Hostname: page-component-cb9f654ff-lqqdg Total loading time: 0 Render date: 2025-08-29T09:13:25.496Z Has data issue: false hasContentIssue false
  • English
  • Français

A Controlled Trial of Social Intervention in the Families of Schizophrenic Patients: Two Year Follow-up

Published online by Cambridge University Press:  29 January 2018

Julian Leff ,
Liz Kuipers ,
Ruth Berkowitz  and
David Sturgeon
Julian Leff
Affiliation:
MRC Social Psychiatry Unit, Outstation: Friern Hospital, Friern Barnet Road, London N11
Liz Kuipers
Affiliation:
District Services Centre, Maudsley Hospital, London SE5
Ruth Berkowitz
Affiliation:
Department of Mental Health, University College London and Research Psychologist, MRC Social Psychiatry Unit
David Sturgeon
Affiliation:
Department of Mental Health, School of Medicine, University College, London WC1
Get access Rights & Permissions [Opens in a new window]

Summary

The two-year follow-up results are reported of a trial of social intervention in families of schizophrenic patients in high social contact with high-expressed emotion (EE) relatives. For those patients who remained on antipsychotic medication throughout the two years, the social intervention significantly reduced the relapse rate. In those experimental families where relatives' EE and/or face-to-face contact was lowered, the relapse rate was 14%, compared with 78% for control patients on regular medication (P = 0.02).

Information

Type
Research Article
Information
The British Journal of Psychiatry , Volume 146 , Issue 6 , June 1985 , pp. 594 - 600
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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.)

Article purchase

Temporarily unavailable

References

Anderson, C. M., Hogarty, G. & Reiss, D. J. (1981) The psycho-educational family treatment of schizophrenia. In New Developments in Interventions with Families of Schizophrenics. (ed. Goldstein, M. J.) London: Jossey-Bass.Google Scholar
Berkowitz, R., Eberlein-Fries, R., Kuipers, L. & Leff, J. (1984) Educating relatives about schizophrenia. Schizophrenia Bulletin, 10, 418–429.Google Scholar
Berkowitz, R. Kuipers, L., Eberlein-Fries, R. & Leff, J. (1981) Lowering expressed emotion in relatives of schizophrenics. In New Developments in Interventions with Families of Schizophrenics. (ed. Goldstein, M. J.) London: Jossey-Bass.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, 241–258.CrossRefGoogle ScholarPubMed
Brown, G. W. Monck, E. M., Carstairs, G. M. & Wing, J. K. (1962) Influence of family life on the course of schizophrenic illness. British Journal of Preventive and Social Medicine, 16, 55–68.Google Scholar
Brown, G. W. & Rutter, M. (1966) The measurement of family activities and relationships: a methodological study. Human Relations, 19, 241–263.Google 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. New England Journal of Medicine, 306, 1437–1440.Google ScholarPubMed
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 versus individual management in the prevention of morbidity of schizophrenia: I Clinical outcome of a two-year controlled study. Archives of General Psychiatry. (In press).Google Scholar
Goldstein, M. J., Rodnick, E. H., Evans, J. R., May, P. R. A. & Steinberg, M. R. (1978) Drug and family therapy in the aftercare treatment of acute schizophrenia. Archives of General Psychiatry, 35, 169–177.Google Scholar
Hogarty, G. E., Schooler, N. R., Ulrich, R. F., Mussare, F., Ferro, P. & Herron, E. (1979) Fluphenazine and social therapy in the aftercare of schizophrenic patients. Archives of General Psychiatry, 36, 1283–1294.CrossRefGoogle ScholarPubMed
Leff, J. P. (1981) Clinical and methodological problems in interaction studies. In: Epidemiological Impact of Psychotropic Drugs. (eds. Tognoni, G., Bellantuono, C., Lader, M.). Amsterdam: Elsevier.Google Scholar
Leff, J. P. (1985) The concept of expressed emotion: new empirical evidence. Proceedings of the VIIth World Congress of Psychiatry. (In press).CrossRefGoogle Scholar
Leff, J. P. (1985) Family treatment of schizophrenia. In: Recent Advances in Clinical Psychiatry (ed. Granville-Grossman, K.) No. 5. London: Churchill Livingstone.Google Scholar
Leff, J. P. Kuipers, L., Berkowitz, R., Eberlein-Fries, R. & Sturgeon, D. (1982) A controlled trial of intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.Google Scholar
Leff, J. P. Kuipers, L., Berkowitz, R., Eberlein-Fries, R. Vaughn, C. & Sturgeon, D. (1983) Life events, relatives' Expressed Emotion and maintenance neuroleptics in schizophrenic relapse. Psychological Medicine, 13, 799–807.Google Scholar
Leff, J. P. & Vaughn, C. (1981) The role of maintenance therapy and relatives' expressed emotion in relapse of schizophrenia: a two-year follow-up. British Journal of Psychiatry, 139, 102–104.CrossRefGoogle ScholarPubMed
Vaughn, C. E. & Leff, J. P. (1976a) 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, 125–137.CrossRefGoogle ScholarPubMed
Vaughn, C. E. & Leff, J. P. (1976b). The measurement of Expressed Emotion in families of psychiatric patients. British Journal of Social and Clinical Psychology, 15, 157–165.Google Scholar
Vaughn, C. E. Snyder, K. S., Jones, S., Freeman, W. B. & Falloon, I. R. H. (1984) Family factors in schizophrenic relapse: a California replication of the British research in expressed emotion. Archives of General Psychiatry, 41, 1169–1177.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.