scholarly journals Three-Year Trials of Personal Therapy Among Schizophrenic Patients Living With or Independent of Family, I: Description of Study and Effects on Relapse Rates

2004 ◽  
Vol 2 (1) ◽  
pp. 146-157 ◽  
Author(s):  
Gerard E. Hogarty ◽  
Sander J. Kornblith ◽  
Deborah Greenwald ◽  
Ann Louise DiBarry ◽  
Susan Cooley ◽  
...  
Keyword(s):  
Personal Therapy ◽  
Schizophrenic Patients ◽  
Relapse Rates

Three-Year Trials of Personal Therapy Among Schizophrenic Patients Living With or Independent of Family, I: Description of Study and Effects on Relapse Rates

1997 ◽  
Vol 154 (11) ◽  
pp. 1504-1513 ◽  
Author(s):  
Gerard E. Hogarty ◽  
Sander J. Kornblith ◽  
Deborah Greenwald ◽  
Ann Louise DiBarry ◽  
Susan Cooley ◽  
...  
Keyword(s):  
Personal Therapy ◽  
Schizophrenic Patients ◽  
Relapse Rates

Personal Therapy With Schizophrenic Patients--Pervasively Beneficial

1998 ◽  
Author(s):  
G. E. Hogarty ◽  
S.J. Kornblith ◽  
D. Greenwald ◽  
A. L. DiBarry ◽  
S. Cooley ◽  
...  
Keyword(s):  
Personal Therapy ◽  
Schizophrenic Patients

Expressed emotion and relapse rates in schizophrenic patients

1992 ◽  
Vol 6 (2) ◽  
pp. 172-173
Author(s):  
R. Cohen ◽  
T. Niedermeier ◽  
H. Watzl
Keyword(s):  
Expressed Emotion ◽  
Schizophrenic Patients ◽  
Relapse Rates

The Community Management of Schizophrenia

1988 ◽  
Vol 153 (4) ◽  
pp. 532-542 ◽  
Author(s):  
Nicholas Tarrier ◽  
Christine Barrowclough ◽  
Christine Vaughn ◽  
J. S. Bamrah ◽  
Kathleen Porceddu ◽  
...  
Keyword(s):  
Expressed Emotion ◽  
Psychiatric Services ◽  
Community Management ◽  
Behavioural Intervention ◽  
Partial Support ◽  
Routine Treatment ◽  
Treatment Groups ◽  
Schizophrenic Patients ◽  
Relapse Rates

Schizophrenic patients were recruited into a trial of a prophylactic behavioural intervention with families. Families with at least one high Expressed Emotion (EE) relative were randomly allocated to one of four intervention groups: Behavioural Intervention Enactive; Behavioural Intervention Symbolic; Education Only; Routine Treatment. Patients from low-EE families were randomly allocated to two groups: Education Only or Routine Treatment. Relapse rates over nine months after discharge were significantly lower for patients in the two Behavioural Intervention, compared with Education Only and Routine Treatment groups. There was little difference between the two low-EE groups. Patients returning to high-EE relatives showed significantly higher relapse rates than those returning to low-EE relatives, in groups not receiving active intervention. Changes from high to low EE occurred in the Behavioural Intervention groups, and similar although less extensive changes occurred in the Education Only and Routine Treatment groups. Changes in criticism and marked emotional over-involvement (EOI) occurred generally in high-EE groups but were larger in magnitude in the Enactive and Symbolic groups. Reduction of hostility only occurred in the Behavioural Intervention groups. These results give partial support for the causal role of EE in relapse. There were no significant differences between the groups with respect to contact with the psychiatric services or medication.

The impact of therapeutic relatives’ groups on the course of illness of schizophrenic patients

1995 ◽  
Vol 10 (1) ◽  
pp. 17-27 ◽  
Author(s):  
G Buchkremer ◽  
H Schulze Mönking ◽  
R Holle ◽  
WP Hornung
Keyword(s):  
Control Group ◽  
Course Of Illness ◽  
Self Help ◽  
Before And After ◽  
Schizophrenic Patients ◽  
Clinically Significant ◽  
Self Help Groups ◽  
The Impact ◽  
Relapse Rates

SummaryThis study considers the question of whether relapse rates among schizophrenic patients can be reduced by means of relatives' groups. In a randomized, controlled intervention study, two therapeutic strategies (therapeutic relatives' groups, initiated relatives' self-help groups) were compared with each other and with a control group. Interventions were confined to the relatives, with the patients continuing their standard treatment. The study involved 151 relatives of 99 chronic DSMIII schizophrenics. Data were collected before and after a 1-year intervention phase and in a 2-year follow-up. No difference existed between the groups with respect to rehospitalization data. However, numerous differences recorded in the psychopathological findings and in living and working circumstances suggest that therapeutic work with relatives is of clinically significant benefit.

