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Treatment, expressed emotion and relapse in recent onset schizophrenic disorders

Published online by Cambridge University Press:  09 July 2009

D. Linszen ,
P. Dingemans ,
J. W. Van Der Does ,
A. Nugter ,
P. Scholte ,
R. Lenior ,
C. Vanier  and
M. J. Goldstein
D. Linszen*
Affiliation:
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, Amsterdam and Department of Psychiatry, Leiden University, Leiden, The Netherlands; and Department of Psychology, University of California, Los Angeles, USA
P. Dingemans
Affiliation:
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, Amsterdam and Department of Psychiatry, Leiden University, Leiden, The Netherlands; and Department of Psychology, University of California, Los Angeles, USA
J. W. Van Der Does
Affiliation:
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, Amsterdam and Department of Psychiatry, Leiden University, Leiden, The Netherlands; and Department of Psychology, University of California, Los Angeles, USA
A. Nugter
Affiliation:
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, Amsterdam and Department of Psychiatry, Leiden University, Leiden, The Netherlands; and Department of Psychology, University of California, Los Angeles, USA
P. Scholte
Affiliation:
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, Amsterdam and Department of Psychiatry, Leiden University, Leiden, The Netherlands; and Department of Psychology, University of California, Los Angeles, USA
R. Lenior
Affiliation:
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, Amsterdam and Department of Psychiatry, Leiden University, Leiden, The Netherlands; and Department of Psychology, University of California, Los Angeles, USA
C. Vanier
Affiliation:
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, Amsterdam and Department of Psychiatry, Leiden University, Leiden, The Netherlands; and Department of Psychology, University of California, Los Angeles, USA
M. J. Goldstein
Affiliation:
Academic Medical Centre, University of Amsterdam, Department of Psychiatry, Amsterdam and Department of Psychiatry, Leiden University, Leiden, The Netherlands; and Department of Psychology, University of California, Los Angeles, USA
*
1Address for correspondence: Dr Don H. Linszen, Academic Medical Centre. University of Amsterdam, Department of Psychiatry. Tafelbergweg 25, 1105 BC, Amsterdam, The Netherlands.
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Synopsis

The effect of in-patient and individual orientated psychosocial intervention (IPI) and in-patient and individual and family orientated intervention (IPFI) across levels of expressed emotion (EE) on relapse was compared in a group of patients with recent onset schizophrenic disorders. Patients were randomly assigned to an individual orientated psychosocial intervention programme or to an identical psychosocial programme plus a behavioural family intervention. Seventy-six patients were studied during a 12 month out-patient treatment period after an in-patient treatment programme in which parents followed a psychoeducational programme. Overall relapse rates during the out-patient interventions were low (16%). Adding family intervention to the psychosocial intervention did not affect the relapse rate. Patients in low EE families relapsed slightly more often during the psychosocial plus family intervention. In-patient treatment with psychoeducation for parents, followed by an out-patient psychosocial intervention programme, has a favourable impact on relapse. Additional family intervention may increase stress in low EE families, thus affecting relapse in their children.

Information

Type
Original Articles
Information
Psychological Medicine , Volume 26 , Issue 2 , March 1996 , pp. 333 - 342
Copyright
Copyright © Cambridge University Press 1996

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References

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