Impact of Family Psychoeducation on Psychosis
Recruitment status was Recruiting
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Purpose
There is currently no clear involvement of families/caregivers in the care for postpartum mothers that develop postpartum psychosis. The lack of knowledge on causes of postpartum psychosis may influence the nature of perceived social support that mothers receive from caregivers. It is hoped that the provision of a culturally adapted version of family psychoeducation will bridge the knowledge gap and provide the much needed information. We therefore hypothesized that the involvement of a family member of a postpartum mother with a psychotic illness in a weekly session of family psychoeducation.
| Condition | Intervention |
|---|---|
|
Postpartum Psychosis |
Behavioral: drug compliance Behavioral: Encouragement of drug compliance Behavioral: Family psychoeducation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Supportive Care |
| Official Title: | The Role of Psychoeducation on Perceived Social Support of Postpartum Others With a Psychotic Illness |
- perceived social support of mothers [ Time Frame: 3 months ] [ Designated as safety issue: No ]12 weekly sessions of family psychoeducation for a period of 3 months will improve perceived social support of mothers in the intervention arm.
- Improvement of psychological distress of the caregivers [ Time Frame: 3 months ] [ Designated as safety issue: No ]12 weekly sessions of family psychoeducation with caregivers for a period of 3 months will improve psychological distress in caregivers of mothers that will have received family psychoeducation
| Estimated Enrollment: | 200 |
| Study Start Date: | August 2008 |
| Estimated Study Completion Date: | October 2010 |
| Estimated Primary Completion Date: | September 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Encouragement on drug compliance
The intervention for the placebo comparator will be encouragement on drug compliance
|
Behavioral: drug compliance
Mothers and their caregivers will be encouraged to comply with the given medication
Other Name: Psychosocial intervention
Behavioral: Encouragement of drug compliance
Mothers and their caregivers in the placebo comparator will receive an intervention of drug compliance encouragement
Other Name: Psychosocial intervention
|
|
Experimental: Family psychoeducation
The experimental group will receive weekly sessions of psychoeducation for 12 weeks in addition to receiving drug compliance encouragement
|
Behavioral: Family psychoeducation
The experimental group will receive family psychoeducation for 12 sessions
Other Name: Psychosocial intervention
|
Detailed Description:
Postpartum psychosis causes distress to the mother, baby, spouse and other primary caregivers. This is especially true for Uganda where cultural beliefs for the causation of the illness place blame on supposedly the postpartum mother's promiscuity during pregnancy (COX, 1979). Cultural perceptions on the causes of postpartum psychosis may affect the nature of social support the mothers perceive from their families when they develop the illness. Other perceptions regarding postpartum psychosis in Uganda lay blame on supernatural causes like witchcraft.
Family psychoeducation which sets out to inform families of the nature of the illness is called for so as to demystify the illness.
Eligibility| Ages Eligible for Study: | 13 Years to 50 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Postpartum mothers with a psychiatric illness in the current postpartum period.
- Must have been admitted to the mental health facility for the current episode.
Exclusion Criteria:
- Mothers residing out of a radius of 50 km away from the health facility.
- Mothers that do not have caregivers.
- Mothers who are not fluent in the language in which the study will be conducted.
Contacts and Locations| Contact: Janet Nakigudde | +256-772-407-885 | jnakigudde@hotmail.com |
| Contact: Janet Nakigudde | +256-772-407-885 | jnakigudde@chs.mak.ac.ug |
| Uganda | |
| Makerere University College of Health Sciences | Recruiting |
| Kampala, Uganda, P.O.Box 7072 | |
| Contact: Janet Nakigudde +256-772-407-885 jnakigudde@hotmail.com | |
| Contact: Eija Airksinen +46-87373857 eija.airaksinen@ki.se | |
| Principal Investigator: Janet Nakigudde | |
| Makerere University College of Health Sciences | Recruiting |
| Kampala, Uganda, 7072 | |
| Contact: Janet Nakigudde +256-772-407-885 jnakigudde@hotmail.com | |
| Contact: Eija Airaksinen +468737840 eija.airaksinen@ki.se | |
| Principal Investigator: Janet Nakigudde | |
| Study Director: | Eija Airaksinen | Karolinska Institutet |
More Information
No publications provided
| Responsible Party: | Janet Nakigudde, Department of Psychiatry, College of Health Sciences, Makerere University |
| ClinicalTrials.gov Identifier: | NCT01172106 History of Changes |
| Other Study ID Numbers: | 2006/HD11/4572U |
| Study First Received: | July 28, 2010 |
| Last Updated: | July 28, 2010 |
| Health Authority: | Uganda: Ministry of Health |
Keywords provided by Makerere University:
|
Postpartum psychosis Perceived social support Family psychoeducation |
Additional relevant MeSH terms:
|
Mental Disorders Psychotic Disorders Schizophrenia and Disorders with Psychotic Features |
ClinicalTrials.gov processed this record on May 22, 2013