Family interventions in schizophrenia and related disorders: a critical review of clinical trials.

Abstract:

OBJECTIVE:To update evidence from studies on family intervention in schizophrenia looking carefully at methodological issues. METHOD:Twenty-five studies were reviewed, using specific outcome criteria, and computing effect sizes whenever possible. RESULTS:Effect on relapse is relatively well assessed, although differences emerged particularly in comparison with poor control treatments and disappeared in recent studies. Findings on patient's symptoms, social functioning or family variables are limited and affected by methodological pitfalls. No difference between intervention models emerged, although behavioural/psycho-educational approaches were better investigated. Patients' inclusion, greater frequency and length of treatment led to better results. The main flaws were: poor control of standard treatment, small sample sizes, failure in evaluating clinical significance in continuous outcome variables. CONCLUSION:It remains unclear whether the effect depends on family treatment or on more intensive care. The failure to relate outcome to family-mediating variables is a challenge to the rationale underlying family interventions.

journal_name

Acta Psychiatr Scand

authors

Barbato A,D'Avanzo B

doi

10.1034/j.1600-0447.2000.102002081.x

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

81-97

issue

2

eissn

0001-690X

issn

1600-0447

journal_volume

102

pub_type

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