Multifamily psychoeducation for improvement of mental health among relatives of patients with major depressive disorder lasting more than one year: study protocol for a randomized controlled trial

Fujika Katsuki, Hiroshi Takeuchi, Norio Watanabe, Nao Shiraishi, Tohru Maeda, Yosuke Kubota, Masako Suzuki, Atsurou Yamada, Tatsuo Akechi, Fujika Katsuki, Hiroshi Takeuchi, Norio Watanabe, Nao Shiraishi, Tohru Maeda, Yosuke Kubota, Masako Suzuki, Atsurou Yamada, Tatsuo Akechi

Abstract

Background: Major depressive disorder (MDD) is a long-lasting disorder with frequent relapses that have significant effects on the patient's family. Family psychoeducation is recognized as part of the optimal treatment for patients with psychotic disorder. A previous randomized controlled trial has found that family psychoeducation is effective in enhancing the treatment of MDD. Although MDD can easily become a chronic illness, there has been no intervention study on the families of patients with chronic depression. In the present study, we design a randomized controlled trial to examine the effectiveness of family psychoeducation in improving the mental health of relatives of patients with MDD lasting more than one year.

Methods/design: Participants are patients with MDD lasting more than one year and their relatives. Individually randomized, parallel-group trial design will be employed. Participants will be allocated to one of two treatment conditions: relatives will receive (a) family psychoeducation (four, two-hour biweekly multifamily psychoeducation sessions) plus treatment-as-usual for the patient (consultation by physicians), or (b) counseling for the family (one counseling session from a nurse) plus treatment-as-usual for the patient. The primary outcome measure will be relatives' mental health as measured by K6 that was developed to screen for DSM-IV depressive and anxiety disorder. Additionally, the severity of depressive symptoms in patients measured by the Beck Depression Inventory-II (BDI-II) scale will be assessed. Data from the intention-to-treat sample will be analyzed 16 weeks after randomization.

Discussion: This is the first study to evaluate the effectiveness of family psychoeducation for relatives of patients with MDD lasting more than one year. If this type of intervention is effective, it could be a new method of rehabilitation for patients with MDD lasting more than one year.

Trial registration: Clinical Trials.gov NCT01734291 (registration date: 18 October 2012).

Figures

Figure 1
Figure 1
Participant flow diagram. K6, J-ZBI_8; The Japanese version of the Zarit Burden Interview short version, FAS; The Japanese version of the Family Attitude Scale, BDI-II; Beck Depression Inventory-II, SF-36; The Medical Outcomes Study 36-item short form health survey (SF-36) version 2, FAD; The Japanese version of the Family Assessment Device.

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