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  • 1
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Schizophrenie ; Psychoedukation ; Angehörigengruppen ; Rezidivprophylaxe ; Langzeiteffekte ; Key words Schizophrenia ; Psychoeducation ; Keyperson counseling ; Relapse prevention ; Long-term effects
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary In this study we investigated whether, in conjunction with neuroleptics, a psychoeducational and cognitively oriented treatment for schizophrenic outpatients and their key-persons can improve the course of schizophrenic illness within a 2-year follow-up. This prospective randomized study covered a total of 191 schizophrenic patients (according to DSM-III-R) and comprised a psychoeducational training and cognitive psychotherapy for patients and counseling for their key persons in various combinations. Patients were examined before, immediately after and 2 years after the end of the intervention. Patients in the treatment groups reduced their overall psychopathology and their attention deficit. For patients receiving all three treatment conditions, there was a relevant preventive effect with regard to the rehospitalization rate appearing during the second year of the follow-up. We conclude that in the mid-term, a combination of psychoeducational and cognitively oriented therapy for patients and their keypersons can improve the course of schizophrenic illness.
    Notes: Zusammenfassung Die Untersuchung beantwortet die Frage, ob eine ambulante psychoedukativ-psychotherapeutische Behandlung schizophrener Patienten und ihrer Angehörigen in Verbindung mit einer neuroleptischen Medikation in den 2 Jahren nach Abschluß der Therapie den Krankheitsverlauf der Patienten günstig beeinflussen kann. Es handelt sich um eine prospektive Studie im randomisierten Kontrollgruppendesign, in die 191 ambulant behandelte Schizophrene (DSM-III-R-Kriterien) aufgenommen wurden. Die Behandlungsbedingungen bestanden aus einem psychoedukativen Training und einer kognitiven Psychotherapie für die Patienten sowie aus einer Bezugspersonenberatung für deren Angehörige, jeweils in unterschiedlichen Kombinationen. Die Untersuchungen fanden vor Beginn, unmittelbar am Ende, sowie 12 und 24 Monate nach Therapieabschluß statt. In der Therapiegesamtgruppe verbesserten sich einzelne psychopathologische Parameter. Eine nominell statistisch signifikante Reduktion der Rehospitalisierungsrate fand sich bei der Patientengruppe mit allen 3 Behandlungsbedingungen. Der rezidivprophylaktische Effekt dieses komplexen psychoedukativ-psychotherapeutischen Behandlungsangebots entwickelte sich erst innerhalb des 2. Katamnesejahrs. Damit ist von einer mittelfristigen rezidivprophylaktischen Wirkung dieses komplexen Therapieangebots, das sowohl Patienten als auch Angehörige einbezieht, auszugehen.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1433-8491
    Keywords: Key words Schizophrenia ; Psychoeducation ; Key-person counselling ; Long-term course
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The study examines long-term effects on rehospitalization rates of a psychoeducationally and cognitive-behaviorally oriented intervention for schizophrenic outpatients and their key-persons. 191 patients and their key-persons were allocated by random into four different treatment groups and one control group. Five years after completion of treatment 126 patients were reexamined by interviews or case notes. The rate of patients experiencing psychiatric rehospitalization during the follow-up was assessed in each respective treatment group. Concerning rehospitalization rates there was no significant difference between controls (n = 35) and patients of the four treatment groups (n = 91). There were, however, fewer rehospitalized patients in the group with combined psychoeducational and cognitive treatment, including key-person counselling (42%), than in the control group (69%). Regarding the overall functioning, the patients in this treatment group did slightly better than those in the control group. These results are in accordance with the findings of comparable studies.
    Type of Medium: Electronic Resource
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