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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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