F20
Conditions
Interventions
Group 1: For this study, a slightly shortened and modified version of the APES manual (Arbeitsbuch PsychoEdukation bei Schizophrenie – mit Manual für die Gruppenleitung
Bäuml et al., 2005
Kogan & Friedenstab, 2016) was implemented, in addition to the treatment as usual, as described below.
The intervention was performed based on a combination of teaching and interactive group work an
Sponsors
Charité Universitätsmedizin Berlin Institut für Forensische Psychiatrie
Eligibility
Sex/Gender
Male
Inclusion criteria
Inclusion criteria: F20.x Diagnosis, Incarceration expected to last 3 months at least
Exclusion criteria
Exclusion criteria: massive formal thought disorder, manic elevated mood, hearing imperative voices and acute suicidality with generally reduced stress resilience
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective was to determine whether there is a difference in knowledge about the illness before and after psychoeducation in an intervention group compared to a control group. The Knowledge Questionnaire (KQ) was utilized to measure the primary objective. The KQ (Wissensfragebogen; Pitschel-Walz, 1997) is a multiple-choice questionnaire consisting of 21 questions that are related to the topics discussed in the psychoeducational group concerning symptoms, causes, medication and early warning signs. The knowledge questionnaire contains 21 questions with a total of 107 possible answers (each question has between 4 and 8 answers to choose from) of which 70 should be recognized as correct. The sum of the correct answers minus the sum of the wrong answers forms the "knowledge score"; thereby a maximum of 70 points can be achieved. The KQ was administered to measure the level of knowledge before and after intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objectives were as follows: 1. To assess the level of patient-rated symptom severity versus physician-rated symptom severity on admission in the intervention group compared to the control group. 2. To determine rehospitalization rates in the intervention group compared to the control group. 3. To examine the level of adherence at discharge in the intervention group compared to the control group. To assess the key objectives, as stated above, the following psychological test battery was utilized at two testing times. Structured Interview After having consented to participate in the study, the CI assessed the patients with a structured interview including questions concerning sociodemographic variables (e.g. age, nationality, marital status, number of children, education), clinical variables (e.g. number of prior psychiatric treatments, mental illness in the family) and questions concerning incarceration (e.g. number of prior incarcerations, reason(s) for current incarceration). This information was crosschecked with the information contained in the case file of the patient and where necessary corrected in the data sheet. Structured Clinical Interview for DSM-IV Axis II Disorders: The Structured Clinical Interview II (SCID-II) (First et al., 1997) is designed to assess Axis II (personality disorders) according to DSM-IV in a psychiatric population. This is considered to be a valid and reliable tool for assessing personality disorders (Lobbestael, et al., 2011; Zanarini et al., 2000) and has been used with offenders (Beaudette & Stewart, 2016; Ullrich et al., 2008). A research assistant (a psychologist working in the psychiatric department) conducted the two-part administration of the SCID II (the questionnaire and the subsequent structured interview) and allocated scores according to the manual. Positive and Negative Syndrome Scale The Positive and Negative Syndrome Scale (PANSS) (Kay et at., 1987; Kay et al. 1989) is a typological and dimensional a | — |
Countries
Germany
Contacts
Public ContactIlona Kogan
Charité Universitätsmedizin Berlin Institut für Forensische Psychiatrie
Outcome results
None listed