Needs-based cognitive-behavioural family intervention for patients suffering from schizophrenia: 5-Year follow-up of a randomized controlled effectiveness trial

W. Sellwood, A. Wittkowski, N. Tarrier, C. Barrowclough

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Objective: To determine whether a 24-week, needs-based cognitive- behaviourally oriented family intervention for patients suffering from schizophrenia led to improved relapse profiles over a 5-year follow-up period. Method: The case notes of 60 patients who had participated in a randomized, controlled effectiveness trial were examined to determine relapse rates over a 5-year period. Results: Patients were less likely to relapse over the 5-year follow-up when they received the needs-based family intervention, especially in relation to exacerbations of symptoms not requiring inpatient admissions: 86.7% of control participants relapsed compared with 53.3% (P = 0.01). Survival analysis indicated that the relapse risk was 2.5 times higher for patients receiving routine care, compared with those receiving family intervention. A similar trend was observed for the final 4 years of follow-up. Conclusion: The present study provides some tentative support for the long-term effectiveness of family-based interventions for the management of schizophrenia in general mental health services. © 2007 The Authors.
    Original languageEnglish
    Pages (from-to)447-452
    Number of pages5
    JournalActa Psychiatrica Scandinavica
    Volume116
    Issue number6
    DOIs
    Publication statusPublished - Dec 2007

    Keywords

    • Carer needs
    • Family intervention
    • Follow-up
    • Relapse
    • Schizophrenia

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