, 177-189.
  • Palacios-Espinosa, X., & Jiménez-Solanilla, K.O. (2008). Estrés y depresión en cuidadores informales de pacientes con trastorno afectivo bipolar [Stress and depression in caregivers of patients with bipolar disorder]. Avances en Psicología Latinoamericana, 26, 195-210.
  • Perlick, D., Miklowitz, D., López, N., Chou, J., Kalvin, C., Adzhiashvili, V., & Aronson, A. (2010). Family-focused treatment for caregivers of patients with bipolar disorder. Bipolar Disorder, 12, 627-637.
  • Polo-López, R., Echeburúa, E., Berry, K., & Salaberría, K. (2014). Piloting a cognitive-behavioural intervention for family members living with individuals with severe mental disorders. Behavior Modifi cation, 38, 619-635.
  • Remor, E., Amorós, M., & Carrobles J. A., (2010). Efi cacia de un programa manualizado de intervención en grupo para la potenciación de las fortalezas y recursos psicológicos [Effectiveness of a standardized group program intervention for the empowerment of strenghts and personal resources]. Anales de Psicología, 26, 49-57.
  • Rychtarik, R. G., & McGillicuddy, N. E. (2006). Preliminary evaluation of a coping skills training program for those with pathological-gambling partner. Journal of Gambling Studies, 22, 165-178.
  • Robins, R., Hendin, H., & Trzesniewski, K. (2001). Measuring global self-esteem: Construct validation of a single-item measure and the Rosenberg Self-Esteem scale. Personality and Social Psychology Bulletin, 27, 151-161.
  • Rosenberg, A. (1965). Society and adolescent self-image. New Jersey, Princeton.
  • Russo, J., Vitalino, P. P., Brewer, D. D., Katon, W., & Becker, J. (1995). Psychiatric disorders in spouse caregivers of care recipients with alzheimer’s disease an matched controls: A diathesis-stress model of psychopathology. Journal of Abnormal Psychology, 104, 197-204.
  • Sandín, B., & Chorot, P. (2003). Cuestionario de afrontamiento del estrés (CAE): desarrollo y validación preliminar [Stress coping questionnaire: Development and preliminary validation]. Revista de Psicopatología y Psicología Clínica, 8, 39-54.
  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Inventory. Palo Alto, Consulting Psychological Press. Retrieved from http://hdl.handle.net/10477/2895
  • Treanor, L., Lobban, F., & Barrowclough, Ch. (2011). Relatives’ responses to psychosis: An exploratory investigation of low expressed emotion relatives. Psychology and Psychotherapy: Theory, research and practice.
  • Stanbridge, R. I., Burbach, F. R., Lucas, A. S., & Carter, K. (2003). A study of families’ satisfaction with a family interventions in psychosis services in Somerset. Journal of Family Therapy, 25, 181-204.
  • The Schizophrenia Commission (2012). The abandoned illness: A report from the Schizophrenia Commission. London: Rethink Mental Illness. Retrieved from http://www.rethink.org/media/514093/TSC_main_ report_14.nov.pdf
  • Ward, R.A. (1977). The impact of subjective age and stigma on older persons. Journal of Gerontology, 32, 227-232.
Fuente de los datos: Dialnet