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Abstract Schizophrenia is the most chronic psychosis in Egypt, accounts for the majority of inpatient in mental health hospital and considers catastrophic events in the family life, placing burden on them. It is disruptive and distressing illness, is not only affecting life style and socioeconomic status of the patient but also disturbs social, psychological, physical and economical aspects of the family members. Schizophrenia rather than any other physical illness generates very different responses from society. The tradition of tender, love, sympathy, and support that are shown on those with physical ill patients are clearly denied to those with mental illness (Souilm, 2014). Cognitive emotion regulation can be briefly defined as the management of emotions. Cognitive emotion regulation can be viewed as the cognitive part of coping, which involves the management of emotional information. Conceptually introduced nine cognitive emotion regulation strategies divided into two further general categories: adaptive (i.e., acceptance, positive refocusing, focus on planning, putting into perspective and positive reappraisal) and maladaptive (i.e., blaming others, self-blame, catastrophizing and rumination) cognitive coping. Based on this approach, in adolescent samples, maladaptive strategies typically show positive links with mental and physical Summary 119 health problems, such as depressive symptomatology, anxiety and somatic complaints, whereas adaptive strategies positively relate to emotional well-being and better mental health indicators (Paula et al., 2020). Psychoeducation is defined as a “systematic, structured, didactic information on the illness and its treatment, and includes integrating emotional aspects in order to enable family to cope with the illness” and improve cognitive emotion regulation. It features common structural components since each program is designed and led by health professionals. A collaborative relationship is established between the mental health professionals and their families, to help the latter to share the burden of the illness and work toward the patients‟ recovery (Chien, Leung, Yeung & Wong, 2013). Aim of the study This study aimed to evaluate the effect of psychoeducational program on cognitive emotion regulation of family caregivers having patient with schizophrenia through: 1- Assess the family caregivers‟ cognitive emotion regulation. 2- Design implement, a psychoeducational program for enhancement cognitive emotion regulation of family caregivers having patient with schizophrenia. Summary 120 3- Evaluate the effect of a psychoeducational program on enhancement cognitive emotion regulation of family caregivers having patients with schizophrenia. Research Hypothesis Psychoeducational program will have positive effect on cognitive emotions regulation of family caregivers having patient with schizophrenia. Subjects and methods of this study were portrayed under four main domains as following: I. Technical design. II. Operational design. III. Administrative design IV. Statistical design I. Technical design: The technical design includes research design, setting, subjects and tools of data collection. Research design: A quasi-experimental design (one group pre/post test) was used in the current study. Quasi-experiment is an empirical study used to estimate the causal impact of an intervention on its target population without random assignment. Therefore, the design is most appropriate to evaluate the effect of psychoeducational program on Summary 121 cognitive emotion regulation strategies of family caregivers having patient with schizophrenia. Research setting: The current study was conducted at outpatient clinic in Abbassia Mental Health Hospital. It is a governmental hospital affiliated to the Ministry of Health. It was built in 1883; it is one of the top five mental health hospitals in Egypt. The hospital is located in the middle area of Cairo and serves a vast area of about the two thirds of Greater Cairo. The hospital serves to both urban and rural areas, including areas around Greater Cairo as well. The hospital capacity 150 beds and consists of 46 department (male & female). The hospital serves 100,000 patients annually in outpatient clinics and 1300 in inpatient departments in various psychiatric services. The outpatient units have 6 clinics operate daily 6 days per week. Research subjects Type of the sample: Convenient sample was used in the current study. Sample Size: The sample was chosen as the number of available family caregivers of patient with schizophrenia and the caregivers of the present study were (50) family caregivers who meet the following criteria:- Summary 122 - The family caregiver and patient with schizophrenia living in the same dwelling. - The family caregiver identified him/herself as the main provider of care for the patient with schizophrenia. - Willing to participate in the study. - The family caregiver is free from any psychiatric illness. Tools for data collection: Tool (1): Socio-demographic Questionnaire for patients with schizophrnia and their family caregivers: It was developed by the researcher and includes the following:- Socio-demographic data of the patient such as: age, marital status, economic status, education, occupation, duration of illness and adherence to treatment. Socio-demographic data of the family caregivers as: age, marital status, income, education, occupation, relation to the patient and if he/ she suffer from any disease, financial burden and patient need for special care. Tool (2): Cognitive Emotion Regulation (CER): This scale was adapted by (Garnefski, Kraaij & Spinhovn, 2002) to be assessing cognitive emotion Summary 123 regulation of family caregivers. This scale was divided into 2 parts adaptive cognitive emotion regulation and maladaptive cognitive emotion regulation. Maladaptive cognitive emotion regulation was divided into 4 parts each part was divided into 4 items. Part (1): to measure self blame. Part (2): to measure rumination. Part (3): to measure catastrophizing. Part (4): to measure blame others. While adaptive cognitive emotion regulation was divided into 5 parts each parts was divided into 4 items. Part (1): Positive refocusing (Positive thinking). Part (2): Positive reappraisal. Part (3): Putting into perspective. Part (4): Acceptance Part (5): Refocus on planning. Psychoeducational program: Psychoeducational program was developed by the researcher to meet the patient and caregivers needs. By the end of this educational program, the family caregivers of patient with schizophrenia will be able to acquire the necessary knowledge, attitude and practice related to cognitive emotion regulation. The educational program was given in 15 sessions (6 theoretical sessions and 9 practical sessions). Summary 124 The present psychoeducational program was conducted in three phases: Designing phase: The researcher obtained acceptance from caregivers and collection of data by the tools of the study. Implementation phase: The program content was developed by the researcher in the form of 15 sessions. Evaluation Phase: Evaluation of outcome of program after implantation of the program by post –test. Results: The findings of the study can be summarized in the followings: Regarding to total maladaptive cognitive emotion regulation among studied family caregivers, the present study clarified that, there were reduction in the total maladaptive cognitive emotion regulation at post program implementation |