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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.

Author: AndersonC M, GreenwaldD P, HogartyG E, JavnaC D, KornblithS J, MadoniaM J, ReissD J

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, U.S. Gov't, P.H.S.Research funding provided by the Public Health Service (PHS).

Overview

This study investigated the effectiveness of two treatments for schizophrenia patients living in high-stress (high EE) families: family therapy and social skills training. Patients were randomly assigned to receive one of these treatments, both treatments combined, or medication alone. The study found that both family therapy and social skills training significantly reduced relapse rates in the first year compared to medication alone. Combining both treatments resulted in no relapses at all. The study also found that a reduction in family stress was associated with a lower risk of relapse. However, the combined treatment only seemed to delay relapses in families that remained high in stress. This suggests that while these treatments can be effective, ongoing support is crucial for maintaining recovery.
Paper Details　
Original Abstract of the Article :
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 admi...See full text at original site
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ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。

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引用元：
https://doi.org/10.1001/archpsyc.1986.01800070019003

データ提供：米国国立医学図書館（NLM）

Combating Relapse in Schizophrenia: Family Therapy and Social Skills Training Show Promise

Schizophrenia is a complex and chronic mental illness, and relapse after treatment is a significant concern. This study investigated the effectiveness of two distinct therapeutic approaches, family psychoeducation and social skills training, in reducing relapse rates in individuals with schizophrenia. The researchers conducted a controlled trial involving patients residing in high expressed emotion (EE) households, a factor known to contribute to relapse risk.

Combined Therapy: A Powerful Weapon Against Relapse

The study found that both family therapy and social skills training were effective in reducing relapse rates compared to medication alone. Importantly, the combination of these therapies led to the lowest relapse rates, suggesting that a multi-modal approach may be most effective in preventing relapse. The study also highlighted the role of family environment, showing that a shift from high to low EE was associated with lower relapse rates.

Empowering Patients: A Holistic Approach to Schizophrenia Management

This research emphasizes the importance of a holistic approach to schizophrenia management, incorporating both individual and family-based interventions. The findings suggest that combining family therapy and social skills training can significantly reduce relapse rates, empowering patients to manage their condition and lead fulfilling lives. The study also highlights the crucial role of family support in promoting recovery and reducing relapse risk.

Dr.Camel's Conclusion

Navigating the complex landscape of mental health requires a multifaceted approach. This study reveals the power of combining family therapy and social skills training in combating relapse in schizophrenia, offering a beacon of hope for individuals and their families. By addressing both individual and family needs, we can empower patients to live healthier and more fulfilling lives.

Date :
  1. Date Completed 1986-07-21
  2. Date Revised 2022-03-17
Further Info :

Pubmed ID

2872870

DOI: Digital Object Identifier

10.1001/archpsyc.1986.01800070019003

Related Literature

Article Analysis
・Effective treatment of schizophrenia
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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