Impact of Psychosocial Interventions in Schizophrenia: A Case Study
DOI:
https://doi.org/10.29120/ijpsw.2024.v15.i2.631Keywords:
Substance, psychosis, schizophrenia, psychosocialAbstract
Background: Substance use can trigger psychosis, leading to substance-induced psychotic disorders. In some cases, this progresses to chronic conditions such as schizophrenia or Bipolar Affective Disorder. Substance use disorder (SUD) imposes significant social and personal burdens on individuals and their families. Aim: To highlight the role of psychosocial interventions in the assessment and management of schizophrenia, which developed over years of substance use. Methods: An intervention-based case study was done at the inpatient department of the Central Institute of Psychiatry (CIP), Ranchi, during August-September 2023. Data were collected from the Case Record File (CRF), socio-demographic variables, and standardized assessment tools. Psychosocial management along with pharmacotherapy were administered to the patient. Outcomes: Qualitative outcomes of the psychosocial intervention indicated improvement in serial Mental Status Examinations (MSE). Quantitative measures, including the Positive and Negative Syndrome Scale (PANSS) and the Readiness to Change Questionnaire (RCQ), reflected this improvement. McMaster Family Assessment Device showed significant enhancement in the family’s knowledge about the illness, communication patterns, affective responsiveness, affective involvement, and general family functioning. Conclusion: The study demonstrates that psychosocial interventions, alongside pharmacotherapy, can substantially enhance clinical and family outcomes for individuals with schizophrenia stemming from substance-induced psychosis.
Keywords: Substance, psychosis, schizophrenia, psychosocial
References
Ayonrinde OA. Cannabis and psychosis: revisiting a nineteenth century study of ‘Indian Hemp and Insanity’in Colonial British India. Psychological medicine. 2020;50(7):1164-72.
World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. World Health Organization; 1992.
Padhi D, Shukla P, Chaudhury S. Sociodemographic and clinical profile of cannabis-induced psychosis: A comparative study. Industrial psychiatry journal. 2021;30(Suppl 1):S132-9.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Text revision. 2000.
Sahu KK. Intervening Negative Impact of Stigma on Employability of a Person with Schizophrenia Through Social Case Work. J Psychosoc Rehabil Ment Health. 2015; 2, 87–95.
Kazdin AE. Single-case experimental designs. Evaluating interventions in research and clinical practice. Behav Res Ther. 2019;117:3-17.
Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13(2):261-76.
Miller IW, Ryan CE, Keitner GI, Bishop DS, Epstein NB. The McMaster approach to families: Theory, assessment, treatment and research. J Marital Fam Ther. 2000;22(2):168-89.
McCubbin HI, Thompson AI, Elver KM. Family Distress Index (FDI). In: Fischer J, Corcoran KJ, editors. Measures for Clinical Practice and Research: A Sourcebook. 4th ed. Vol. 1. New York: Oxford University Press; 2007. p. 281-2.
Rollnick S, Heather N, Gold R, Hall W. Development of a short ‘readiness to change’ questionnaire for use in brief, opportunistic interventions among excessive drinkers. Br J Addict. 1992;87(5):743-54.
Duvall EM. Evelyn Duvall's life. Marriage and family review. 2002;32(1-2):7-23.
Noller P. Parent-adolescent relationships. Explaining family interactions. 1995:77-111.
Arest ME. Comprehensive approach to grief in adolescents. Adolescere 2022; 10(2):45-51.
Maynard BR, Salas-Wright CP, Vaughn MG. High school dropouts in emerging adulthood: Substance use, mental health problems, and crime. Community Ment Health J. 2015;51:289-99.
Bachman JG. The education-drug use connection: How successes and failures in school relate to adolescent smoking, drinking, drug use, and delinquency. Psychology Press; 2008.
Townsend L, Flisher AJ, King G. A systematic review of the relationship between high school dropout and substance use. Clin Child Fam Psychol Rev. 2007;10:295-317.
