SCHIZOPHRENIA - Family therapy as a psychological treatment of schizophrenia
- Created by: EmilyEther
- Created on: 18-12-18 12:45
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- Psychological treatment of schizophrenia (sch) - Family Therapy
- interventions based on families with a sch sufferer
- recommended that it should be a priority available to every person diagnosed or in contact with a sch person
- research ~ schs in critical or hostile families suffered more relapses than schs in families with less EE
- aimed at reducing EE in family
- GARETY (2008) - relapse for individs that received family therapy was 25% compared to 50% for those who received standard care
- provides family members with info about sch, ways to help schs and resolving practical probs
- characteristics of psychosis - schs are more suspicious of treatment. Involving person solves problem
- Research
- PHAROAH (2010) - 53 randomised controlled trail studies from 2002-2010 on family intervention. Studies compared fam.ther to 'standard' treatment (antipsych med)
- FOUND:
- overall mental state = mixed. Some reported improvements and some didn't
- family intervention increased patients compliance with medication
- fam.int not shown to have much of an effect on social functioning (eg. employment etc.)
- reduction in relapse and reduction of hospital admission during treatment and 24 months after
- FOUND:
- PHAROAH (2010) - 53 randomised controlled trail studies from 2002-2010 on family intervention. Studies compared fam.ther to 'standard' treatment (antipsych med)
- Evaluation (A03)
- nature of treatment informed by relevant explanation
- Pharoah's research - fam.ther = effective in improving clinical outcomes (eg. mental state and social functioning)
- but argued that effectiveness due to the fact that it increases medication compliance
- problem of random allocation - some Chinese studies claimed to have used ran.all but did not
- lack of blinding - possibility of observer bias- not 'blinded to condition'
- NICE review of family studies said that fam.ther has cost savings when given to schs in addition to standard care
- reduction of hospitalisation costs
- shown to improve outcomes for individs with sch
- shown to have good outcomes for family members (60%)
- no better outcomes for patients given sessions of fam.ther compared to those who had a carer but no fam.ther
- How does it work?
- offered in 3-12 months and at least 10 sessions
- therapist encourages family members to listen to each other and openly discuss probs and solutions together
- person with sch has to be present as sessions with family (if practical)
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