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Titolo:
The effect of family interventions on relapse and rehospitalization in schizophrenia - A meta-analysis
Autore:
Pitschel-Walz, G; Leucht, S; Bauml, J; Kissling, W; Engel, RR;
Indirizzi:
Tech Univ Munich, Dept Psychiat, Psychol Sect, D-81675 Munich, Germany Tech Univ Munich Munich Germany D-81675 ol Sect, D-81675 Munich, Germany
Titolo Testata:
SCHIZOPHRENIA BULLETIN
fascicolo: 1, volume: 27, anno: 2001,
pagine: 73 - 92
SICI:
0586-7614(2001)27:1<73:TEOFIO>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED-CONTROL TRIAL; EXPRESSED EMOTION; FOLLOW-UP; EDUCATIONAL INTERVENTION; PSYCHOSOCIAL TREATMENT; MAINTENANCE CHEMOTHERAPY; BEHAVIORAL INTERVENTION; COMMUNITY MANAGEMENT; SOCIAL-INTERVENTION; AFTERCARE TREATMENT;
Keywords:
schizophrenia; psychoeducation; family intervention; relapse; meta-analysis;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
128
Recensione:
Indirizzi per estratti:
Indirizzo: Pitschel-Walz, G Tech Univ Munich, Klin & Poliklin Psychiat & Psychotherapie, Ismaninger Str 22, D-81675 Munich, Germany Tech Univ Munich Ismaninger Str 22 Munich Germany D-81675
Citazione:
G. Pitschel-Walz et al., "The effect of family interventions on relapse and rehospitalization in schizophrenia - A meta-analysis", SCHIZO BULL, 27(1), 2001, pp. 73-92

Abstract

Twenty-five intervention studies were meta-analytically examined regardingthe effect of including relatives in schizophrenia treatment. The studies investigated family intervention programs to educate relatives and help them cope better with the patient's illness. The patient's relapse rate, measured by either a significant worsening of symptoms or rehospitalization in the first years after hospitalization, served as the main study criterion. The main result of the meta-analysis was that the relapse rate can be reduced by 20 percent if relatives of schizophrenia patients are included in the treatment. If family interventions continued for longer than 3 months, the effect was particularly marked. Furthermore, different types of comprehensive family interventions have similar results. The bifocal approach, which offers psychosocial support to relatives and schizophrenia patients in addition to medical treatment, was clearly superior to the medication-only standard treatment. The effects of family interventions and comprehensive patient interventions were comparable, but the combination did not yield significantly better results than did a treatment approach, which focused on eitherthe patient or the family. This meta-analysis indicates that psychoeducational interventions are essential to schizophrenia treatment.

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Documento generato il 29/01/20 alle ore 19:20:14