Needs-based cognitive-behavioural family intervention for patients suffering from schizophrenia: 5-year follow-up of a randomized controlled effectiveness trial.

Abstract:

OBJECTIVE:To determine whether a 24-week, needs-based cognitive-behaviourally oriented family intervention for patients suffering from schizophrenia led to improved relapse profiles over a 5-year follow-up period. METHOD:The case notes of 60 patients who had participated in a randomized, controlled effectiveness trial were examined to determine relapse rates over a 5-year period. RESULTS:Patients were less likely to relapse over the 5-year follow-up when they received the needs-based family intervention, especially in relation to exacerbations of symptoms not requiring inpatient admissions: 86.7% of control participants relapsed compared with 53.3% (P = 0.01). Survival analysis indicated that the relapse risk was 2.5 times higher for patients receiving routine care, compared with those receiving family intervention. A similar trend was observed for the final 4 years of follow-up. CONCLUSION:The present study provides some tentative support for the long-term effectiveness of family-based interventions for the management of schizophrenia in general mental health services.

journal_name

Acta Psychiatr Scand

authors

Sellwood W,Wittkowski A,Tarrier N,Barrowclough C

doi

10.1111/j.1600-0447.2007.01097.x

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

447-52

issue

6

eissn

0001-690X

issn

1600-0447

pii

ACP1097

journal_volume

116

pub_type

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