Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-25T13:41:15.720Z Has data issue: false hasContentIssue false

The impact of therapeutic relatives’ groups on the course of illness of schizophrenic patients

Published online by Cambridge University Press:  16 April 2020

G Buchkremer
Affiliation:
Psychiatric Department, Tübingen University
H Schulze Mönking
Affiliation:
St. Rochus-Hospital, Telgte
R Holle
Affiliation:
Centre for Methodological Supervision of Therapeutic Studies (ZMBT), Institute for Med. Biometry and Computer Studies, Heidelberg University
WP Hornung
Affiliation:
Psychiatric Department, Münster University, Germany
Get access

Summary

This study considers the question of whether relapse rates among schizophrenic patients can be reduced by means of relatives' groups. In a randomized, controlled intervention study, two therapeutic strategies (therapeutic relatives' groups, initiated relatives' self-help groups) were compared with each other and with a control group. Interventions were confined to the relatives, with the patients continuing their standard treatment. The study involved 151 relatives of 99 chronic DSMIII schizophrenics. Data were collected before and after a 1-year intervention phase and in a 2-year follow-up. No difference existed between the groups with respect to rehospitalization data. However, numerous differences recorded in the psychopathological findings and in living and working circumstances suggest that therapeutic work with relatives is of clinically significant benefit.

Type
Original Articles
Copyright
Copyright © Elsevier, Paris 1995

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.)

Footnotes

This study was funded by the German Ministry of Research and Technology.

