Portal de Periódicos da CAPES

The Salford Family Intervention Project: Relapse Rates of Schizophrenia at Five and Eight Years

1994; Cambridge University Press; Volume: 165; Issue: 6 Linguagem: Inglês

10.1192/bjp.165.6.829

1472-1465

Nicholas Tarrier, Christine Barrowclough, Kathleen Porceddu, Elizabeth M. Fitzpatrick,

Mental Health Treatment and Access

Background This study assessed the long-term effects of family intervention on schizophrenic relapse. Method Forty schizophrenic patients who had participated in a family intervention trial and who had not experienced relapse at two years after discharge from the index admission were traced through case notes and hospital records. The percentage of patients experiencing a relapse was estimated for patients in the family intervention group, the high-EE control group, and the low-EE control group, at five years and eight years after discharge. Results There were significantly fewer relapses in the family intervention group than in the high-EE control group at both five years and eight years. The number of relapses in the low-EE control group was lower than in the high-EE control group, but this just failed to reach significance. Conclusions The benefit of family intervention and the predictive power of EE are sustained over eight years. Expressed emotion (EE) has remained a remarkably robust predictor of relapse in schizophrenia. Kavanagh (1992) cited 20 out of 23 prospective studies that showed patients who returned to live with high-EE relatives had higher relapse rates over 9–12 months after discharge than did patients returning to live with low-EE relatives. Seventeen of these studies reported this difference to be significant. British Journal of Psychiatry (1994) , 165 , 829–832