Management of Men Diagnosed with Schizophrenia Using a Family Medicine Approach

Authors

  • Putri Nabila Febrianty Professional Study Program, Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta
  • Raihan Akbar Darmawan Professional Study Program, Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta
  • Azzahra Roudatul Jannah Professional Study Program, Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta
  • Winsca Maghfirda Yasya Professional Study Program, Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta
  • Dhia Adhi Perwirawati Professional Study Program, Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta
  • Maria Selvester Thadeus Professional Study Program, Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta
  • Tiwuk Susantiningsih Professional Study Program, Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta

DOI:

https://doi.org/10.22487/htj.v12i1.1882

Abstract

Background: Family medicine emphasizes comprehensive and sustainable health care for individuals and families. Objective: This study aimed to identify clinical problems in patients with schizophrenia and their families, and to analyze factors influencing schizophrenia-related problems using a family medicine approach.
Methods: Management was conducted using a family-centered approach designed to create comprehensive health conditions encompassing physical, mental, social, and emotional aspects. The intervention encouraged a supportive family environment for healthy living behaviors and increased family awareness of disease prevention and health promotion in schizophrenia. Family coaching and education were delivered using RANGKUL promotional media. Results: Family coaching demonstrated improved family understanding of schizophrenia, indicated by an increase in post-test scores of 50 out of 100 compared with pre-test results. Families showed better recognition of symptoms, treatment goals, and the importance of long-term care and medication adherence. Conclusion: Management of a male patient diagnosed with catatonic schizophrenia can be effectively implemented using a family medicine approach. Key supporting factors included high family enthusiasm, openness in providing information for family assessment, and strong commitment to maintaining the patient’s medication compliance. Complicating factors included the parents’ educational level, limited to junior and senior high school, requiring information delivery in simple language.

References

Anggraini MT, Novitasari A, Setiawan MR. Buku Ajar Kedokteran Keluarga. FK UMS; 2015.

Anies. Kedokteran Keluarga: Pelayanan Kedokteran yang berprinsip pencegahan. Semarang: Badan Penerbit Universitas Diponegoro; 2014.

Ekawati FM, Claramita M. Indonesian general practitioners’ experience of practicing in primary care under the implementation of universal health coverage scheme (JKN). J Prim Care Community Health. 2021;13:2633714842. doi:10.1177/26337148421073368

Hany M, Rehman B, Rizvi A. Schizophrenia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.

Karina K, Zulkifli H, Novrikasari N. Gambaran stres kerja pada perawat wanita di RS X Palembang. Healthy Tadulako J. 2021;7(1):7–14.

Maramis WF. Catatan Ilmu Kedokteran Jiwa. 2nd ed. Surabaya: Airlangga University Press; 2009.

Maslim R. Buku Saku PPDGJ III dan DSM 5. Jakarta: FK Unika Atmajaya; 2015.

Rohmayanti D, Sakundarno M, Sutiningsih D. Hubungan dukungan keluarga dengan kekambuhan pasien skizofrenia di wilayah UPT Puskesmas Carita. Healthy Tadulako J. 2023;9(3):354-62.

Saifah A, Nur AF. Kemampuan keluarga merawat klien insomnia dan hipertensi. Healthy Tadulako J. 2020;6(3):14-21.

Sujardi. Kedokteran keluarga: Konsep dan implementasi dalam pelayanan kesehatan primer. Yogyakarta: Penerbit Kesehatan Masyarakat; 2014.

Perkasa T, Jaya MA, Namirah HA, Bakthiar IKA, Utami DF. Description of The Degree of Stress, Anxiety and Depression in Teachers at Wahdah Islamic School 03 Makassar. Healthy Tadulako J (Jurnal Kesehatan Tadulako). 2025;11(3):361-369. doi:10.22487/htj.v11i3.1671

Werdhani RA. Medical problem in Asia Pacific and ways to solve it: The roles of primary care/family physician (Indonesia Xperience). J Fam Med Prim Care. 2019;8(5):1523-7. doi:10.4103/jfmpc.jfmpc_326

World Organization of Family Doctors (WONCA). The role of the general practitioner/family physician in health care systems: A statement from WONCA. Singapore: WONCA; 2002.

