The Role of Maintenance Therapy and Relatives' Expressed Emotion in Relapse of Schizophrenia: A Two-Year Follow-up

1981 ◽  
Vol 139 (2) ◽  
pp. 102-104 ◽  
Author(s):  
Julian Leff ◽  
Christine Vaughn
Keyword(s):  
Maintenance Therapy ◽  
Protective Effect ◽  
Expressed Emotion ◽  
Prophylactic Effect ◽  
Follow Up Study ◽  
Hospital Patients ◽  
Discharge From Hospital ◽  
Significant Protective Effect

SummaryA two-year follow-up study was conducted, mainly from case notes, of patients who had originally taken part in a study of the influence of relatives' expressed emotion on schizophrenic relapse. It was found that in the two years following discharge from hospital patients from high expressed emotion homes had a significantly greater relapse rate than those from low expressed emotion homes.The prophylactic effect of maintenance drugs was no longer evident for patients from high expressed emotion homes at the two-year follow-up. By contrast, a significant protective effect of maintenance therapy emerged for patients from low expressed emotion homes.The interpretation of these findings is discussed.

The Role of Expressed Emotion, Self-Concept, Coping, and Depression in Parasuicidal Behavior: A Follow-up Study

2009 ◽  
Vol 13 (4) ◽  
pp. 358-367 ◽  
Author(s):  
José Carlos Santos ◽  
Carlos B. Saraiva ◽  
Liliana De Sousa
Keyword(s):  
Expressed Emotion ◽  
Self Concept ◽  
Follow Up Study

scholarly journals Adjustment disorders in hospital treated adolescents: A follow-up study

2012 ◽  
Vol 140 (5-6) ◽  
pp. 344-349
Author(s):  
Smiljka Popovic-Deusic ◽  
Marija Mitkovic ◽  
Milica Pejovic-Milovancevic ◽  
Dusica Lecic-Tosevski ◽  
Saveta Draganic-Gajic ◽  
...  
Keyword(s):  
Psychiatric Treatment ◽  
Wide Spectrum ◽  
Diagnostic Category ◽  
Adjustment Disorder ◽  
Adjustment Disorders ◽  
Follow Up Study ◽  
Hospital Patients ◽  
Discharge From Hospital ◽  
First Time

Introduction. Adjustment disorders represent a frequent diagnostic entity especially among adolescents. They involve a wide spectrum of various emotional and behaviour problems. Objective. The aim was to investigate characteristics of diagnostic category known as adjustment disorders among hospital treated adolescents for the first time at the Clinical Department for Children and Adolescents of the Institute of Mental Health in Belgrade, during five consecutive years, as well as to investigate the outcome of the disorder in follow-up period. Methods. We conducted a retrospective investigation of the first time hospital treated adolescents from Belgrade with discharge diagnosis of adjustment disorders during 2000-2004. The follow up was conducted 5-10 years after a first discharge from the hospital. Results. During the investigated period 75 adolescents from Belgrade were hospitalized for the first time with diagnosis adjustment disorder. From the studied patients the main sample was formed that included 24 (32%) males and 51 (68%) females. After 5-10 years a follow-up of 52 patients was conducted (sample at follow-up) which included 16 (30.77%) males and 36 (69.23%) females. Of the main sample, 70% of the patients were under follow-up. After the first hospitalization 58% of adolescents continued with further psychiatric treatment, either as rehospitalized or out-of-hospital patients. Conclusion. Our findings showed that 38% of adolescents under follow-up for 5-10 years after the first discharge from hospital with the diagnosis adjustment disorders had multiple hospitalizations. The outcome of the disorder among these patients was the worst, because three-quarters of the patients were rediagnosed in the follow-up period with a new psychiatric disorder, often from psychotic spectrum.

PAROXYSMAL TACHYCARDIA IN INFANCY: FOLLOW-UP STUDY OF 47 SUBJECTS RANGING IN AGE FROM 10 TO 26 YEARS

PEDIATRICS ◽  
1973 ◽  
Vol 51 (1) ◽  
pp. 26-35
Author(s):  
Åke Lundberg
Keyword(s):  
Physical Education ◽  
Maintenance Therapy ◽  
Physical Working Capacity ◽  
Working Capacity ◽  
Paroxysmal Tachycardia ◽  
Follow Up Study ◽  
The Past ◽  
Triggering Factor

A follow-up study of 47 individuals with paroxysmal tachycardia in infancy is reported. The incidence of recurrence decreases from 55% during infancy to 17% up to 10 years of age; a slight increase to 23% is then observed in adolescence. There is a higher incidence of paroxysm in cases with preexcitation in the ECG. Physical overexertion may be a triggering factor in recurrences, but exemption from school physical education and sports should only be granted exceptionally. No signs of reduced physical working capacity were found in this group. The results of maintenance therapy do not appear to have improved in the past decade.

