Breaking the chains of isolation: A systematic review on family psychoeducation as a catalyst for social function improvement in schizophrenia

DOI: https://doi.org/10.33024/minh.v8i9.1277

Authors

  • Laras Steffiani Universitas Indonesia
  • Budi Anna Keliat Universitas Indonesia
  • Giur Hargiana Universitas Indonesia

Family Psychoeducation Schizophrenia Social Functioning Social Isolation Systematic Review

Abstract

Background: As a catalyst by accelerating social recovery through family empowerment, enabling long term functional improvement and triggering synergistic effects with other therapies, family psychoeducation (FPE) has been effective in reducing relapse rates and improving social functioning among individuals with schizophrenia.

Purpose: To evaluate how FPE affected schizophrenic patients' social functioning and social isolation, especially in culturally diverse settings.

Method: A systematic review of 10 articles (2015–2024) from PubMed, Sage Journals, and ScienceDirect was conducted. The studies encompassed randomized controlled trials, quasi-experimental approaches, and case series. Critical appraisal using JBI tools assessed risk of bias, with a focus on outcomes such as treatment adherence, social functioning, and hospitalization rates. FPE interventions improved treatment adherence, social functioning, and reduced social isolation in patients with schizophrenia.

Results: FPE is effective in enhancing social functioning and mitigating isolation in schizophrenia, particularly when culturally adapted and integrated with multimodal therapies.

Conclusion: While clinical symptom outcomes varied, FPE’s role in empowering families and enhancing community-based care is critical.

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Author Biographies

  • Budi Anna Keliat, Universitas Indonesia

    I am working as professor of mental health nursing at faculty of nursing Universitas Indonesia, at Jakarta since 1990 till now. As a lecture, I must do teaching, research and community service. I do teach bachelor, master, specialist of mental health nursing and doctorate student. Also, doing research at least 1 or 2 every year, and the result should be published at journal. As well as community service. For community service, I have professional practice as mental health nurse. Indonesia is a place of disaster, so we always go to the place of disaster to do mental health and psychosocial support. Since tsunami in Aceh, we develop community mental health nursing in Aceh and now replicate to all province in Indonesia. Based on this work, I got award from Swiss Foundation Collaboration with WHO Geneva as The laureate of the Award 2015 for an “Outstanding Achievement in field of Mental Health Care” Offered by the Swiss Foundation for World Health in collaboration with the World Health Organization. During pandemic COVID-19, we conduct training for volunteers about Mental Health and Psycho Social Support related Covid-19 by online, for free, all over Indonesia (more than 9.000 from 34 provinces, since March till now).

  • Giur Hargiana, Universitas Indonesia
    Lecturer of Department of Mental Health Nursing

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Published

2025-11-27

How to Cite

Breaking the chains of isolation: A systematic review on family psychoeducation as a catalyst for social function improvement in schizophrenia. (2025). MIN, 8(9), 1127-1136. https://doi.org/10.33024/minh.v8i9.1277