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Specific and Non-specific Effects of Educational Intervention for Families Living with Schizophrenia

A Comparison of Three Methods

Published online by Cambridge University Press:  02 January 2018

Max Birchwood
Affiliation:
Psychology Department, All Saints Hospital, Lodge Road, Winson Green, Birmingham B18 5SD and University of Birmingham
Jo Smith*
Affiliation:
Barnsley Hall Hospital, Bromsgrove, Worcestershire
Ray Cochrane
Affiliation:
University of Birmingham
*
Correspondence

Abstract

Three methods of delivering an educational intervention to families living with a schizophrenic relative were compared in terms of their efficacy in improving understanding and promoting family and patient well-being. Relatives receiving education in a group acquired more information than relatives receiving information by post or on video, but these differences were not maintained at six-month follow-up. The inclusion of homework assignments did not significantly affect gains in knowledge or any of the non-specific effects observed. The intervention overall led to considerable gains in knowledge, increased optimism concerning the family's role in treatment, and reductions in relatives' stress, which were maintained at follow-up. Fear was reduced in the short-term. Significant improvements in social function were observed at follow-up. The results suggest that the delivery of information, rather than the mode of delivery, is the crucial element in the intervention; however, the additional contextual factors operating in a group may be important if the full potential of education is to be realised.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Abramowitz, I. & Coursey, R. (1989) Impact of an educational support group on family participants who take care of their schizophrenic relatives. Journal of Consulting and Clinical Psychology, 57, 232236.CrossRefGoogle ScholarPubMed
Anderson, C., Hogarty, G. & Reiss, D. (1981) The psychoeducational family treatment of schizophrenia. In New Developments in Interventions with Families of Schizophrenia (ed. Goldstein, M.). San Francisco: Jossey-Bass.Google Scholar
Barrowclough, G., Tarrier, N., Watts, S., et al (1987) Assessing the functional value of relatives' knowledge about schizophrenia: a preliminary report. British Journal of Psychiatry, 151, 18.CrossRefGoogle ScholarPubMed
Berkowitz, R., Eberlein-Fries, R., Kuipers, L., et al (1984) Educating relatives about schizophrenia. Schizophrenia Bulletin, 10, 418429.CrossRefGoogle ScholarPubMed
Birchwood, M. (1983) Family Coping Behaviour and the Course of Schizophrenia. Unpublished PhD thesis, University of Birmingham.Google Scholar
Birchwood, M., Smith, J., Cochrane, R., et al (1990) The social functioning scale: the development and validation of social adjustment for use in family intervention programmes with schizophrenic patients. British Journal of Psychiatry, 157, 853859.CrossRefGoogle ScholarPubMed
Cochrane, R. (1980) A comparison of the Symptom Rating Test and the Langner 22 item scale for use in epidemiological surveys. Psychological Medicine, 10, 115125.Google Scholar
Cozolino, L. J. & Goldstein, M. J. (1986) Family education as a component of extended family-orientated treatment programs for schizophrenia. In Treatment of Schizophrenia – Family Assessment and Intervention (eds Goldstein, M., Hand, I. & Hahlweg, K.). Berlin: Springer-Verlag.Google Scholar
Cozolino, L. J. & Goldstein, M. J., Neuchterlein, K. H., et al (1988) The impact of education about schizophrenia on relatives varying in expressed emotion. Schizophrenia Bulletin, 14, 675687.Google Scholar
Flesch, R. (1948) A new readability yardstick. Journal of Applied Psychology, 32, 221231.CrossRefGoogle ScholarPubMed
Leff, J. P., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of social intervention in families of schizophrenic patients. British Journal of Psychiatry, 141, 121134.Google Scholar
MacCarthy, B., Lesage, A., Brewin, C. R., et al (1989) Needs for care among the relatives of long-term users of day care. A report from the Camberwell High Contact Survey. Psychological Medicine, 19, 725736.Google Scholar
McGill, C. W., Falloon, I. R. H., Boyd, J. L., et al (1983) Family educational intervention in the treatment of schizophrenia. Hospital and Community Psychiatry, 34, 934938.Google Scholar
Pakenham, K. I. & Dadds, M. R. (1987) Family care and schizophrenia: the effects of a supportive educational program on relatives' personal and social adjustments. Australian and New Zealand Journal of Psychiatry, 21, 580590.Google Scholar
Pasamanick, H., Scarpitti, F. & Dinitz, S. (1967) Schizophrenics in the Community. New York: Appleton–Century–Crofts.Google Scholar
Sidley, G., Smith, J. & Howells, K. (1991) Is it ever too late to learn? Information provision to relatives of long-term schizophrenia sufferers. Behavioural Psychotherapy, 19, 305320.CrossRefGoogle Scholar
Smith, J. V. & Birchwood, M. J. (1985) Understanding Schizophrenia, 1–4. West Birmingham: Health Promotion Unit.Google Scholar
Smith, J. V. & Birchwood, M. J. (1987) Specific and non-specific effects of educational interventions with families of schizophrenic patients. British Journal of Psychiatry, 150, 645652.Google Scholar
Smith, J. V. & Birchwood, M. J. (1990) Relatives and patients as partners in the management of schizophrenia. British Journal of Psychiatry, 156, 654660.Google Scholar
Snyder, K. S. & Lieberman, R. P. (1981) Family assessment and intervention with schizophrenics at risk for relapse. In New Directions for Mental Health Services, no. 12 (ed. Goldstein, M.).Google Scholar
Tarrier, N. & Barrowclough, C. (1986) Providing information to relatives about schizophrenia: some comments. British Journal of Psychiatry, 149, 458463.Google Scholar
Tarrier, N. & Barrowclough, C., Vaughn, C., et al (1988) The community management of schizophrenia: a controlled trial of a behavioural intervention with families to reduce relapse. British Journal of Psychiatry, 153, 532542.Google Scholar
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