The Effectiveness of Individual and Family Psychoeducation on Medication Adherence in Patients with Schizophrenia.

Schizophrenia is a chronic and devastating disorder. Individuals who suffer from schizophrenia struggle with adhering to their medication treatment plan. Non-adherence to their prescribed medication may cause individuals to decompensate; their symptoms may worsen and hospitalization may be needed. Sources of Data Three databases were searched to evaluate studies on the effectiveness of individual and family group psychoeducation on medication adherence. PsycINFO, CINAHL, and PubMed were used for the systematic review of literature. The search terms used were: schizophrenia, psychoeducation, caregiver support, family support, and medication adherence. Seven articles were retrieved from the literature search, and met the inclusion criteria for the systematic review. Inclusion criteria consisted of the studies testing the effectiveness of psychoeducation with families and patients. Individuals diagnosed with schizophrenia, schizoaffective disorder, or unspecified psychotic disorder was included. The studies selected were randomized control trials, systematic reviews and meta-analyses. Conclusions Reached Studies support patient and family psychoeducation as an effective intervention to improve the patient’s adherence to the medication adherence. The goal of psychoeducation is to help families identify negative and positive symptoms of schizophrenia, encourage the patient to seek psychiatric treatment, and adhere to the prescribed medication regimen. In addition, the family and the patient learn how to cope with the symptoms of schizophrenia and have greater understanding of the patient’s illness. Overall, family and patient participation in psychoeducation improves understanding of the disease process and ultimately the patient’s quality of life.