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The British Journal of Psychiatry (2001) 179: 53-58
© 2001 The Royal College of Psychiatrists

Social functioning and the course of early-onset schizophrenia

Five-year follow-up of a psychosocial intervention

MARIE E. LENIOR, MA, PETER M. A. J. DINGEMANS, PhD, DON H. LINSZEN, PhD, LIEUWE DE HAAN, MD and AART H. SCHENE, PhD

Academic Medical Center, University of Amsterdam, MFO Psychiatrie AMC/de Meren, The Netherlands

Correspondence: Marie E. Lenior, Psychiatric Center AMC, Tafelbergweg 25, 1105 BC Amsterdam, The Netherlands

Declaration of interest This study was funded by grants 28-1241-1 and 28-1241-2 from the Dutch Health Research and Development Council and by the Dutch Ministry of Welfare, Health and Cultural Affairs (Project 90-120; CRO 504581).

Background Schizophrenia implies severe social impairments. Since the treatment of patients with schizophrenia shifted from long-term hospital admissions to community services, research on social functioning has become increasingly important.

Aims Follow-up assessment of social functioning in young patients with schizophrenia during a 5-year period after intervention.

Method During intervention, families were randomised into two conditions: standard intervention and standard plus family intervention.

Results Although no differential treatment effect with regard to the course of the illness was found, patients from the standard plus family intervention condition stayed for fewer months in institutions for psychiatric patients than patients from the standard intervention condition.

Conclusions Family intervention has helped parents to support their children, thereby diminishing institutional care.


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