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.
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.
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DOI：
10.1001/archpsyc.1986.01800070019003
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发表时间：
1986-07
影响因子：
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通讯作者：
G. Hogarty;C. Anderson;D. Reiss;S. Kornblith;D. Greenwald;C. D. Javna;M. J. Madonia
中科院分区：
文献类型：
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作者：
G. Hogarty;C. Anderson;D. Reiss;S. Kornblith;D. Greenwald;C. D. Javna;M. J. Madonia
接受抗精神病药物维持治疗的精神分裂症患者出院后第一年的复发率平均为41%，导致了两种疾病相关治疗的发展：以患者为中心的行为治疗和心理教育家庭治疗。入院后，103名符合精神分裂症或情感障碍研究诊断标准的高表达情感（EE）家庭的患者被随机分配到一个为期两年的家庭治疗和药物治疗，社会技能培训和药物治疗，其组合或药物治疗条件的善后研究。暴露于治疗的患者的第一年复发率表明家庭治疗的主要影响（19%），社会技能培训的主要影响（20%），以及相对于对照组（41%）的组合条件（0%）的附加效应。影响的部分原因是没有复发的任何家庭，从高到低EE.Only组合的治疗维持缓解家庭仍然很高的EE.Continuing研究，但是，表明复发的延迟，而不是预防。
Relapse rates averaging 41% in the first year after discharge among schizophrenic patients receiving maintenance neuroleptic treatment led to the development of two disorder-relevant treatments: a patient-centered behavioral treatment and a psychoeducational family treatment. Following hospital admission, 103 patients residing in high expressed emotion (EE) households who met Research Diagnostic Criteria for schizophrenia or schizoaffective disorder were randomly assigned to a two-year aftercare study of family treatment and medication, social skills training and medication, their combination, or a drug-treated condition. First-year relapse rates among those exposed to treatment demonstrate a main effect for family treatment (19%), a main effect for social skills training (20%), and an additive effect for the combined conditions (0%) relative to controls (41%). Effects are explained, in part, by the absence of relapse in any household that changed from high to low EE. Only the combination of treatment sustains a remission in households that remain high in EE. Continuing study, however, suggests a delay of relapse rather than prevention.