[Psychoeducational-psychotherapeutic treatment of schizophrenic patients and their caregivers. II. Supplementary findings at a 2-year follow-up].
In this study we investigated whether, in conjunction with neuroleptics, a psychoeducational and cognitively oriented treatment for schizophrenic outpatients and their key-persons can improve the course of schizophrenic illness within a 2-year follow-up. This prospective randomized study covered a total of 191 schizophrenic patients (according to DSM-III-R) and comprised a psychoeducational training and cognitive psychotherapy for patients and counseling for their key persons in various combinations. Patients were examined before, immediately after and 2 years after the end of the intervention. Patients in the treatment groups reduced their overall psychopathology and their attention deficit. For patients receiving all three treatment conditions, there was a relevant preventive effect with regard to the rehospitalization rate appearing during the second year of the follow-up. We conclude that in the mid-term, a combination of psychoeducational and cognitively oriented therapy for patients and their keypersons can improve the course of schizophrenic illness.
Klinik und Poliklinik für Psychiatrie, Universität Münster.
W P
WP
Hornung
R
R
Feldmann
K
K
Schonauer
A
A
Schäfer
H S
HS
Mönking
S
S
Klingberg
G
G
Buchkremer
D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D017028:Caregivers / Q000193:education*; D016009:Chi-Square Distribution; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010045:Outpatients / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000379:methods*; D011340:Problem Solving; D011446:Prospective Studies; D012559:Schizophrenia / Q000628:therapy*; D055502:Secondary Prevention
D014150:Antipsychotic Agents
Psychoedukativ-psychotherapeutische Behandlung von schizophrenen Patienten und ihren Bezugspersonen. II. Ergänzende Befunde der 2-Jahres-Katamnese.