Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-22T16:31:17.761Z Has data issue: false hasContentIssue false
  • English
  • Français

The Salford Family Intervention Project: Relapse Rates of Schizophrenia at Five and Eight Years

Published online by Cambridge University Press:  02 January 2018

Nicholas Tarrier ,
Christine Barrowclough ,
Kathleen Porceddu  and
Elizabeth Fitzpatrick
Nicholas Tarrier*
Affiliation:
Phd, University of Manchester
Christine Barrowclough
Affiliation:
Phd, Mancunian Community NHS Trust
Kathleen Porceddu
Affiliation:
Msc, Department of Clinical Psychology, Prestwich Hospital
Elizabeth Fitzpatrick
Affiliation:
Bsc, Department of Clinical Psychology, Sheffield University
*
Professor N. Tarrier, Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester, Withington Hospital, Manchester M20 8LR
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

This study assessed the long-term effects of family intervention on schizophrenic relapse.

Method

Forty schizophrenic patients who had participated in a family intervention trial and who had not experienced relapse at two years after discharge from the index admission were traced through case notes and hospital records. The percentage of patients experiencing a relapse was estimated for patients in the family intervention group, the high-EE control group, and the low-EE control group, at five years and eight years after discharge.

Results

There were significantly fewer relapses in the family intervention group than in the high-EE control group at both five years and eight years. The number of relapses in the low-EE control group was lower than in the high-EE control group, but this just failed to reach significance.

Conclusions

The benefit of family intervention and the predictive power of EE are sustained over eight years. Expressed emotion (EE) has remained a remarkably robust predictor of relapse in schizophrenia. Kavanagh (1992) cited 20 out of 23 prospective studies that showed patients who returned to live with high-EE relatives had higher relapse rates over 9–12 months after discharge than did patients returning to live with low-EE relatives. Seventeen of these studies reported this difference to be significant.

British Journal of Psychiatry (1994), 165, 829–832

Type
Research Article
Information
The British Journal of Psychiatry , Volume 165 , Issue 6 , December 1994 , pp. 829 - 832
Copyright
Copyright © Royal College of Psychiatrists, 1994 

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.)

References

Barrowclough, C. & Tarrier, N. (1990) Social functioning in schizophrenic patients: the effects of expressed emotion and family intervention. Social Psychiatry and Psychiatric Epidemiology, 25, 125–129.Google Scholar
Barrowclough, C. & Tarrier, N. (1992) Families of Schizophrenic Patients: Cognitive Behavioural Intervention. London: Chapman & Hall.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1982) Family management in the prevention of exacerbations of schizophrenia: a controlled study. New England Journal of Medicine, 306, 1437–1440.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1985) Family management in the prevention of morbidity of schizophrenia: clinical outcome of two-year longitudinal study. Archives of General Psychiatry, 42, 887–896.Google Scholar
Hogarty, G. E., Anderson, C. M., Reiss, D. J., et al (1986) 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. Archives of General Psychiatry, 43, 633–642.Google Scholar
Hogarty, G. E., Anderson, C. M., Reiss, D. J., et al (1991) Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. II. Two-year effects of a controlled study on relapse and adjustment. Archives of General Psychiatry, 48, 340–347.Google Scholar
Kavanagh, D. J. (1992) Recent developments in expressed emotion and schizophrenia. British Journal of Psychiatry, 160, 601–620.Google Scholar
Leff, J. P., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.CrossRefGoogle ScholarPubMed
Leff, J. P., Kuipers, L., Berkowitz, R., et al (1985) A controlled trial of social intervention in the families of schizophrenic patients: two-year follow-up. British Journal of Psychiatry, 146, 594–600.Google Scholar
Scottish Schizophrenia Research Group (1992) The Scottish first episode. VIII. Five-year follow-up: clinical and psychosocial findings. British Journal of Psychiatry, 161, 496–500.Google Scholar
Tarrier, N., Barrowclough, C., Vaughn, C. E., et al (1988) The community management of schizophrenia: a controlled trial of a behavioural intervention with families. British Journal of Psychiatry, 153, 532–542.Google Scholar
Tarrier, N., Barrowclough, C., Vaughn, C. E., et al (1989) Community management of schizophrenia: a two-year follow-up of a behavioural intervention with families. British Journal of Psychiatry, 154, 625–628.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.