References

Anderson, CMReiss, DJHogarty, GESchizophrenia in the family: a practitioner's guide to psychoeducation and management. New York: Guilford Press, 1986Google Scholar
Baumann, UStieglitz, RDTestmanual zum AMDP-System. In: Springer Arbeitsgemeinschaft für Methodik und Dokumentation in der Psychiatrie. Berlin, Heidelberg, New York: Springer, 1983Google Scholar
Brown, GWMonck, EMCarstairs, GMWing, JKInfluence of family life on the course of schizophrenic illness. Br J Prev Soc Med. 1962;16: 5568Google Scholar
Brown, GWRutter, MThe measurement of family activities and relationships: a methodological study. Hum Relations. 1966;19: 241–63CrossRefGoogle Scholar
Buchkremer, GSchulze Mönking, HDie Effizienz von therapeutischen Angehörigengruppen und Selbsthilfegruppen bei der Rezidivprophylaxe schizophrener Patienten. In: Böker, WBrenner, HD eds. Bewältigung der Schizophrenie. Bern: Huber, 1986Google Scholar
Buchkremer, GSchulze Mönking, HLewandowski, LWittgen, CEmotional atmosphere in families of schizophrenic outpatients: relevance of a practice-oriented assessment instrument. In: Goldstein, MJHand, IHahlweg, K eds. Treatment of Schizophrenia. Berlin, Heidelberg, New York: Springer, 1986Google Scholar
Buchkremer, GStricker, KRook, ASchulze Mönking, HDer ätiologische Zusammenhang zwischen emotionaler Familienatmosphäre und Rezidivraten bei schizophrenen Patienten. In: Böcker, FWeig, WAktuelle Kernfragen der Psychiatrie., eds. Berlin, Heidelberg: Springer, 1988Google Scholar
Buchkremer, GJonasson, SRook, ASchmitz-Niehues, BEffekte therapeutischer Angehörigengruppen auf Familienatmosphäre, Krankheitsverlauf und Wohn- und Arbeitssituation bei schizophrenen Patienten. Erste Ergebnisse der Münsteraner Angehörigenstudie. In: Buchkremer, GRath, NTherapeutische Arbeit mit Angehörigen schizophrener Patienten. Huber, Bern, Stuttgart, Toronto: Meβinstrumente, Methoden, Konzepte, 1989Google Scholar
Buchkremer, GSchulze Mönking, HTherapeutische Angehörigenarbeit bei rückfallgefährdeten schizophrenen Patienten. Unveröffentlichter Abschluβbericht des Forschungsprojektes. Universität Münster,1991Google Scholar
Buchkremer, GStricker, KHolle, RKuhs, HThe predictability of relapses in schizophrenic patients. Eur Arch Psychiatry Clin Neurosci. 1991;240: 29230010.1007/BF02189543CrossRefGoogle ScholarPubMed
CGI (Clinical Global Impression). CIPS — Collegium Internationale Psychiatriae Scalarum. Weinheim: Beltz, 1976Google Scholar
Dulz, BHand, IShort-term relapse in young schizophrenics: can it be predicted and affected by family (CFI), patient, and treatment variables? An experimental study. In: Goldstein, MJHand, IHahlweg, KTreatment of Schizophrenia: Family Assessment and Intervention. Berlin, Heidelberg, New York: Springer, 1986Google Scholar
D'Zurilla, TJGoldfried, MRProblem solving and behaviour modification. J Abnorm Psychol. 1971;78: 107–2610.1037/h0031360CrossRefGoogle Scholar
Falloon, IRHBoyd, JLMcGill, CWRazani, JMoos, HBGilderman, AMFamily management in the prevention of exacerbations of schizophrenia: a controlled study. N Engl J Med. 1982;306: 1437–4010.1056/NEJM198206173062401CrossRefGoogle ScholarPubMed
Falloon, IRHBoyd, JCMcGill, CWFamily Care of Schizophrenia: a Problem-solving Approach to the Treatment of Mental Illness. New York: Guilford Press, 1984Google Scholar
Falloon, IRHBoyd, JLMcGill, CWWilliamson, MRazani, JMoss, HBGilderman, AMSimpson, GMFamily management in the prevention of morbidity of schizophrenia: clinical outcome of a two-year longitudinal study. Arch Gen Psychiatry. 1985;42: 887–9610.1001/archpsyc.1985.01790320059008CrossRefGoogle ScholarPubMed
Gebhardt, RPietzcker, AStrauss, AStoeckel, MLanger, CFreudenthal, KSkalenbildung im AMDP-System. Arch Psychiatr Nerv. 1983;233: 223–4510.1007/BF00343598CrossRefGoogle Scholar
Goldstein, MJRodnick, EHEvans, JRMay, PRASteinberg, MRDrug and family therapy in the aftercare treatment of acute schizophrenia. Arch Gen Psychiatry. 1978;35: 169–7710.1001/archpsyc.1978.01770340019001CrossRefGoogle Scholar
Hogarty, GEAnderson, CMReiss, DJKornblith, SJGreenwald, DPJavna, CDMadonia, MJEPICS Schizophrenia Research GroupFamily psycho-education, 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. Arch Gen Psychiatry. 1986;43: 633–4210.1001/archpsyc.1986.01800070019003CrossRefGoogle Scholar
Hornung WP, Buchkremer G, Holle R, Schulze Mönking H, Klingberg S. Psychoedukativ-psychoterapeutische Behandlung von Schizophrenen Patienten und ihren Bezugspersonen-Ergebnisse einer Ein-Jahres-Katamnese. Nervenarzt (in press)Google Scholar
