Randomised controlled trial of a behavioural family intervention: 1 year and 11-years follow-up

@article{Veltro2006RandomisedCT,
  title={Randomised controlled trial of a behavioural family intervention: 1 year and 11-years follow-up},
  author={Franco Veltro and Lorenza Magliano and Pierluigi Morosini and Elvira Fasulo and G. Pedicini and Isabella Cascavilla and Ian R. H. Falloon},
  journal={Epidemiologia e Psichiatria Sociale},
  year={2006},
  volume={15},
  pages={44 - 51}
}
SUMMARY Aim – To test the efficacy of a Behavioural Family Therapy (BFT) in a routine setting, both short and long term, of a community mental health service (CMHS). Methods – In a randomised clinical trial 24 patients with a diagnosis of schizophrenia, as confirmed by PSE-IX, were assigned to the BFT according to Falloon (n = 12) or to individual usual treatment (n = 12). They were assessed before and at the end of the active treatment (after one year), and after an 11-years follow-up with… 
Long term outcome study of a salutogenic psychoeducational recovery oriented intervention (Inte.G.R.O.) in severe mental illness patients
TLDR
These results substantially confirm after a three-year follow-up the improvements in functioning, psychopathology, stress management and cognitive flexibility seen in previous studies, and show a complex time-dependent fashion.
Resource Group Assertive Community Treatment (RACT) as a Tool of Empowerment for Clients with Severe Mental Illness: A Meta-Analysis
TLDR
The conclusions of the meta-analysis were that the treatment of clients with Resource Group Assertive Community Treatment yields positive effects for clients with psychoses and that the method may be of use for clients within the entire psychiatric spectrum.
Study on psychoeducation enhancing results of adherence in patients with schizophrenia (SPERA-S): study protocol for a randomized controlled trial
TLDR
If the psychoeducation program proves effective in improving adherence to pharmacotherapy and in reducing relapse and readmissions, its application could be proposed as a standard adjunctive psychosocial treatment within the Italian NHS.
Effectiveness of a New Structured Psychoeducational, Salutogenetic Based Approach, in Facilitating the Recovery of People with Severe Mental Disorders
TLDR
The observed data confirm the effectiveness of this innovative approach, above all on Personal and Social Functioning, stress management, cognitive flexibility and problem solving that are key variables for Personal Recovery.
A new self-report questionnaire called "ABC" to evaluate in a clinical practice the aid perceived from services by relatives, needs and family burden of severe mental illness
TLDR
A self-report questionnaire of 34 item, developed by a Family Association of Psychiatric Patients in collaboration with two psychiatrists to evaluate by key-relative in a clinical practice the perceived quality of mental health services, the needs and family burden, indicates a fairly good performance of the questionnaire in this preliminary but almost complete phase of validation.
Italian Families and Family Interventions
Abstract In Italy, as in many countries, relatives are closely involved in caring for persons with physical and mental disorders. The Italian scenario lends itself to routine involvement of family
Meta-análise de ensaios clínicos de intervenção familiar na condição esquizofrenia
TLDR
Assessment of the efficacy of cognitive-behavioral family interventions by relatives of schizophrenic patients under community care, specifically targeting relapse and family burden as outcomes was favorable to family intervention.
Families of people with experience of psychosis : exploring the impact of family interventions and understanding the role of young people in their parent's care
nature of this construct makes it difficult to quantify (Hooley & Parker, 2006). The more consistent reduction in critical comments as opposed to other elements of expressed emotion may be reflective
Adjunctive psychosocial therapies for the treatment of schizophrenia
...
...

References

SHOWING 1-10 OF 32 REFERENCES
Psychological treatments in schizophrenia: I. Meta-analysis of family intervention and cognitive behaviour therapy
TLDR
Family therapy, in particular single family therapy, had clear preventative effects on the outcomes of psychotic relapse and readmission, and CBT produced higher rates of ‘important improvement’ in mental state and demonstrated positive effects on continuous measures of mental state at follow-up.
Integrated treatment of first-episode psychosis: effect of treatment on family burden
TLDR
The integrated treatment reduced family burden of illness and improved satisfaction with treatment, and relatives in integrated treatment felt less burdened and were significantly more satisfied with treatment than relatives in standard treatment.
Implementation of evidence-based treatment for schizophrenic disorders: two-year outcome of an international field trial of optimal treatment.
  • I. Falloon, I. Montero, R. Gedye
  • Medicine, Psychology
    World psychiatry : official journal of the World Psychiatric Association
  • 2004
TLDR
On all measures the evidence-based OTP approach achieved more than double the benefits associated with current best practices, and one half of recent cases had achieved full recovery from clinical and social morbidity.
Family management in the prevention of exacerbations of schizophrenia: a controlled study.
TLDR
Significantly lower levels of schizophrenic symptomatology on blind rating-scale assessments supported clinical observations of the superiority of family management, and the family-treatment approach sought to enhance the stress-reducing capacity of the patient and his or her family.
The psychosocial treatment of schizophrenia: an update.
TLDR
Relatively simple, long-term psychoeducational family therapy should be available to the majority of persons suffering from schizophrenia and assertive community training programs ought to be offered to patients with frequent relapses and hospitalizations.
Multiple-family groups and psychoeducation in the treatment of schizophrenia.
TLDR
Psychoeducational multiple-family groups were more effective than single-family treatment in extending remission, especially in patients at higher risk for relapse, with a cost-benefit ratio of up to 1:34.
Family intervention for schizophrenia.
TLDR
Clinicians, researchers, policy makers and recipients of care cannot be confident of the effects of family intervention from the findings of this review, and there is no data to suggest that family intervention either prevents or promotes suicide.
Burden in schizophrenia caregivers: impact of family psychoeducation and awareness of patient suicidality.
TLDR
Investigation of predictors of family burden and tested to what degree multiple family group treatment (MFGT), relative to a standard care condition, was associated with reduced family burden suggest that caregiver's awareness of patient's suicidal Ideation, not patient's report of suicidal ideation; and that patient age, not duration of the illness, were significant independent predictors.
Psychoeducation for schizophrenia.
TLDR
Evidence from trials suggests that psychoeducational approaches are useful as a part of the treatment programme for people with schizophrenia and related illness and the fact that the interventions are brief and inexpensive should make them attractive to managers and policy makers.
HoNOS-Rome: an expanded, customized, and longitudinally oriented version of the HoNOS
TLDR
The findings indicate that HoNOS–Rome has a satisfactory degree of acceptability, construct validity and reliability, and may promote the routine evaluation of outcomes in mental health services.
...
...