Impact of Family Psychoeducation on Psychosis

Postpartum Psychosis Clinical Trial

Official title:

The Role of Psychoeducation on Perceived Social Support of Postpartum Others With a Psychotic Illness

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT01172106
• Other study ID #: 2006/HD11/4572U
• Status: Recruiting
• Phase: N/A
• First received: July 28, 2010
• Last updated: July 28, 2010
• Start date: August 2008
• Est. completion date: October 2010

Study information

• Verified date: July 2010
• Source: Makerere University
• Contact: Janet Nakigudde
• Phone: +256-772-407-885
• Email: jnakigudde[@]hotmail.com
• Is FDA regulated: No
• Health authority: Uganda: Ministry of Health
• Study type: Interventional

Clinical Trial Summary

There is currently no clear involvement of families/caregivers in the care for postpartum mothers that develop postpartum psychosis. The lack of knowledge on causes of postpartum psychosis may influence the nature of perceived social support that mothers receive from caregivers. It is hoped that the provision of a culturally adapted version of family psychoeducation will bridge the knowledge gap and provide the much needed information. We therefore hypothesized that the involvement of a family member of a postpartum mother with a psychotic illness in a weekly session of family psychoeducation.

Description:

Postpartum psychosis causes distress to the mother, baby, spouse and other primary caregivers. This is especially true for Uganda where cultural beliefs for the causation of the illness place blame on supposedly the postpartum mother's promiscuity during pregnancy (COX, 1979). Cultural perceptions on the causes of postpartum psychosis may affect the nature of social support the mothers perceive from their families when they develop the illness. Other perceptions regarding postpartum psychosis in Uganda lay blame on supernatural causes like witchcraft.

Family psychoeducation which sets out to inform families of the nature of the illness is called for so as to demystify the illness.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 200
• Est. completion date: October 2010
• Est. primary completion date: September 2010
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 13 Years to 50 Years

Eligibility

Inclusion Criteria:

• Postpartum mothers with a psychiatric illness in the current postpartum period.

• Must have been admitted to the mental health facility for the current episode.

Exclusion Criteria:

• Mothers residing out of a radius of 50 km away from the health facility.

• Mothers that do not have caregivers.

• Mothers who are not fluent in the language in which the study will be conducted.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Mental Disorders
• Postpartum Psychosis
• Psychotic Disorders

Intervention

Behavioral:
• drug compliance
Mothers and their caregivers will be encouraged to comply with the given medication
• Encouragement of drug compliance
Mothers and their caregivers in the placebo comparator will receive an intervention of drug compliance encouragement
• Family psychoeducation
The experimental group will receive family psychoeducation for 12 sessions

Locations

Country	Name	City	State
Uganda	Makerere University College of Health Sciences	Kampala
Uganda	Makerere University College of Health Sciences	Kampala

Sponsors (2)

Lead Sponsor	Collaborator
Makerere University	Swedish International Development Cooperation Agency (SIDA)

Country where clinical trial is conducted

Uganda, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	perceived social support of mothers	12 weekly sessions of family psychoeducation for a period of 3 months will improve perceived social support of mothers in the intervention arm.	3 months	No
Secondary	Improvement of psychological distress of the caregivers	12 weekly sessions of family psychoeducation with caregivers for a period of 3 months will improve psychological distress in caregivers of mothers that will have received family psychoeducation	3 months	No