Partizipationsverhalten schizophren erkrankter Patienten in Psychoedukationsgruppen: Erste Ergebnisse mit dem Teilnahmequalitätsbogen

Translated title of the contribution: Participation behavior of patients with schizophrenia in psychoeducation groups: First results with the participation quality rating scale

Josef Bäuml, J. Baumgärtner, T. Froböse, A. Gsottschneider, Z. Keller, S. Lüscher, M. Scherr, G. Pitschel-Walz, T. Jahn

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The effectiveness of psychoeducation groups for people with schizophrenia is well documented; however, there are no studies which examined patient participation behavior although this behavior might be critical for accomplishment of the therapeutic goals. This article presents newly developed 4-point Likert scale, the participation quality rating scale (PQRS), together with initial results on practicability, validity, change sensitivity, sociodemographic and clinical correlates and on the question whether participation quality might be a significant predictor of the short and long-term outcome of psychoeducation. Patient and methods: Within the framework of the Munich Study "Cognitive Determinants of Psychoeducation and Information in Schizophrenic Psychoses" (COGPIP) the individual participation behavior of 97 patients with schizophrenia was examined after each psychoeducational group session (4 weeks). Individual mean PQRS scores were correlated with sociodemographic, anamnestic and clinical variables. In addition to change sensitivity the ability of the scale to predict the acquisition of illness knowledge during psychoeducation was examined as well as readmission during a 9-month follow-up period and the psychopathological endpoint (positive and negative syndrome scale, PANSS). Results: Practicability and change sensitivity of the PQRS were found to be sufficient. Significant correlations with independently rated illness insight and medication compliance indicated a construct validity of the scale. Higher age, female sex and less pronounced psychopathological symptoms (PANSS) were associated with better participation behavior. Even patients with clearly impaired participation behavior profited from psychoeducation in that they were able to catch up with the delay with regard to illness knowledge. However, the PQRS was not a predictor of readmission during the 9-month follow-up period or of psychopathological endpoints. Conclusions: The PQRS is qualified as a new tool for the standardized assessment of participation behavior in people with schizophrenia attending psychoeducation groups. The scale can be applied in research as well as clinical contexts in order to further improve understanding of how psychoeducation works and how this kind of supplementary therapy could become even more effective.

Translated title of the contributionParticipation behavior of patients with schizophrenia in psychoeducation groups: First results with the participation quality rating scale
Original languageGerman
Pages (from-to)301-312
Number of pages12
JournalPsychotherapeut
Volume57
Issue number4
DOIs
StatePublished - Jul 2012
Externally publishedYes

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