RESUMO
Although family intervention is practiced in most psychiatric hospitals, to our knowledge, no adequately controlled studies of its efficacy exist. This study was designed to answer, in part, the question of the relative efficacy of hospitalization with family intervention as compared with hospitalization without family intervention for patients (1) with major psychiatric disorders, (2) in need of hospital treatment, and (3) for whom both treatments are judged clinically feasible. This article compares treatment results at the time of hospital discharge for 169 patients randomly assigned to the inpatient Family Intervention or comparison conditions. Inpatient Family Intervention had greater efficacy than the comparison treatment, mostly attributable to its effect on female patients, especially those patients (and their families) with affective disorder.
Assuntos
Terapia Familiar/normas , Hospitalização , Unidade Hospitalar de Psiquiatria , Transtornos Psicóticos/terapia , Adolescente , Adulto , Idoso , Atitude Frente a Saúde , Ensaios Clínicos como Assunto , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Processos e Resultados em Cuidados de Saúde , Escalas de Graduação Psiquiátrica , Transtornos Psicóticos/psicologia , Distribuição Aleatória , Fatores SexuaisRESUMO
Although family intervention is practiced in most psychiatric hospitals, there are no adequately controlled studies of its efficacy. This study was designed to answer, in part, the following question: What is the relative efficacy of hospitalization with family intervention as compared with hospitalization without family intervention for patients with major psychiatric disorders who are in need of hospital treatment and for whom both treatments are judged clinically feasible? This is our first report, presenting preliminary data on six-month follow-up for the first three quarters of the total sample of 144 patients (80 with schizophrenic disorder and 64 with major affective disorder).
Assuntos
Terapia Familiar , Hospitalização , Transtornos do Humor/terapia , Esquizofrenia/terapia , Adolescente , Adulto , Ensaios Clínicos como Assunto , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos do Humor/psicologia , Avaliação de Processos e Resultados em Cuidados de Saúde , Escalas de Graduação Psiquiátrica , Psicoterapia Múltipla , Transtornos Psicóticos/psicologia , Transtornos Psicóticos/terapia , Psicologia do EsquizofrênicoRESUMO
This paper focuses on the follow-up results of a randomized clinical trial of inpatient family intervention (IFI) that emphasized psychoeducation. Results for the sample of 169 psychiatric patients suggested that adding family treatment to standard hospital treatment was effective; however, the statistical interactions indicated that this therapeutic effect was restricted to female patients with schizophrenia or major affective disorder. The effect of family treatment on male patients with these diagnoses was minimal or slightly negative. In a group of patients with other diagnoses, the Treatment by Sex effect was reversed: male patients did better with the family treatment.
Assuntos
Terapia Familiar , Hospitalização , Transtornos Mentais/terapia , Transtornos Psicóticos Afetivos/terapia , Ensaios Clínicos como Assunto , Feminino , Seguimentos , Humanos , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Escalas de Graduação Psiquiátrica , Distribuição Aleatória , Esquizofrenia/terapia , Fatores SexuaisRESUMO
This is the last of a series of four papers, here focussing on schizophrenia, which report followup data up to 18 months from a randomized clinical trial of a psychoeducational family intervention (IFI), which was added to medication and limited to the inpatient phase of treatment, after which post-hospital care was not controlled. Our data suggested that patients with poor prehospital functioning (i.e., the chronic patients) may benefit from inpatient family intervention, but this therapeutic effect appears to be limited to females and does not appear until 18 months postadmission. Families of patients with schizophrenia also show benefit from having received IFI, the effect is seen earlier than with the patients, and is associated with achieving the goals of IFI. The results in the IFI group could not be accounted for by improved post-hospital medication compliance, but they may be related to this group's greater tendency to obtain further family treatment after discharge.
Assuntos
Terapia Familiar/métodos , Família , Hospitalização , Transtornos Psicóticos/reabilitação , Esquizofrenia/reabilitação , Psicologia do Esquizofrênico , Adulto , Emoções , Feminino , Seguimentos , Identidade de Gênero , Hostilidade , Humanos , Masculino , Escalas de Graduação Psiquiátrica , Transtornos Psicóticos/psicologia , Reabilitação Vocacional/psicologia , Ajustamento Social , Meio Social , Apoio SocialRESUMO
This paper reports the results at follow-up of a randomized clinical trial of combining family intervention with drug treatment during hospitalization for patients with affective disorder. The results suggest that female bipolar patients and their families benefited from family intervention, whereas unipolar patients and families did not. Patient outcome was positively correlated with the achievement of the goals of family intervention.