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Titolo:
Management of negative symptoms among patients with schizophrenia attending multiple-family groups
Autore:
Dyck, DG; Short, RA; Hendryx, MS; Norell, D; Myers, M; Patterson, T; McDonell, MG; Voss, WD; Mcfarlane, WR;
Indirizzi:
Washington Inst Mental Illness Res & Training, Medical Lake, WA 99022 USA Washington Inst Mental Illness Res & Training Medical Lake WA USA 99022 A Washington State Univ, Spokane, WA USA Washington State Univ Spokane WA USA hington State Univ, Spokane, WA USA Eastern State Hosp, Medical Lake, WA USA Eastern State Hosp Medical Lake WA USA State Hosp, Medical Lake, WA USA Maine Med Ctr, Portland, OR USA Maine Med Ctr Portland OR USAMaine Med Ctr, Portland, OR USA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 4, volume: 51, anno: 2000,
pagine: 513 - 519
SICI:
1075-2730(200004)51:4<513:MONSAP>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; FOLLOW-UP; POSITIVE SYMPTOMS; THERAPY; RELAPSE; PSYCHOEDUCATION; SYMPTOMATOLOGY; INTERVENTION; ADJUSTMENT; CLOZAPINE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Dyck, DG Washington Inst Mental Illness Res & Training, POB A, Medical Lake, WA 99022 USA Washington Inst Mental Illness Res & Training POB A MedicalLake WA USA 99022
Citazione:
D.G. Dyck et al., "Management of negative symptoms among patients with schizophrenia attending multiple-family groups", PSYCH SERV, 51(4), 2000, pp. 513-519

Abstract

Objective: Outcomes for negative symptoms over a one-year period were examined in two groups of patients, one receiving psychoeducational multiple-family group treatment and one receiving standard care. Methods:: A total of 63 outpatients, ages 18 to 45 years, with DSM-IV diagnoses of schizophrenicdisorders were randomly assigned to standard care or multiple-family grouppsychoeducation treatment at a large mental health center in Spokane, Washington. Treatment assignment was stratified by whether patients were takingtypical or atypical antipsychotic medications. Negative symptom status wasmonitored monthly for one year by raters blind to group assignment and measured as a composite of five symptoms using the Modified Scale for the Assessment of Negative Symptoms. Results: When the analysis controlled for baseline negative symptoms, participants in the multiple-family group experienced significantly reduced negative symptoms compared with those receiving standard care. Taking atypical antipsychotic medication or having a diagnosisof substance abuse was not associated with the severity of negative symptoms. An additional analysis of the five individual negative symptoms indicated small but consistent group differences on all dimensions except inattention. Negative symptoms were significantly correlated with relapse to acute illness but not with outpatient or inpatient science use. Conclusions: The study demonstrated that a psychoeducational multiple-family group intervention was more effective than standard care in managing negative symptoms over a 12-month period. The results are particularly relevant because negativesymptoms are associated with relapse, poor social and occupational functioning, cognitive impairment, and lower subjective quality of life.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 07:56:58