Treatment, expressed emotion and relapse in recent onset schizophrenic disorders

The effect of in-patient and individual orientated psychosocial intervention (IPI) and in-patient and individual and family orientated intervention (IPFI) across levels of expressed emotion (EE) on relapse was compared in a group of patients with recent onset schizophrenic disorders. Patients were r...

Full description

Saved in:
Bibliographic Details
Published in:Psychological medicine 1996-03, Vol.26 (2), p.333-342
Main Authors: Linszen, D., Dingemans, P., Van Der Does, J. W., Nugter, A., Scholte, P., Lenior, R., Vanier, C., Goldstein, M. J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Ambulatory Care
Behavior Therapy
Biological and medical sciences
Combined Modality Therapy
Emotions
Expressed emotions
Factors
Families
Family - psychology
Family Therapy
Female
Hostility
Humans
Male
Medical sciences
Original Articles
Parents - education
Parents - psychology
Patient Admission
Patients
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Psychosocial intervention
Psychotherapy
Recurrence
Relapse
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - rehabilitation
Schizophrenic Psychology
Treated
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The effect of in-patient and individual orientated psychosocial intervention (IPI) and in-patient and individual and family orientated intervention (IPFI) across levels of expressed emotion (EE) on relapse was compared in a group of patients with recent onset schizophrenic disorders. Patients were randomly assigned to an individual orientated psychosocial intervention programme or to an identical psychosocial programme plus a behavioural family intervention. Seventy-six patients were studied during a 12 month out-patient treatment period after an in-patient treatment programme in which parents followed a psychoeducational programme. Overall relapse rates during the out-patient interventions were low (16%). Adding family intervention to the psychosocial intervention did not affect the relapse rate. Patients in low EE families relapsed slightly more often during the psychosocial plus family intervention. In-patient treatment with psychoeducation for parents, followed by an out-patient psychosocial intervention programme, has a favourable impact on relapse. Additional family intervention may increase stress in low EE families, thus affecting relapse in their children.
ISSN:0033-2917
1469-8978
DOI:10.1017/S0033291700034723