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Keefektifan Konseling Keluarga dalam Memperbaiki Skor Ekspresi Emosi pada Caregiver Pasien Skizofrenia

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Families with a schizophrenic member often experience over-expression of recurrent emotion that may cause the schizophrenic member to relapse. Alleviating this emotion expression can help schizophrenic patients to attain better prognosis, improve their social function, and enhance their quality of life. Eclectic family counseling is a type of psycho-social therapy that helps family members to actualize their potentials, to anticipate problems within family system, and to induce positive behavioral change to other family member. This study aimed to determine the effectiveness of family counseling in improving emotional expression score of the caregivers of patients with schizophrena. A double-blinded randomized controlled trial was conducted at the Municipal Mental Hospital (RSJ) Surakarta from February to March 2011. A sample 40 patients with schizophrenia and 40 family members (caregivers) of these patients was selected by purposive sampling. These caregivers were 20 to 50 years of age, either male or female, and livedwith the patients at least 8 hours per day in the same houses. The caregivers were assigned at random into the experimental group (n1= 20) who received family counseling and the control group (n2= 20) who did not receive family counseling. The outcome variables under study were Emotional Over-Involvement (EOI) and Critical Comments (CC)of the caregivers, as well as the quality of life (QoL), and personal and social performace (PSP) of the schizophrenic patients, using validated scales. Multiple linear regression analysis was run to measure the effect of the counseling on these outcome variables.Caregivers that received family counseling showed decline in EOI (b= -4.69; 95%CI -6.12 to - 3.28), and (CC)(b= -3.75; 95%CI -5.24 to -2.37). Schizophrenia patients who received care from caregiver with counseling showed improvement in QoL (b= 17.71; 95 %CI 11.89 to 23.54), and PSP (b= 19.05; 95%CI 15.20 to 22.92). Eclectic family counseling effectively reduces excessive emotional expression among family caregivers with a schizophrenic patient, thereby improves the quality of life as well as personal and social performance of the patient.

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Detail Information

Series Title

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Call Number

Jurnal Kedokteran Indonesia, 2(1) 2011:66-72

Publisher

Surakarta : Fk. Universitas Sebelas Maret., 2011

Collation

6p.

Language

ISBN/ISSN

2086-5171

Classification

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Content Type

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Media Type

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Carrier Type

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Edition

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Subject(s)

schizophrenia
COUNSELING
PATIENTS
CAREGIVERS
EXPRESSED EMOTIONS

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