Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-13T01:51:38.706Z Has data issue: false hasContentIssue false

Changes in Patient Coping Style Following Individual and Family Treatment for Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Margaret M. Rea*
Affiliation:
Family Project, University of California, 405 Hilgard Avenue, 1283 Franz Hall, Los Angeles, California USA 90024–1563
Angus M. Strachan
Affiliation:
Department of Psychology, University of California, Los Angeles
Michael J. Goldstein
Affiliation:
Departments of Psychology and Psychiatry and Biobehavioral Sciences, University of California, Los Angeles
Ian Falloon
Affiliation:
Oxford Regional Health Authority
Sun Hwang
Affiliation:
Methodology and Statistical Support Unit, Clinical Research Center, University of California, Los Angeles
*
Correspondence

Abstract

Changes in relatives' affective attitudes are important contributors to the impact of family psychoeducational programmes on the course of schizophrenia. It remains unclear whether similar changes occur in the interactional style of schizophrenic patients participating in psychoeducational treatment. This study examined changes in the interactional style (coping style) of 33 schizophrenic patients in individual or family treatment. Significant changes were seen in the interactional style of the patients participating in the individual treatment. Similar changes were evident, but not significant, in the family treatment group. The quality of patient interactional style before or after treatment did not predict relapse in either group. Changes in relatives' interactional style early in family treatment are necessary to affect the short-term course of schizophrenia. Modification in patient behaviour during the early phase does not have similar predictive value.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1991 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Cohen, J. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 3746.CrossRefGoogle Scholar
Brown, G. W., Monck, E. M., Carstairs, G. M., et al (1962) Influence of family life on the course of schizophrenic illness. British Journal of Preventative Social Medicine, 16, 5568.Google Scholar
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241258.Google Scholar
Doane, J. A., West, K. L., Goldstein, M. J., et al (1981) Parental communication and affective style: Predictors of subsequent schizophrenia–spectrum disorders in vulnerable adolescents. Archives of General Psychiatry, 38, 679685.Google Scholar
Doane, J. A., Falloon, I. R. H., Goldstein, M. J., et al (1985) Parental affective style and the treatment of schizophrenia. Archives of General Psychiatry, 42, 3442.CrossRefGoogle ScholarPubMed
Doane, J. A., Goldstein, M. J., Miklowitz, D. J., et al (1986) The impact of individual and family treatment on the affective climate of families of schizophrenics. British Journal of Psychiatry, 148, 279287.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1982) Family management in the prevention of exacerbations of schizophrenia. New England Journal of Medicine, 306, 14371440.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1984) Family Care of Schizophrenia: A Problem–Solving Approach to the Treatment of Mental Illness. New York: Guilford Press.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1985) Family versus individual management in the prevention of morbidity of schizophrenia: I. Clinical outcome of a two–year longitudinal study. Archives of General Psychiatry, 42, 887896.Google Scholar
Goldstein, M. J., Rodnick, E. H., Evans, J. R., et al (1978) Drug and family therapy in the aftercare treatment of acute schizophrenia. Archives of General Psychiatry, 35, 169177.CrossRefGoogle Scholar
Goldstein, M. J., Miklowitz, D. J., Strachan, A. M., et al (1989) Patterns of expressed emotion and patient coping styles that characterise the families of recent onset schizophrenics. British Journal of Psychiatry, 155, 107111.Google Scholar
Hogarty, G. E., Anderson, C. M., Reiss, D. J., et al (1986) Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia: I. One year effects of a controlled study on relapse and expressed emotion. Archives of General Psychiatry, 43, 633642.Google Scholar
Hollingshead, A. B. & Redlich, F. C. (1958) Social Class and Mental Illness: A Community Study. New York: John Wiley & Sons.Google Scholar
Karno, M., Jenkins, J. H., Selva, A., et al (1987) Expressed emotion and schizophrenia outcome among Mexican–American families. Journal of Nervous and Mental Disease, 175, 143151.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121134.Google Scholar
Leff, J., Berkowitz, R., Shavit, N., et al (1989) A trial of family therapy v. a relatives group for schizophrenia. British Journal of Psychiatry, 154, 5866.Google Scholar
Nuechterlein, K. H., Snyder, K. S., Dawson, M. E., et al (1986) Expressed emotion, fixed dose fluphenazine decanoate maintenance, and relapse in recent–onset schizophrenia. Psychopharmacology Bulletin, 22, 633639.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.Google Scholar
Strachan, A. M., Feingold, D., Goldstein, M. J., et al (1989) Is expressed emotion an index of a transactional process? II Patient's coping style. Family Process, 28, 169181.CrossRefGoogle ScholarPubMed
Tarrier, N., Barrowclough, C., Vaughn, C., et al (1988) The community management of schizophrenia: A controlled trial of a behavioural intervention with families to reduce relapse. British Journal of Psychiatry, 153, 532542.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976) The influence of family and social factors on the course of psychiatric illness: A comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125137.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976) The measurement of expressed emotion in the families of psychiatric patients. British Journal of Psychiatry, 129, 157165.Google Scholar
Vaughn, C. E., Snyder, K. S., Jones, S., et al (1984) Family factors in schizophrenic relapse: a California replication of the British research on expressed emotion. Archives of General Psychiatry, 41, 11691177.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and CATEGO Program. Cambridge: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.