The British Journal of Psychiatry 158: 642-647 (1991)
© 1991 The Royal College of Psychiatrists
Changes in patient coping style following individual and family treatment for schizophrenia
MM Rea, AM Strachan, MJ Goldstein, I Falloon and S Hwang
Family Project, University of California, Los Angeles 90024-1563.
Changes in relatives' affective attitudes are important contributors to the
impact of family psychoeducational programmes on the course of
schizophrenia. It remains unclear whether similar changes occur in the
interactional style of schizophrenic patients participating in
psychoeducational treatment. This study examined changes in the
interactional style (coping style) of 33 schizophrenic patients in
individual or family treatment. Significant changes were seen in the
interactional style of the patients participating in the individual
treatment. Similar changes were evident, but not significant, in the family
treatment group. The quality of patient interactional style before or after
treatment did not predict relapse in either group. Changes in relatives'
interactional style early in family treatment are necessary to affect the
short-term course of schizophrenia. Modification in patient behaviour
during the early phase does not have similar predictive value.