Psychoeducational psychotherapy for schizophrenic patients and their key relatives or care-givers: results of a 2-year follow-up

Psychoeducational medication management training (PMT), cognitive psychotherapy (CP) and key‐person counselling (KC) were carried out in various combinations in this randomized, controlled intervention study of schizophrenic out‐patients (according to DSM‐III‐R). Special design characteristics of th...

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Bibliographic Details
Published in:Acta psychiatrica Scandinavica 1997-12, Vol.96 (6), p.483-491
Main Authors: Buchkremer, G., Klingberg, S., Holle, R., Mönking, H. Schulze, Hornung, W. P.
Format: Article
Language:English
Subjects:
Adult
Antipsychotic Agents - therapeutic use
Biological and medical sciences
Caregivers - education
Cognitive Behavioral Therapy - methods
cognitive psychotherapy
Counseling - methods
Female
Follow-Up Studies
Humans
Male
Medical sciences
medication management
Miscellaneous
Patient Compliance
Patient Education as Topic
Patient Readmission
Psychiatric Status Rating Scales - statistics & numerical data
psychoeducation
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Recurrence
relapse prevention
schizophrenia
Schizophrenia - drug therapy
Schizophrenia - rehabilitation
Schizophrenia - therapy
Schizophrenic Psychology
Social Adjustment
Survival Analysis
Treatment Outcome
Treatments
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Summary:Psychoeducational medication management training (PMT), cognitive psychotherapy (CP) and key‐person counselling (KC) were carried out in various combinations in this randomized, controlled intervention study of schizophrenic out‐patients (according to DSM‐III‐R). Special design characteristics of the study were a control group consisting of non‐specifically treated patients and a 2‐year follow‐up after completion of treatment in order to evaluate medium‐term effects. A total of 132 patients underwent a follow‐up examination 2 years after completion of treatment and were evaluated with an intention‐to‐treat approach. In the second follow‐up year, all treatment groups had lower but not significantly different relapse rates compared to the control group. The most intensive treatment (PMT+CP+KC) produces a clinically relevant reduction in rehospitalization rate (a 26% reduction compared to the control group). In comparison with the non‐specifically treated control group, whose original effect decreased, at least a medium‐term therapeutic effect was recorded in the treatment groups.
ISSN:0001-690X
1600-0447
DOI:10.1111/j.1600-0447.1997.tb09951.x