TY - JOUR T1 - Psychoeducation in Mental Disorders: A Brief Review TT - Ruhsal Hastalıklarda Psikoeğitim: Kısa Bir Gözden Geçirme AU - Sönmez, Sinem AU - Arslantaş, Hülya Y2 - 2025 DO - 10.18863/pgy.1673402 JF - Psikiyatride Güncel Yaklaşımlar JO - Psikiyatride Güncel Yaklaşımlar PB - Lut TAMAM WT - DergiPark SN - 1309-0658 SP - 605 EP - 615 VL - 18 IS - 2 LA - en AB - Psychoeducation, an evidence-based practice, is an educational and psychotherapeutic method applied to patients, families, and groups. It aims to enhance the coping skills of individuals, whether patients or healthy individuals, and their families, while reducing the rates of relapse and repeated hospitalizations. Psychoeducation is defined as a structured, systematic, and psychotherapeutic intervention that combines theoretical and practical approaches to understanding and managing illness. Its primary objectives include equipping patients and their families with fundamental knowledge and skills related to the illness, fostering insight, supporting relapse prevention, and mitigating suicide risk through crisis management. Psychoeducation primarily involves knowledge dissemination and skill development. Programs can vary in the number, frequency, and content of sessions, depending on the specific clinical condition. The effectiveness of psychotherapy in schizophrenia, bipolar disorder, depression, anxiety disorders, substance dependence, and personality disorders has been proven in numerous randomized controlled trials and meta-analyses in the relevant literature. Despite having limited effects when used alone, when combined with pharmacotherapy and other psychosocial interventions, it significantly improves treatment adherence, reduces hospital admission duration and frequency, enhances social functioning, and decreases caregiver burden and stigma. This review examines the definition, types, areas of application, and effectiveness of psychoeducation, with a particular focus on its implementation across various psychiatric disorders, drawing on evidence from the existing literature. KW - Psychoeducation KW - mental disorders KW - family psychoeducation KW - treatment compliance N2 - Kanıta dayalı uygulamalar arasında yer alan psikoeğitim, hasta, aile ve gruba yönelik uygulanabilen hasta/sağlıklı birey ve ailesinin baş etme becerilerini geliştirme yöntemlerine odaklanan, hastaneye tekrarlı yatışları ve nüksleri azaltan bir eğitim yöntemdir. Sistematik, psikoterapötik müdahaleler olarak tanımlanmaktadır. Psikoeğitim, psikoterapötik ve eğitsel müdahaleler ile hastalığın anlaşılması ve beraberinde hastalıkla baş etmede teorik ve pratik yaklaşım sunmaktadır. Psikoeğitimin amacı; hasta ve hasta yakınlarının hastalık hakkında temel bilgi ve yeterliliklerini sağlamak, hastalığa ilişkin içgörü kazandırmak, nüksün önlenmesini teşvik etmek ve kriz yönetimi ile intiharı önlemektir. Psikoeğitimde bilgi aktarma ve beceri geliştirme ön plana çıkmaktadır. Psikoeğitim farklı hastalık gruplarına göre değişen oturum sayısı, sıklık ve içeriklerle uygulanabilir. Literatürde psikoeğitimin şizofreni, bipolar bozukluk, depresyon, anksiyete bozuklukları, madde bağımlılığı ve kişilik bozukluklarında etkinliği çok sayıda randomize kontrollü çalışma ve meta-analizlerle kanıtlanmıştır. Tek başına uygulandığında sınırlı etkisi olmakla birlikte, farmakoterapi ve diğer psikososyal müdahalelere eklendiğinde tedavi uyumunu belirgin artırdığı, hastaneye yatış süresini ve sayısını azalttığı, sosyal işlevselliği yükselttiği, bakım veren yükünü ve damgalanmayı düşürdüğü gösterilmiştir. Bu derlemede, psikoeğitimin tanımı, psikoeğitim türleri, kullanım alanları ve etkinliği, çeşitli psikiyatrik bozukluklarda psikoeğitim kullanımı literatür doğrultusunda gözden