Straatmann VS, Lai E, Lange T, Campbell MC, Wickham S, Andersen AM, Strandberg-Larsen K, Taylor-Robinson D. How do early-life factors explain social inequalities in adolescent mental health? Findings from the UK Millennium Cohort Study. J Epidemiol Community Health. 2019;73(11):1049-60.
Hanson MD, Chen E. Socioeconomic status and health behaviors in adolescence: a review of the literature. Int J Behav Med. 2007;30:263-85.
Stone AL, Becker LG, Huber AM, Catalano RF. Review of risk and protective factors of substance use and problem use in emerging adulthood. Addict Behav. 2012;37(7):747-75.
Eddy JM, Kjellstrand JM, Martinez CR, Newton R, Herrera D, Wheeler A, Shortt JW, Schumer JE, Burraston BO, Lorber MF. Theory-based multimodal parenting intervention for incarcerated parents and their children. Handbook on children with incarcerated parents: Research, policy, and practice. 2019:219-35.
Gruber KJ, Taylor MF. A family perspective for substance abuse: Implications from the literature. J Soc Work Pract in Addict. 2006;6(1-2):1-29.
Haber J. Management of substance abuse and dependence problems in families. Addictions & substance abuse: Strategies for advanced practice nursing. 2000:305-31.
Porter JF, Spates CR, Smitham S. Behavioral activation group therapy in public mental health settings: a pilot investigation. Professional Psychology: Research and Practice. 2004;35(3):297.
Ekers D, Richards D, McMillan D, Bland JM, Gilbody S. Behavioural activation delivered by the non-specialist: phase II randomised controlled trial. Br J Psychiatry. 2011;198(1):66-72.
Lincoln TM, Wilhelm K, Nestoriuc Y. Effectiveness of psychoeducation for relapse, symptoms, knowledge, adherence and functioning in psychotic disorders: a meta-analysis. Schizophr Res. 2007;96(1-3):232-45.
Bechdolf A, Köhn D, Knost B, Pukrop R, Klosterkötter J. A randomized comparison of group cognitive‐behavioural therapy and group psychoeducation in acute patients with schizophrenia: outcome at 24 months. Acta Psychiatr Scand. 2005;112(3):173-9.
Merinder LB, Viuff AG, Laugesen HD, Clemmensen K, Misfelt S, Espensen B. Patient and relative education in community psychiatry: a randomized controlled trial regarding its effectiveness. Soc Psychiatry Psychiatr Epidemiol. 1999;34:287-94.
Pitschel-Walz G, Bauml J, Bender W, Engel RR, Wagner M, Kissling W. Psychoeducation and compliance in the treatment of schizophrenia: results of the Munich Psychosis Information Project Study. J Clin Psychiatry. 2006;67(3):443-52.
Magliano L, Fiorillo A, Malangone C, De Rosa C, Maj M. A memorial tribute: patient functioning and family burden in a controlled, real-world trial of family psychoeducation for schizophrenia. Psychiatric services. 2006;57(12):1784-91.
Miller WR, Rollnick S. Motivational interviewing: Helping people change. Guilford press; 2012.
Project MATCH Research Group. Matching alcoholism treatments to client hetero-geneity: Project MATCH posttreatment drinking outcomes. J Stud Alcohol. 1997;58:7-29.
UKATT Research Team. Effectiveness of treatment for alcohol problems: findings of the randomised UK alcohol treatment trial (UKATT). BMJ. 2005;331(7516):541. doi: 10.1136/bmj.331.7516.541.
Sellman JD, Sullivan PF, Dore GM, Adamson SJ, MacEwan I. A randomized controlled trial of motivational enhancement therapy (MET) for mild to moderate alcohol dependence. Journal of Studies on Alcohol. 2001;62(3):389-96.
Rachman WO, Syafar M, Amiruddin R, Rahmadania WO, Gerung J. The family roles to prevention of drug abuse in adolescents. Mal J Med Health Sci. 2020;16. 16(SUPP10): 137-.41.
Asen E. Outcome research in family therapy. Adv Psychiatr Treat. 2002;8(3):230-8.
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