Treatment, expressed emotion and relapse in recent onset schizophrenic disorders.
The effect of in-patient and individual orientated psychosocial intervention (IPI) and in-patient and individual and family orientated intervention (IPFI) across levels of expressed emotion (EE) on relapse was compared in a group of patients with recent onset schizophrenic disorders. Patients were randomly assigned to an individual orientated psychosocial intervention programme or to an identical psychosocial programme plus a behavioural family intervention. Seventy-six patients were studied during a 12 month out-patient treatment period after an in-patient treatment programme in which parents followed a psychoeducational programme. Overall relapse rates during the out-patient interventions were low (16%). Adding family intervention to the psychosocial intervention did not affect the relapse rate. Patients in low EE families relapsed slightly more often during the psychosocial plus family intervention. In-patient treatment with psychoeducation for parents, followed by an out-patient psychosocial intervention programme, has a favourable impact on relapse. Additional family intervention may increase stress in low EE families, thus affecting relapse in their children.
Linszen
D
D
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, The Netherlands.
Dingemans
P
P
Van der Does
J W
JW
Nugter
A
A
Scholte
P
P
Lenior
R
R
Goldstein
M J
MJ
D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D004644:Emotions; D005190:Family / Q000523:psychology*; D005196:Family Therapy; D005260:Female; D006791:Hostility; D006801:Humans; D008297:Male; D010290:Parents / Q000193:education / Q000523:psychology; D010343:Patient Admission; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy; D012008:Recurrence; D012559:Schizophrenia / Q000175:diagnosis / Q000534:rehabilitation*; D012565:Schizophrenic Psychology