Psychological Medicine

Research Article

Family management in the prevention of morbidity of schizophrenia: social outcome of a two-year longitudinal study

Ian R. H. Falloona1 c1, Christine W. McGilla1, Jeffrey L. Boyda1 and Jean Pedersona1

a1 University of Southern California, School of Medicine, Department of Psychiatry, Los Angeles

Abstract

Effective community treatment of schizophrenia involves not merely the removal of florid symptoms, but restoration of effective social role functioning. The efficacy of a family management approach is compared with an individual approach of similar intensity in terms of its impact on the patient's social adjustment after a florid episode of schizophrenia. Clinical reports, patient self-reports, and interviews with the family members of 36 patients, who were randomly assigned to family or individual management, demonstrated a consistent superiority for family management. The advantages for the family approach were sustained over a two-year period. The potential mechanisms through which the family approach may have achieved its greater efficacy are discussed from a multi-determined perspective.

Correspondence:

c1 Address for correspondence: Dr I. R. H. Falloon, Buckingham Hospital, High Street, Buckingham MK18 1NU, UK

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