Cattle, Women, and Wells

2021 ◽  
Author(s):  
Camilla Toulmin
Keyword(s):  
Economic Performance ◽  
Climatic Variability ◽  
Investment Decisions ◽  
Field Research ◽  
Follow Up Study ◽  
Farming Families ◽  
And Migration ◽  
Village Life

This book describes the choices open to farming families in the Sahelian village of Kala, in central Mali. Life in this drought-prone region is harsh and full of risk to health, crops, and livestock, yet there are also opportunities open to the hard-working, audacious and lucky, bringing considerable returns if the timing is right. Three inter-related themes underlie the analysis of production and investment decisions faced by households; the role of risk, the long timeframe within which decisions are made, and the close links between economic performance and household size and organisation. Climatic variability and demographic uncertainty lie at the heart of domestic structures; the extreme vulnerability faced by single individuals means people cluster in large kin-based groups, pooling risks and providing protection. The very limited development of labour markets means that households rely almost entirely on their own members for their workforce, and generating the capital needed for investing in ploughs, wells, carts and livestock must stem from a good year’s grain surplus and migration earnings. Based on field-research over the period 1980-82, this study illustrates a successful response to making ends meet in a land abundant region, despite high risks of drought. A follow-up study of this village was published in 2020: Land, Investment, and Migration. Thirty-five years of village life in Mali (OUP).

Role of the FKBP5 polymorphism rs1360780, age, sex, and type of surgery in weight loss after bariatric surgery: a follow-up study

2020 ◽  
Vol 16 (4) ◽  
pp. 581-589 ◽  
Author(s):  
Elionora Peña ◽  
Assumpta Caixàs ◽  
Concepción Arenas ◽  
Mercedes Rigla ◽  
Sara Crivillés ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Follow Up Study ◽  
Type Of Surgery

Progression of Periodontitis in a Sample of Regular and Irregular Compliers Under Maintenance Therapy: A 3-Year Follow-Up Study

2011 ◽  
Vol 82 (9) ◽  
pp. 1279-1287 ◽  
Author(s):  
Fernando Oliveira Costa ◽  
Luís Otávio Miranda Cota ◽  
Eugênio José Pereira Lages ◽  
Telma Campos Medeiros Lorentz ◽  
Alcione Maria Soares Dutra Oliveira ◽  
...  
Keyword(s):  
Maintenance Therapy ◽  
Follow Up Study

Discharge from hospital and early supported discharge

2020 ◽  
pp. 345-352
Author(s):  
Catherine Gaynor
Keyword(s):  
Discharge Planning ◽  
Models Of Care ◽  
Effective Discharge ◽  
The United Kingdom ◽  
Early Supported Discharge ◽  
Hospital To Home ◽  
Discharge From Hospital ◽  
Applied Health Research

‘Discharge from hospital and early supported discharge’ provides some useful guidance and outlines the issues that we encounter in facilitating effective discharge from hospital following a stroke. Hospital discharge is an important milestone in a stroke patient’s journey. It marks the end of the acute hospital episode, and the start of a new life living with and adjusting to their stroke and its sequelae. It can be a stressful time for patients and their carers, but careful and thorough discharge planning can help to ease the transition from hospital to home. The chapter explores the timing of discharge, models of care after discharge, early supported discharge, the evidence from SSNAP (Sentinel Stroke National Audit Programme) in the United Kingdom, the initiative of CLAHRC (Collaborative for Leadership in Applied Health Research and Care), guidance from the National Institute for Health and Care Excellence (NICE), institutionalization, role of capacity, role of IMCA (independent mental capacity advocate), communication with primary care, and follow-up after discharge from hospital.

The Expectation of Outcome from Maintenance Therapy in Chronic Schizophrenic Patients

1976 ◽  
Vol 128 (3) ◽  
pp. 246-250 ◽  
Author(s):  
D. A. W. Johnson
Keyword(s):  
Maintenance Therapy ◽  
Patient Population ◽  
Significant Proportion ◽  
Community Services ◽  
Neuroleptic Drugs ◽  
Follow Up Study ◽  
High Incidence ◽  
Schizophrenic Patients ◽  
Long Acting

SummaryThe results from a prospective follow-up study of a group of schizophrenic patients suggest that a significant proportion (41 per cent) are likely to relapse during a two-year period despite the prescription of long-acting injectable neuroleptic drugs. Some will relapse because of a failure of the regime, but others (32–37 per cent) because the pharmacological protection of these drugs would appear to be less effective in certain patients. Even with the major advantages of the long-acting injectable neuroleptics over oral medication, the schizophrenic patient population remains a group with a high incidence of psychiatric and social morbidity which continues to require the full resources of both the hospital and community services.

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