Viron M, Baggett T, Hill M, Freudenreich O. Schizophrenia for primary care providers: how to contribute to the care of a vulnerable patient population. Am J Med. 2012;125(3):S2–S8. doi:10.1016/j.amjmed.2011.09.010

Orfanel CL, Villafuerte MB. Effectiveness of family focused intervention in patients with schizophrenia in family and community practice: a meta analysis. Filip Fam Physician. 2023;(61):110-118.

Rodolico E, Bighelli I, et al. Effective family interventions for people with schizophrenia: a Lancet Psychiatry meta analysis. Lancet Psychiatry. 2021;8(5):453-464. doi:10.1016/S2215-0366(21)00091-2

Milstein M, et al. Schizophrenia. Am Fam Physician. 2022;105(10):27-35.

Dixon L, et al. Community based care of individuals with schizophrenia: combining treatments and social support. Community Ment Health J. 2018;54(4):344-352. doi:10.1007/s10597-017-0155-5

Smith J, et al. Needs, challenges, and coping strategies among primary caregivers of persons with schizophrenia: qualitative synthesis. J Psychiatr Ment Health Nurs. 2022;29(2):234-245. doi:10.1111/jpm.12849

Wira MB, Nia S, Syaharani R, et al. The influence of family expressed emotion on risk of relapse in schizophrenia: outcomes from a community medicine intervention. J Community Med Public Health Res. 2025;6(1):29-38.

Tandon R, Nasrallah HA. The diagnosis and treatment of schizophrenia in primary care. Medscape CME. 2025.

Kim SY, Kim AR. Effectiveness of community based interventions for patients with schizophrenia spectrum disorders: protocol for systematic review. Syst Rev. 2021;10:106. doi:10.1186/s13643-021-01628-9

American Medical Association. Diagnosing and treating schizophrenia. AMA J Ethics. 2009;11(1):123-130. doi:10.1001/virtualmentor.2009.11.1.cprst1-0901

González Blanch C, Álvarez Jiménez M. Family interventions reduce relapse or hospitalization in schizophrenia: EBMH review. Evid Based Ment Health. 2011;14(4):115-116. doi:10.1136/ebmh.14.4.115

Collins C, et al. Primary care and mental health: overview of integrated care models. Prim Care Companion CNS Disord. 2020;22(3):19nr02659. doi:10.4088/PCC.19nr02659

Bighelli I, et al. Family interventions for relapse prevention in schizophrenia: Lancet Psychiat. 2021;8(9):890-900. doi:10.1016/S2215-0366(21)00237-6

Moore B, Yeomans D, Fear C. Managing schizophrenia in primary care: validity of remission criteria. Ment Health Fam Med. 2009;6:107-112.

Kujoka R, et al. Family interventions in schizophrenia and their long term outcomes. Fam Process. 2008;47(2):327-345. doi:10.1111/j.1545-5300.2008.00238.x

APA Schizophrenia Work Group. American Psychiatric Association practice guideline for the treatment of patients with schizophrenia. Am J Psychiatry. 2021;178(1):1-61. doi:10.1176/appi.ajp.2020.20090702

Smith E, et al. Systematic review and meta analysis of family based interventions for early psychosis patients. Schizophr Res. 2025;233:24-36. doi:10.1016/j.schres.2024.11.025

Wulandari S, Hidayati LN, Sri Purwanti T. Application of Verbal De-Escalation and Assertive Training on Anger Control in Schizophrenia Patients with Violent Behavior. Healthy Tadulako J (Jurnal Kesehatan Tadulako). 2025;11(4):583-591. doi:10.22487/htj.v11i4.1889

von Peter S, Priebe S, et al. Coordinated medical and psychiatric care in schizophrenia: holistic medical home model. Am J Med. 2011;124(12):1210-1217. doi:10.1016/j.amjmed.2011.06.020

Bahari RR, Phalosa AG, Hikmah AN, Nurmaliah E, Putri JM, Yulistina N. Understanding Psychiatric Dimensions Related to Mental Health in Children with Special Needs: A Literature Review. Healthy Tadulako J (Jurnal Kesehatan Tadulako). 2025;11(4):672-680. doi:10.22487/htj.v11i4.1683

Downloads

Published

2026-01-31

How to Cite

Febrianty, P. N., Darmawan, R. A., Jannah, A. R., Yasya, W. M., Perwirawati, D. A., Thadeus, M. S., & Susantiningsih, T. (2026). Management of Men Diagnosed with Schizophrenia Using a Family Medicine Approach. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 12(1), 75-83. https://doi.org/10.22487/htj.v12i1.1882

Issue

Section

Articles