Relapse prevention in schizophrenia: attitudes of neurologists-psychiatrists

2001 ◽  
Vol 16 (2) ◽  
pp. 90-98 ◽  
Author(s):  
J.D. Bergiannaki ◽  
J. Hatzimanolis ◽  
J. Liappas ◽  
P.N. Sakkas ◽  
C.N. Stefanis
Keyword(s):  
Side Effects ◽  
Mental Health Professionals ◽  
Treatment Strategies ◽  
Treatment Compliance ◽  
International Standards ◽  
First Episode ◽  
Treatment And Prevention ◽  
Schizophrenic Patients ◽  
Prevention Of Relapse ◽  
Relapse Rates

The overall high relapse rates observed in schizophrenia are attributed to several causes. One important factor influencing satisfactory prevention of relapse is the lack of consistent treatment strategies among medical doctors, especially neurologists-psychiatrists. Nearly one-third of the members of the Hellenic Society of Neurology and Psychiatry were asked to fill in anonymously a structured questionnaire on their treatment attitudes and prescribing tactics regarding schizophrenic patients both after the first schizophrenic episode and after multiple episodes. The majority of Greek neurologists-psychiatrists seem to adopt prescribing habits that approximate the current international standards for prevention of schizophrenic relapse. Their attitudes regarding the treatment and prevention of relapse for the first schizophrenic episode and first relapse are determined from multiple factors. These are: the expected relapse rates after the first episode, the expected prevalence of extrapyramidal side effects following a long-term neuroleptic treatment, the patient’s expected treatment compliance after the first episode, the doctor’s experience with treating schizophrenics, and lastly the knowledge of current literature on the topic. These results point to the need for continuing education, especially of the younger mental health professionals and those working in the private sector, addressing the issue of the actual risk of developing side effects from the treatment. In due course, benefits could result for everyday psychiatric practice and the patients’ compliance with treatment.

Three-Year Trials of Personal Therapy Among Schizophrenic Patients Living With or Independent of Family, II: Effects on Adjustment of Patients

1997 ◽  
Vol 154 (11) ◽  
pp. 1514-1524 ◽  
Author(s):  
Gerard E. Hogarty ◽  
Deborah Greenwald ◽  
Richard F. Ulrich ◽  
Sander J. Kornblith ◽  
Ann Louise DiBarry ◽  
...  
Keyword(s):  
Personal Therapy ◽  
Schizophrenic Patients

Psychophysiological Responses of Schizophrenic Patients to High and Low Expressed Emotion Relatives: A Follow-up Study

1984 ◽  
Vol 145 (1) ◽  
pp. 62-69 ◽  
Author(s):  
David Sturgeon ◽  
Graham Turpin ◽  
Liz Kuipers ◽  
Ruth Berkowitz ◽  
Julian Leff
Keyword(s):  
Skin Conductance Response ◽  
Expressed Emotion ◽  
Social Intervention ◽  
Psychophysiological Responses ◽  
Social Interventions ◽  
Follow Up Study ◽  
Schizophrenic Patients ◽  
Experimental Group ◽  
Relapse Rates

SummaryMeasurements of skin conductance response frequencies (SCRf) were obtained from 30 acutely ill schizophrenic patients during a standardised videotaped interview, conducted with the patient's key relative present. Significant differences in SCRf's were demonstrated between patients whose relatives had high and low Expressed Emotion (EE) respectively. Patients at high risk of relapse were allocated either to a control or an experimental group, the latter being offered a number of social interventions in order to reduce the relative's EE and/or contact with the patient. Follow-up measurements were obtained on 19 patients nine months after discharge. Although social intervention was highly successful in reducing relapse rates, its effects did not appear to be directly mediated via SCRf, which was found to be independently related to relapse.

The Salford Family Intervention Project: Relapse Rates of Schizophrenia at Five and Eight Years

1994 ◽  
Vol 165 (6) ◽  
pp. 829-832 ◽  
Author(s):  
Nicholas Tarrier ◽  
Christine Barrowclough ◽  
Kathleen Porceddu ◽  
Elizabeth Fitzpatrick
Keyword(s):  
Predictive Power ◽  
Expressed Emotion ◽  
Intervention Group ◽  
Family Intervention ◽  
Control Group ◽  
Long Term Effects ◽  
The Family ◽  
Schizophrenic Patients ◽  
Relapse Rates

BackgroundThis study assessed the long-term effects of family intervention on schizophrenic relapse.MethodForty schizophrenic patients who had participated in a family intervention trial and who had not experienced relapse at two years after discharge from the index admission were traced through case notes and hospital records. The percentage of patients experiencing a relapse was estimated for patients in the family intervention group, the high-EE control group, and the low-EE control group, at five years and eight years after discharge.ResultsThere were significantly fewer relapses in the family intervention group than in the high-EE control group at both five years and eight years. The number of relapses in the low-EE control group was lower than in the high-EE control group, but this just failed to reach significance.ConclusionsThe benefit of family intervention and the predictive power of EE are sustained over eight years. Expressed emotion (EE) has remained a remarkably robust predictor of relapse in schizophrenia. Kavanagh (1992) cited 20 out of 23 prospective studies that showed patients who returned to live with high-EE relatives had higher relapse rates over 9–12 months after discharge than did patients returning to live with low-EE relatives. Seventeen of these studies reported this difference to be significant.British Journal of Psychiatry (1994),165, 829–832

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