Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-19T02:37:18.333Z Has data issue: false hasContentIssue false

Community Management of Schizophrenia a Two-Year Follow-Up of a Behavioural Intervention with Families

Published online by Cambridge University Press:  02 January 2018

Nicholas Tarrier*
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, Denmark Hill, London SE5
Christine Barrowclough
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, Denmark Hill, London SE5
Christine Vaughn
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, Denmark Hill, London SE5
J. S. Bamrah
Affiliation:
Department of Psychology, Salford Health Authority, Prestwich Hospital, Manchester M25 7BL
Kathleen Porceddu
Affiliation:
Department of Psychology, Salford Health Authority, Prestwich Hospital, Manchester M25 7BL
Susan Watts
Affiliation:
Department of Psychology, Salford Health Authority, Prestwich Hospital, Manchester M25 7BL
Hugh Freeman
Affiliation:
Department of Psychology, Salford Health Authority, Prestwich Hospital, Manchester M25 7BL
*
Correspondence

Abstract

The relapse and readmission rates of schizophrenic patients who participated in a controlled trial of a nine-month behavioural family intervention trial based on the EE status of their relatives are presented at two years. The patients who received the behavioural family intervention had lower rates of relapse and readmission than patients from high-EE homes who had received a short educational programme or routine treatment. The relapse rate of the behavioural family intervention group (33%) was the same as that of the low-EE group (33%), and significantly lower than that of the non-intervention high-EE group (59%).

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1989 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barrowclough, C. & Tarrier, N. (1987a) A behavioural family intervention with a schizophrenic patient: a case study. Behavioural Psychotherapy, 15, 252271.Google Scholar
Barrowclough, C. & Tarrier, N. (1987b) Recovery from mental illness: following it through with the family. In Living After Mental Illness: Innovations in Services (ed. Patmore, C.). Beckenham: Croom Helm.Google Scholar
Barrowclough, C., Tarrier, N., Watts, S., et al (1987) Assessing the functional value of relatives' knowledge about schizophrenia: a preliminary report. British Journal of Psychiatry, 151, 18.Google Scholar
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenia: a replication. British Journal of Psychiatry, 121, 241258.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1982) Family management in the prevention of exacerbations of schizophrenia. New England Journal of Medicine, 306, 14371440.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1985) Family management in the prevention of morbidity of schizophrenia: clinical outcome of a two year longitudinal study. Archives of General Psychiatry, 42, 887896.Google Scholar
Hogarty, G. E., Anderson, C. M., Reiss, D. J., et al (1986) Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. Archives of General Psychiatry, 43, 633642.CrossRefGoogle ScholarPubMed
Hogarty, G. E., Anderson, C. M. & Reiss, D. J. (1987) Family psychoeducation, social skills training and medication in schizophrenia: the long and the short of it. Psychopharmacological Bulletin, 23, 1213.Google Scholar
Koenigsberg, H. & Handley, R. (1986) Expressed emotion: from predictive index to clinical construct. American Journal of Psychiatry, 43, 13611373.Google Scholar
Langsley, D. J., Machotka, P. & Flomenhaft, K. (1971) Avoiding mental hospital admission: a follow-up study. American Journal of Psychiatry, 127, 13911394.CrossRefGoogle ScholarPubMed
Leff, J., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of social intervention in families of schizophrenic patients. British Journal of Psychiatry, 141, 121134.CrossRefGoogle ScholarPubMed
Leff, J. & Vaughan, C. (1985) Expressed Emotion in Families. New York: Guilford Press.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., et al (1985) A controlled study of social intervention in families of schizophrenic patients: two year follow-up. British Journal of Psychiatry, 146, 594600.CrossRefGoogle ScholarPubMed
Tarrier, N. (1989) Electrodermal activity, expressed emotion and outcome in schizophrenia. British Journal of Psychiatry, (in press).CrossRefGoogle Scholar
Tarrier, N., Vaughn, C., Lader, M. H., et al (1979) Bodily reactions to people and events in schizophrenia. Archives of General Psychiatry, 36, 311315.Google Scholar
Tarrier, N. & Barrowclough, C. (1987) A longitudinal psychophysiological assessment of a schizophrenic patient in relation to the expressed/emotion of his relatives. Behavioural Psychotherapy, 15, 4557.CrossRefGoogle Scholar
Tarrier, N., Barrowclough, C., Vaughn, C. et al (1988) The community management of schizophrenia: a controlled trial of a behavioural intervention with families to reduce relapse. British Journal of Psychiatry, 153, 532542.Google Scholar
Test, M. A. & Stern, L. I. (1978) Community treatment of the chronic patient: research overview. Schizophrenia Bulletin, 3, 350364.Google Scholar
Wallace, C. J. & Liberman, R. P. (1985) Social skills training for patients with schizophrenia: a controlled clinical trial. Psychiatric Research, 15, 239247.CrossRefGoogle ScholarPubMed
Whitehead, C. S. (1987) Co-ordinated aftercare for schizophrenia: report of a pilot project. Salford: Salford Health Authority.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.