Jenkins, JHKarno, MSelva, ASantana, FTelles, CLopez, SMintz, JExpressed emotion, maintenance pharmacotherapy and schizophrenic relapse among Mexican-Americans. Psychopharmacol Bull. 1986;22: 621–7Google ScholarPubMed
Kreisman, DESimmens, SJJoy, VDRejecting the patient. Preliminary validation of a self-report scale. Schizophrenia Bull. 1979;5: 220–210.1093/schbul/5.2.220CrossRefGoogle ScholarPubMed
Leff, JPKuipers, LBerkowitz, REberlein-Fries, RSturgeon, DA controlled trial of social intervention in the families of schizophrenic patients. Br J Psychiatry. 1982;141: 121–3410.1192/bjp.141.2.121CrossRefGoogle ScholarPubMed
Leff, JPKuipers, LBerkowitz, RSturgeon, DA controlled trial of social intervention in the families of schizophrenic patients: two years follow up. Br J Psychiatry. 1985;146: 59460010.1192/bjp.146.6.594CrossRefGoogle Scholar
Lewandowski, LBuchkremer, GTherapeutische Gruppenarbeit mit Angehörigen schizophrener Patienten. Ergebnisse zweijähriger Verlaufsuntersuchungen. Z Klin Psychol Psychother. 1731988 210–24Google Scholar
MacMillan, FJGold, ACrow, TWJohnson, ALJohnstone, ECThe Northwick Park study of first episodes of schizophrenia. IV: expressed emotion and relapse. Br J Psychiatry. 1986;148: 133–4310.1192/bjp.148.2.133CrossRefGoogle Scholar
Moline, RASingh, SMorris, AMeltzer, HYFamily expressed emotion and relapse in schizophrenia in 24 urban American patients. Am J Psychiatry. 1985;152: 1078–81Google Scholar
Nuechterlein, KHSnyder, KSDawson, MERappe, SGitlin, MFogelson, DExpressed emotion, fixed-dose fluphenazine decanoate maintenance, and relapse in recent-onset schizophrenia. Psychopharmacol Bull. 1986;22: 633–9Google ScholarPubMed
Schulze Mönking, HDas Konzept der Expressed Emotions (EE) in der Arbeit mit Angehörigen schizophrener Patienten. In: Steinberg, RSchizophrenie. 17. Psychiatrie-Symposion, Pfalzklinik Landeck.Klingenmünster 1991 Klingenmünster: Tilia-Verlag Mensch und Medizin, 1992Google Scholar
Schulze Mönking, HAngehörigenselbsthilfegruppen in der Schizophreniebehandlung — Aufbau, Entwicklung und therapeutische Effizienz. Regensburg: Roderer Verlag, 1993Google Scholar
Schulze Mönking, HSelf-help groups for families of schizophrenic patients: formation, development and therapeutic impact. Soc Psychiatry. 1994;29: 149–54Google ScholarPubMed
Schulze Mönking, HRook, AStricker, KBuchkremer, GDer Münsteraner Prognose Score — Ein prognostisches Instrument zur Einschätzung des Rehospitalisierungsrisikos ambulanter schizophrener Patienten. Psychol. 1986;12: 395Google Scholar
Schulze Mönking, HStricker, KRook, ABuchkremer, GAngehörigengruppen und Angehörigen-Selbsthilfegruppen bei schizophrenen Patienten. Konzepte, Etablierung, Probleme bei der Durchführung. Psychiat Prax. 1989;16: 2835Google Scholar
Snyder, KSLibermann, RPFamily assessment and intervention with schizophrenics at risk for relapse. In: Goldstein, MJNew Developments in Interventions with Families of Schizophrenics. San Francisco: Jossey Bass, 1981Google Scholar
Spitzer, JEndicott, JEFleiss, LThe Global Assessment Scale. A procedure for measuring overall severity of psychiatric disturbances. Arch Gen Psychiatry. 1976;33: 766–71Google Scholar
Tarrier, NBarrowclough, CVaughn, CEBamrah, JSPorceddu, KWatts, SFreeman, HLThe community management of schizophrenia: a controlled trial of a behavioural intervention with families to reduce relapse. Br J Psychiatr. 1988;153: 532–4210.1192/bjp.153.4.532CrossRefGoogle ScholarPubMed
Tamer, NBarrowclough, CVaughn, CEBamrah, JSPorceddu, KWatts, SFreeman, HLCommunity management of schizophrenia: a two-year follow-up of a behavioural intervention with families. Br J Psychiatry. 1989;154: 625–8Google Scholar
Vaughan, KDoyle, MMcConaghy, NBlaszczynski, AFox, ATarrier, NThe Sydney intervention trial: a controlled trial of relative's counselling to reduce schizophrenic relapse. Soc Psychiatry Psychiatric Epidemiol. 1992;27: 1621CrossRefGoogle Scholar
Vaughn, CELeff, JPThe influence of family and social factors on the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. Br J Psychiatry. 1976;129: 125–3710.1192/bjp.129.2.125CrossRefGoogle ScholarPubMed
Vaughn, CELeff, JPThe measurement of expressed emotion in the families of psychiatric patients. Br J Clin Soc Psychol. 1976;15: 157–6510.1111/j.2044-8260.1976.tb00021.xCrossRefGoogle ScholarPubMed
Vaughn, CESnyder, KSJones, SFreeman, WBFalloon, IRHFamily factors in schizophrenic relapse: a replication in California of British research on expressed emotion. Arch Gen Psychiatry. 1984;41: 1169–7710.1001/archpsyc.1984.01790230055009CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.