PMID- 28381728 OWN - NLM STAT- MEDLINE DCOM- 20180312 LR - 20180312 IS - 1881-2090 (Electronic) IS - 0023-5679 (Linking) VI - 63 IP - 3.4 DP - 2017 May 8 TI - The Effects of Psychoeducation on Long-term Inpatients with Schizophrenia and Schizoaffective Disorder. PG - 61-67 LID - 10.2739/kurumemedj.MS00011 [doi] AB - This study aimed to examine the significance of intervention to improve medication adherence in long-term inpatients by providing psychoeducation and then elucidating the effects of this training in terms of patient knowledge and attitudes. Subjects were patients who had been hospitalized for more than 1 year after being admitted to a psychiatric hospital, had been diagnosed as F2 (schizophrenia, schizoaffective disorder) according to the International Classification of Diseases, 10th Edition, and were capable of verbal communication. Patients suspected of having dementia were excluded. Items surveyed were patient background, prescriptions, Global Assessment of Functioning (GAF) score, Drug Attitude Inventory-10 (DAI-10) score, and Knowledge of Illness and Drugs Inventory (KIDI) score. The amount of medication taken and GAF, DAI-10, and KIDI scores were evaluated within 1 week of starting psychoeducation and within 1 week of completing psychoeducation. The Wilcoxon signed-rank test and McNemar test was used to compare scores before and after intervention. The mean overall KIDI score increased significantly, and the mean overall DAI-10 score improved significantly after intervention. Furthermore, the mean overall KIDI score of very long-term inpatients with schizophrenia and schizoaffective disorder increased significantly after intervention. Psychoeducation produced improvement in some areas of knowledge and attitudes towards medication among long-term inpatients. These results demonstrate that psychoeducation has an effect on long-term inpatients that is similar to the effect observed in earlier studies on patients leading community lives, including patients who have just been admitted or discharged and patients attending day care or outpatient visits. FAU - Yanagida, Nobuhiko AU - Yanagida N AD - Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University. FAU - Uchino, Toshiro AU - Uchino T AD - Department of Psychiatry, Kurume University School of Medicine. FAU - Uchimura, Naohisa AU - Uchimura N AD - Department of Psychiatry, Kurume University School of Medicine. LA - eng PT - Journal Article DEP - 20170403 PL - Japan TA - Kurume Med J JT - The Kurume medical journal JID - 2985210R RN - 0 (Antipsychotic Agents) SB - IM MH - Adult MH - Aged MH - Antipsychotic Agents/adverse effects/*therapeutic use MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Inpatients MH - Length of Stay MH - Male MH - *Medication Adherence MH - Middle Aged MH - Patient Education as Topic/*methods MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/diagnosis/*drug therapy/psychology MH - Schizophrenia/diagnosis/*drug therapy MH - *Schizophrenic Psychology MH - Surveys and Questionnaires MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - knowledge OT - long-term inpatients OT - medication adherence OT - psychoeducation OT - schizophrenia EDAT- 2017/04/07 06:00 MHDA- 2018/03/13 06:00 CRDT- 2017/04/07 06:00 PHST- 2017/04/07 06:00 [pubmed] PHST- 2018/03/13 06:00 [medline] PHST- 2017/04/07 06:00 [entrez] AID - 10.2739/kurumemedj.MS00011 [doi] PST - ppublish SO - Kurume Med J. 2017 May 8;63(3.4):61-67. doi: 10.2739/kurumemedj.MS00011. Epub 2017 Apr 3.