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Immigrant Families Coping with Schizophrenia Behavioural Family Intervention v. Case Management with a Low-Income Spanish-Speaking Population

Published online by Cambridge University Press:  02 January 2018

Cynthia Telles*
Affiliation:
Department of Psychiatry, University of California, Los Angeles (UCLA)
Marvin Karno
Affiliation:
Department of Psychiatry, University of California, Los Angeles (UCLA)
Jim Mintz
Affiliation:
West Los Angeles Veterans Association Medical Center
George Paz
Affiliation:
West Los Angeles Veterans Association Medical Center
Miguel Arias
Affiliation:
Santa Monica-West Mental Health Services, Santa Monica, CA
Douglas Tucker
Affiliation:
West Los Angeles Veterans Association Medical Center
Steven Lopez
Affiliation:
Department of Psychology, UCLA
*
Dr Telles, Department of Psychiatry, UCLA, 300 UCLA Medical Plaza, Suite 2236, Los Angeles, CA 90024, USA

Abstract

Background

This investigation compared the effectiveness and cross-cultural applicability of behavioural family management (BFM) and standard case management in preventing exacerbation of symptoms and relapse in schizophrenia.

Method

Forty low-income Spanish-speaking people with a diagnosis of schizophrenia were randomly assigned to receive standard case management or behavioural family management after stabilisation with neuroleptic medication.

Results

Survival analyses indicated that among the less acculturated patients BFM was significantly related to greater risk of exacerbation of symptoms. Among the more acculturated patients, risk of exacerbation could be predicted by medication compliance but not by type of intervention. In analyses of symptom severity and functional status at 1-year follow-up, the level of patient acculturation was found to be significantly related to various measures of treatment outcome.

Conclusion

Sociocultural factors affect responses to different types of intervention. The results did not support earlier findings of a beneficial effect of BFM when applied to a socioculturally diverse population.

Type
Papers
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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