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  1. Article ; Online: Effectiveness of information technology assisted relapse prevention program on relapse among people who live with severe mental disorders.

    Ehsani, Mona / Maarefvand, Masoomeh / Hosseinzadeh, Samaneh / Zabihi Poursaadati, Maryam

    The International journal of social psychiatry

    2024  Volume 70, Issue 3, Page(s) 531–541

    Abstract: Background: Severe Mental Disorders (SMDs) cause mental health worldwide challenges because of several relapses and extensive recovery periods of hospitalization, which put a lot of economic and social burden on families and governments. Therefore, ... ...

    Abstract Background: Severe Mental Disorders (SMDs) cause mental health worldwide challenges because of several relapses and extensive recovery periods of hospitalization, which put a lot of economic and social burden on families and governments. Therefore, interventions are necessary to decrease the relapse of these disorders.
    Aim: This study was conducted to investigate the effect of Information Technology Assisted Relapse Prevention Program (ITAREP) on relapse among people who live with SMDs.
    Method: This study was a randomized clinical trial with intervention and control groups. ITAREP is a remote intervention based on monitoring the Early Warning Signs (EWS) to decrease the number of potential relapses. Using convenience sampling, people with SMDs admitted to Sina Juneqan Psychiatric Hospital and their caregivers were recruited in this study and randomly allocated to the control and intervention groups. Two checklists of the EWS for the patient and the patient's caregiver were used for monitoring the relapse signs. Data were collected at baseline and 90 days after discharge and were analyzed using
    Results: Fifty-two patients who lived with SMDs participated in this study (26 in the intervention group and 26 in the control group). The two groups were homogeneous regarding age, gender, type of mental disorder, and duration of the disorder. Forty-two males and ten females participated in this research. Most of the participants were diagnosed with schizophrenia. The results showed that the number of relapses in the intervention group was significantly lower than in the control group in the post-test.
    Conclusion: Social workers, as the case managers and a member of the interdisciplinary psychiatric team, can actively perform follow-up measures after discharge using ITAREP, and it can be expected that these interventions will reduce the number of relapses among patients who live with SMDs.
    MeSH term(s) Humans ; Male ; Female ; Adult ; Secondary Prevention/methods ; Mental Disorders/prevention & control ; Middle Aged ; Recurrence ; Information Technology ; Caregivers/psychology ; Young Adult
    Language English
    Publishing date 2024-01-03
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/00207640231221094
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The design and process of a family and community-based intervention for relapse prevention in people living with schizophrenia in Iran.

    Zabihi Poursaadati, Maryam / Maarefvand, Masoomeh / Bolhari, Jafar / Hosseinzadeh, Samaneh / Khubchandani, Jagdish

    The International journal of social psychiatry

    2022  Volume 69, Issue 3, Page(s) 587–601

    Abstract: Background: People living with schizophrenia (PLS) suffer frequent relapse accompanied by emergency room visits, premature mortality, lower quality of life and a substantial social and economic burden on families and health systems. There is a dearth of ...

    Abstract Background: People living with schizophrenia (PLS) suffer frequent relapse accompanied by emergency room visits, premature mortality, lower quality of life and a substantial social and economic burden on families and health systems. There is a dearth of community-based relapse prevention interventions (RPIs) in Iran.
    Aims: To determine an ideal model for a community-based RPIs for PLS.
    Methods: A qualitative study with 27 experts in Iran was carried out to understand the ideal RPIs for PLS and the key components of such interventions.
    Results: In 16 semi-structured interviews and 8 group-discussions, the participants identified six major stages of family and community-based RPIs including preparation, social mobilization, local team formation, design an RPI, implementing the RPI, participatory monitoring, and evaluation of the RPI.
    Conclusions: Given the suboptimal healthcare systems and lack of professionals and services, PLS in Iran may benefit from family and community-based RPIs. Our findings warrant pilot testing of such initiatives across developing communities like Iran to improve health outcomes of PLS.
    MeSH term(s) Humans ; Secondary Prevention ; Schizophrenia/therapy ; Quality of Life ; Iran ; Qualitative Research ; Chronic Disease
    Language English
    Publishing date 2022-10-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/00207640221124438
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Caregivers' experiences and perspectives of factors associated with relapse in Iranian people living with schizophrenia: A qualitative study.

    Zabihi Poursaadati, Maryam / Maarefvand, Masoomeh / Bolhari, Jafar / Hosseinzadeh, Samaneh / Songhori, Nahid / Derakhshan, Leili / Khubchandani, Jagdish

    The International journal of social psychiatry

    2021  Volume 69, Issue 1, Page(s) 86–100

    Abstract: Background: Relapse in People Living with Schizophrenia (PLS) has several reasons and recognizing these can increase the effectiveness of treatment interventions. Formal and informal caregivers are an informed source to reduce relapse in PLS.: Aim: ... ...

    Abstract Background: Relapse in People Living with Schizophrenia (PLS) has several reasons and recognizing these can increase the effectiveness of treatment interventions. Formal and informal caregivers are an informed source to reduce relapse in PLS.
    Aim: This study explores the caregivers' perspective in Iran on the factors affecting relapse in PLS.
    Method: A total of 28 caregivers (16 formal caregivers and 12 informal caregivers) of PLS were enrolled in our qualitative study. A content analysis was conducted using individual and group, semi-structured in-depth interviews with informal and formal caregivers of PLS. This study was conducted in a hospital, three universities, and a non-governmental organization in Tehran, Iran.
    Results: The majority (69%) of the participants were females. About half of the informal caregivers were over 60 years old and about 40% of the formal caregivers were in the age range of 30 to 40 years. The average number of years of work for informal caregivers was 17.6 years and the average of work experience among the formal caregivers was 14.1 years. Seven key dual themes were identified from data: 'awareness-stigma', 'social support-social exclusion', 'treatment adherence-treatment discontinuation', 'holistic approach - one-dimensional approach', 'supported employment-social dysfunction', 'emotional management in family - family with high emotional expression', and 'access to treatment-treatment gap'.
    Conclusion: The results of this research can help practitioners and policymakers to enable evidence-based practices to reduce relapse in PLS by emphasizing and acting on factors identified in our analyses.
    Language English
    Publishing date 2021-12-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/00207640211068977
    Database MEDical Literature Analysis and Retrieval System OnLINE

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