geçirilmiştir. CR - Aşık E, Ünsal G (2020) An evaluation of a psychoeducation programme for emotion identification and expression in individuals diagnosed with schizophrenia. Int J Ment Health Nurs, 29:693-702. CR - Boz İ, Akgün M (2020) Psychoeducation programme and pre- application results based on human caring theory at fear of birth management. J Educ Res Nurs. 17:180-187. CR - Brady P, Kangas M, McGill K (2017) “Family matters”: a systematic review of the evidence for family psychoeducation for major depressive disorder. J Marital Fam Ther, 43:245-263. CR - Brown NW (2018) Psychoeducational Groups: Process and Practice. New York, Routledge. CR - Buizza C, Candini V, Ferrari C, Ghilardi A, Saviotti F.M, Turrina C et al. (2019) The long-term effectiveness of psychoeducation for bipolar disorders in mental health services. A 4-year follow-up study. Front Psychiatry, 10:873. CR - Bulut M, Arslantaş H, Dereboy İF (2016) Effects of psychoeducation given to caregivers of people with a diagnosis of schizophrenia. Issues Ment Health Nurs, 37:800-810. CR - Çakır S, Özerdem A (2010) Psychotherapeutic and psychosocial approaches in bipolar disorder: a systematic literature review. Turk Psikiyatri Derg, 21:1-12. CR - Çinçinoğlu G (2024) Şizofreni hasta yakınlarına uygulanan kabul ve kararlılık terapisi temelli psikoeğitimin damgalanma düzeylerine etkisi (Doktora tezi) İstanbul, İstanbul Medeniyet Üniversitesi. CR - Dikeç G, Kutlu Y (2015) Ruhsal Bozukluklarda Tedavi Uyumunu Artırmak İçin Bir Yöntem: Tedaviye Uyum Programı. Psikiyatri Hemşireliği Dergisi, 6:40-46. CR - Dolder CR, Lacro JP, Leckband S, Jeste DV (2003) Interventions to improve antipsychotic medication adherence: review of recent literature. J Clin Psychopharmacol, 23:389-399. CR - Duman ZÇ, Kocaman N, Üçok A, Er F, Kanık T, Doğaner M (2006) Yatan hastalarda psikoeğitsel tedavi grubunun etkinliği. Dusunen Adam, 19:64-71. CR - Duran S (2024) Psikoeğitim. Turkiye Klinikleri Psychiatric Nursing-Special Topics, 10:110-114. CR - Griffiths F, Smith D (2010) Psychoeducation intervention for people with bipolar disorder. Mental Health Practise, 13(9):22-23. CR - Gümüş F, Buzlu S, Çakır S (2016) Bipolar bozukluk için örnek bir bireysel psikoeğitim modeli. Psikiyatri Hemşireliği Dergisi, 7:142-147. CR - Gümüş F, Buzlu, S (2018) Psychoeducation in bipolar disorder. Florence Nightingale J Nurs, 26:131-139. CR - Hedayati A, Norouzi N, Hossein Z.S.A (2022) The impact of psycho-education on health knowledge of depression and ad-herence to treatment in depressed patients. J Clin Images Med Case Rep, 3:2009. CR - Higgins A, Murphy R, Downes C, Barry J, Monahan, M, Hevey D et al. (2020) Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research. BMC Health Serv Res. 20:1023. CR - Jung XT, Newton R (2009) Cochrane reviews of non‐medication‐based psychotherapeutic and other interventions for schizophrenia, psychosis, and bipolar disorder: A systematic literature review. Int J Ment Health Nurs, 18:239-249. CR - Kargin M, Hicdurmaz D (2020) Psychoeducation program for substance use disorder: Effect on relapse rate, social functioning, perceived wellness, and coping. J Psychosoc Nurs Ment Health Serv, 58:39-47. CR - Kurtz MM, Mueser KT (2008) A meta-analysis of controlled research on social skills training for schizophrenia. J Consult Clin Psychol, 76:491-504. CR - Lopes FM, Luz WL, Remus JB, Andretta I (2021) Psychoeducation in the treatment of smoking and alcohol use disorder. In Drugs and Human Behavior: Biopsychosocial Aspects of Psychotropic Substances Use (Eds D De Micheli, ALM Andrade, RA Reichert, EA da Silva, B de Oliveira Pinheiro, FM Lopes):291-304. Cham, Springer. CR - Lukens EP, Mcfarlane WR (2004) Psychoeducation as evidence-based practice: