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Family management in the prevention of morbidity of schizophrenia: social outcome of a two-year longitudinal study

Published online by Cambridge University Press:  09 July 2009

Ian R. H. Falloon ,
Christine W. McGill ,
Jeffrey L. Boyd  and
Jean Pederson
Ian R. H. Falloon*
Affiliation:
University of Southern California, School of Medicine, Department of Psychiatry, Los Angeles
Christine W. McGill
Affiliation:
University of Southern California, School of Medicine, Department of Psychiatry, Los Angeles
Jeffrey L. Boyd
Affiliation:
University of Southern California, School of Medicine, Department of Psychiatry, Los Angeles
Jean Pederson
Affiliation:
University of Southern California, School of Medicine, Department of Psychiatry, Los Angeles
*
1Address for correspondence: Dr I. R. H. Falloon, Buckingham Hospital, High Street, Buckingham MK18 1NU, UK
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Synopsis

Effective community treatment of schizophrenia involves not merely the removal of florid symptoms, but restoration of effective social role functioning. The efficacy of a family management approach is compared with an individual approach of similar intensity in terms of its impact on the patient's social adjustment after a florid episode of schizophrenia. Clinical reports, patient self-reports, and interviews with the family members of 36 patients, who were randomly assigned to family or individual management, demonstrated a consistent superiority for family management. The advantages for the family approach were sustained over a two-year period. The potential mechanisms through which the family approach may have achieved its greater efficacy are discussed from a multi-determined perspective.

Type
Research Article
Information
Psychological Medicine , Volume 17 , Issue 1 , February 1987 , pp. 59 - 66
Copyright
Copyright © Cambridge University Press 1987

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References

Andrews, W. N. (1973). Long-acting tranquilizers and the amotivational syndrome in the treatment of schizophrenia In Community Management of the Schizophrenic in Clinical Remission. (ed. King, M. H.), pp. 1–4. Excerpta Medica: Amsterdam.Google Scholar
Anthony, W. A., Buell, G. J., Sharratt, S. & Althoff, M. E. (1972). Efficacy of psychiatric rehabilitation. Psychological Bulletin 78, 447–456.CrossRefGoogle Scholar
Brown, G., Bone, M., Dalison, B. & Wing, J. (1966). Schizophrenia and Social Care. Oxford University Press: London.Google Scholar
Creer, C. & Wing, J. K. (1974). Schizophrenia at Home. National Schizophrenia Fellowship: Surrey.Google Scholar
Crow, T. (1980). Positive and negative schizophrenic symptoms and the role of dopamine. British Journal of Psychiatry 137, 383–386.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Lindley, P., McDonald, R. & Marks, I. M. (1977). Social skills training in outpatient groups. British Journal of Psychiatry 131, 599–609.CrossRefGoogle Scholar
Falloon, I., Watt, D. C., & Shepherd, M. (1978). The social outcome of patients in a trial of long-term continuation therapy in schizophrenia: pimozide vs. fluphenazine. Psychological Medicine 8, 265–274.CrossRefGoogle Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Razani, J., Moss, H. B. & Gilderman, A. M. (1982). Family management in the prevention of exacerbations of schizophrenia: A controlled study. New England Journal of Medicine 306, 1437–1440.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Boyd, J. L. & McGill, C. W. (1984). Family Care of Schizophrenia: A Problem-Solving Approach to the Treatment of Mental Illness, Guilford Press: New York.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Williamson, M., Razani, J., Moss, H. B., Gilderman, A. M. & Simpson, G. M. (1985). Family management in the prevention of morbidity of schizophrenia: I. Clinical outcome of a longitudinal study. Archives of General Psychiatry 42, 887–896.CrossRefGoogle Scholar
Goldstein, M. J., Rodnick, E. H., Evans, J. R., May, P. R. & Sternberg, M. (1978). Drug and family therapy in the aftercare treatment of acute schizophrenia. Archives of General Psychiatry 35, 1169–1177.CrossRefGoogle Scholar
Hogarty, G. E., Goldberg, S. C., Schooler, N. R. & Ulrich, R. F. (1974). The collaborative study group: Drug and sociotherapy in the aftercare of schizophrenic patients. II. Two-year relapse rates. Archives of General Psychiatry 31, 603–608.CrossRefGoogle Scholar
Jacobs, H., Donahoe, P. & Falloon, I. R. H. (1985). Rehabilitation of the chronic schizophrenic. In Annual Review of Rehabilitation, 1983, (eds. Backer, T., Pan, L. & Vash, C. L.), pp. 83–113. Springer: New York.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., Eberlein-Vries, R. & Sturgeon, D. (1982). A controlled trial of social intervention in the familieis of schizophrenic patients. British Journal of Psychiatry 141, 121–134.CrossRefGoogle ScholarPubMed
Liberman, R. P., Wallace, C. J., Falloon, I. R. H. & Vaughn, C. E. (1981). Interpersonal problem-solving therapy for schizophrenics and their families. Comprehensive Psychiatry 22, 627–629.CrossRefGoogle ScholarPubMed
Paul, G. L. & Lentz, R. J. (1977). Psychosocial Treatment of the Chronic Mental Patient. Harvard University Press: Cambridge, MA.Google Scholar
Platt, S., Weyman, A., Hirsch, S. & Hewett, S. (1980). The social behaviour assessment schedule (SBAS): Rationale, contents, scoring and reliability of a new intervention schedule. Social Psychiatry 15, 43–55.CrossRefGoogle Scholar
Schooler, N. R., Levine, J., Severe, J. B., Brauzer, D., di Mascio, A., Klerman, G. L. & Tuason, V. B. (1980). Prevention of relapse in schizophrenia: An evaluation of fluphenazine decanoate. Archives of General Psychiatry 37, 16–24.CrossRefGoogle ScholarPubMed
Van Putten, T. & May, P. R. A. (1978). Subjective response as a predictor of outcome in pharmacotherapy. Archives of General Psychiatry 35, 477–480.CrossRefGoogle ScholarPubMed
Weissman, M. M., Prusoff, B. A., Thompson, W. D., Harding, P. S. & Myers, J. K. (1978). Social adjustment by self-report in a community sample and in psychiatric outpatients. Journal of Nervous and Mental Disease 166, 317–326.CrossRefGoogle Scholar
Wing, J. K. (1978). Social influence on the course of schizophrenia. In The Nature of Schizophrenia (eds. Wynne, L. C., Cromwell, R. L., & Matthysse, S.), John Wiley: New York.Google Scholar
Wing, J. K. & Brown, G. W. (1970). Institutionalism and Schizophrenia. Cambridge University Press: Cambridge.CrossRefGoogle Scholar
Wing, J. K., Bennett, D. H. & Denham, J. (1964). The Industrial Rehabilitation of Long-stay Schizophrenic Patients. Medical Research Council Memo No. 42, HMSO: London.Google ScholarPubMed