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Published on: August 11, 2015
Psychoeducation for major depressive disorders: a randomised controlled trial
Ippei Morokuma1, Shinji Shimodera, Hirokazu Fujita
1Department of Neuropsychiatry, Kochi Medical School, Kochi University, 185-1 Kohasu, Oko-cho, Nankoku, Kochi 783-8505, Japan.
Psychiatry Research
|July 10, 2013
Summary
Family psychoeducation significantly reduces relapse in major depressive disorder patients. This therapy extends remission time and improves outcomes by teaching coping strategies.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Psychological therapies are effective for mood disorders.
- Family psychoeducation reduces symptom severity and relapse in mood disorders.
Purpose of the Study:
- To test the efficacy of adding psychoeducation on managing family's expressed emotion to treatment as usual (TAU) for preventing relapse in patients with remitted major depression.
Main Methods:
- 34 patients with remitted major depressive disorder were randomized into two groups.
- Intervention group received group psychoeducation (6 sessions) plus TAU.
- Control group received TAU alone.
Main Results:
- Time to relapse was significantly longer in the intervention group (RR of 0.12 at 9 months).
- The intervention group showed a significantly greater decrease in Hamilton Rating Scale for Depression-17 (HRSD-17) scores at 9 months.
Conclusions:
- Psychoeducation focused on managing family's expressed emotion is effective in preventing relapse.
- This intervention improves the course and outcome of major depressive disorder.
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