considerations for practice, research, and policy. Brief Treat Crisis Interv, 4:205-225. CR - Mcfarlane WR, Dixon L, Lukens E, Lucksted A (2003) Family psychoeducation and schizophrenia: A review of the literature. J Marital Fam Ther, 29:223-245. CR - McDonald HP, Garg AX, Haynes RB (2002) Interventions to enhance patient adherence to medication prescriptions: scientific review. JAMA, 288:2868-2879. CR - Niksalehi S, Namazi S, Tashk M, Bavaghar S, Afandi M, Jamalizadeh F (2019) Impact of family psychoeducation intervention on relapse prevention in hospitalized psychiatric patients. Hormozgan Medical Journal, 23:1-5. CR - Nolan M, Petrakis M (2019) Delivering family psychoeducation at the mental health acute inpatient service: A practitioner narrative. J Psychiatr Ment Health Nurs, 26:101-107. CR - Ong SH, Caron A (2008) Family-based psychoeducation for children and adolescents with mood disorders. J Child Fam Stud, 17:809-822. CR - Petrakis M, Laxton S (2017) Intervening early with family members during first-episode psychosis: an evaluation of mental health nursing psychoeducation within an inpatient unit. Arch Psychiatr Nurs, 31:48-54. CR - Reichhart T, Pitschel-Walz G, Kissling W, Bäuml J, Schuster T, Rummel-Kluge C (2010) Gender differences in patient and caregiver psychoeducation for schizophrenia. Eur Psychiatry, 25:39-46. CR - Rodrigues F, Bártolo A, Pacheco E, Pereira A, Silva CF, Oliveira C (2018) Psycho-Education for anxiety disorders in adults: A systematic review of its effectiveness. Journal of Forensic Psychology, 3:142. CR - Rummel-Kluge C, Pitschel-Walz G, Bauml J, Kissling W (2006) Psychoeducation in schizophrenia- Results of a survey of all psychiatric institutions in Germany, Austria, and Switzerland. Schizophr Bull, 32:765-777. CR - Sarkhel S, Singh OP, Arora, M (2020) Clinical practice guidelines for psychoeducation in psychiatric disorders general principles of psychoeducation. Indian J Psychiatry, 62(Suppl 2):S319-S323. CR - Sayed SM, Ahmad HEK, Sayied NE, El-Aziz AMA (2020) Effect of psycho-educational program on depression among drug addict patients at Assiut University Hospital. Assiut Scientific Nursing Journal, 8:45-55. CR - Swaminath G (2009) Psychoeducation. Indian J Psychiatry, 51:171-172. CR - Stuart GW (2014) Principles and Practice of Psychiatric Nursing. New York, Elsevier. CR - Şengün F, Üstün B, Altıok HÖ (2011) Kanıta dayalı uygulama: psikoeğitim. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 27:66-74. CR - Tambağ H, Öz F (2014) Grup psikoeğitiminin yaşlıların hemşirelik bakımında kullanılması. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 1(3):47-53. CR - Tsiouri I, Gena A, Economou MP, Bonotis KS, Mouzas O (2015) Does long-term group psychoeducation of parents of individuals with schizophrenia help the family as a system? A quasi-experimental study. Int J Ment Health, 44:316-331. CR - Üstün B (2016) Psikoeğitim. Turkiye Klinikleri Psychiatric Nursing-Special Topics, 2:100-106. CR - Yıldırım A, Aşılar Hacıhasanoğlu R, Erdiman S, Camcıoğlu TH, Karaağaç E (2012) Şizofreni Hastalarında Ruhsal Toplumsal Beceri eğitiminin hastalık belirtisi, içgörü, içselleştirilmiş damgalanma ve sosyal işlevsellik üzerine etkisi. II. Uluslararası ve VI. Ulusal Psikiyatri Hemşireliği Kongresi, 4-7 Ekim 2012 Erzurum, Türkiye. Kongre Özet Kitabı, 151-152. CR - Zygmunt A, Olfson M, Boyer CA, Mechanic, D (2002) Interventions to improve medication adherence in schizophrenia. Am J Psychiatry, 159:1653-1664. CR - Zhao S, Sampson S, Xia J, Jayaram MB (2015) Psychoeducation (brief) for people with serious mental illness. Cochrane Database Syst Rev, 2015(4):CD010823. UR - https://doi.org/10.18863/pgy.1673402 L1 - https://dergipark.org.tr/tr/download/article-file/4761096 ER -