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Family Management in the Prevention of Morbidity of Schizophrenia: The Adjustment of the Family Unit

Published online by Cambridge University Press:  29 January 2018

Ian R. H. Falloon  and
Jean Pederson
Ian R. H. Falloon*
Affiliation:
University of Southern California, Los Angeles; Buckingham Hospital, Buckingham, MK18 1NU
Jean Pederson
Affiliation:
University of Southern California, Los Angelers, USA
*
∗Correspondence
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Summary

Changes in the functioning of family members were assessed during a randomly controlled study of community management of schizophrenia. Eighteen families who completed two years community management based upon behavioural family therapy were compared with 18 families who received patient oriented management with family support. Families receiving family management reported less disruption of activities, reductions in physical and mental health problems, and less subjective burden than those receiving the patient oriented approach. It is concluded that the benefits of family management extend beyond the reduction in clinical and social morbidity of the index patient to beneficial effects for the family as a whole.

Type
Papers
Information
The British Journal of Psychiatry , Volume 147 , Issue 2 , August 1985 , pp. 156 - 163
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

Appleton, W. (1974) Mistreatment of patients' families by psychiatrists. American Journal of Psychiatry, 131, 655–657.CrossRefGoogle ScholarPubMed
Cardin, V., McGill, C. W. & Falloon, I. R. H. (1985) Family versus individual management in the prevention of morbidity of schizophrenia: An economic analysis (in preparation).Google Scholar
Creer, C. & Wing, J. (1974) Schizophrenia at Home. Surrey: Surbiton, National Schizophrenia Fellowship.Google Scholar
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H. & Covi, L. (1974) The Hopkins Symptom Checklist (HSCL) In Modern Problems in Pharmacopsychiatry, (ed. Pichot, P.). Basel: Karger.Google Scholar
Falloon, I. R. H., Boyd, J. L. & McGill, C. W. (1984a) 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., Williamson, M., Razani, J., Moss, H. B., Gilderman, A. M. & Simpson, G. M. (1984b) Family management in the prevention of morbidity of schizophrenia: I. Clinical outcome of a two-year longitudinal study. Archives of General Psychiatry. (in press).CrossRefGoogle Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Ranzani, J., Moss, H. B. & Gildeman, A. M. (1982) Family management in the prevention of exacerbations of schizophrenia: A controlled study. New England Journal of Medicine. 306, 1437–1440.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Boyd, J. L. & Pederson, J. Family management in the prevention of morbidity of schizophrenia: II. Social outcome of a two-year longitudinal study. Psychological Medicine. (In press).Google Scholar
Goldman, H. H., Gattozi, A. A. & Taube, C. A. (1981) Defining and counting the chronically mentally ill. Hospital and Community Psychiatry, 32, 21–27.Google ScholarPubMed
Grad, J. & Sainsbury, P. (1963). Mental illness and the family. Lancet, i, 544–547.CrossRefGoogle Scholar
Hatfield, A. B. (1978) Psychological costs of schizophrenia to the family. Social Work, 355–359.Google Scholar
Hatfield, A. B. (1979) The family as partner in the treatment of mental illness. Hospital and Community Psychiatry, 30, 338–340.Google ScholarPubMed
Hoenig, J. (1974) The schizophrenic patient at home. Acta Psychiatrica Scandinavica, 50, 297–308.CrossRefGoogle ScholarPubMed
Lamb, H. R. & Oliphant, E. (1978) Schizophrenia though the eyes of families. Hospital & Community Psyhiatry, 29, 803–806.Google ScholarPubMed
Leff, J. P. (1979) Developments in the family treatment of schizophenia. Psychiatric Quarterly, 53, 216–232.CrossRefGoogle Scholar
Leff, J. P. Kuipers, L., Berkowitz, R., Eberlein-Vries, R. & Sturgeon, D. (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.CrossRefGoogle ScholarPubMed
Lipman, R. B., Covi, L., Rickels, K., Uhlenhuth, E. H. & Lazar, B. A. (1968) Selected measures of change in outpatient drug evaluation In Psychopharmacology: A Review of Progress. 1957–67, Washington, D.C.: U. S. Public Health Service. No. 1836.Google Scholar
McGill, C. W., Falloon, I. R. H. Boyd, J. L. & Wood-Siverio, C. (1983) Family educational intervention in the treatment of schizophrenia. Hospital and Community Psychiatry, 34, 934–938.Google ScholarPubMed
Miklowitz, D., Goldstein, M. J., Falloon, I. R. H. & Doane, J. A. (1984) Interactional correlates of expressed emotion in the families of schizophrenics. British Journal of Psychiatry, 144, 482–487.CrossRefGoogle ScholarPubMed
Pedersen, J., Falloon, I. R. H. & Shirin, K. (1985) The impact of life events, stress and coping on the morbidity of schizophrenia. In Family Management of Schizophrenia: A Study of Clinical. Social and Family and Economic Benefits. (Falloon, Ian R. H. et al). Baltimore: Johns Hopkins University Press.Google Scholar
Platt, S., Weyman, A., Hirsch, S. & Hewett, S. (1980) The social behaviour assessment schedule (SBAS): Rationale, contents, scoring and reliability of a new intervention schedule. Social Psychiatry. 15, 43–55.CrossRefGoogle Scholar
Test, M. A. & Stein, L. I. (1980) Alternative to mental hospital treatment. III. Social cost. Archives of General Psychiatry. 37, 409–412.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.CrossRefGoogle ScholarPubMed
Vaughn, C. E. & Leff, J. P. (1981) Patterns of emotional response in relatives of schizoprhenic patients. Schizophrenic Bulletin, 7, 43–44.CrossRefGoogle Scholar
Weissman, M. M., Prusoff, B. A., Thompson, W. D., Harding, P. S. & Myers, J. K. (1978) Social adjustment by self-report in a community sample and in psychiatric outpatients. Journal of Nervous and Mental Disease, 166, 317–326.CrossRefGoogle Scholar
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