Barrowclough C, Tarrier N, Lewis S, Sellwood W, Mainwaring J, Quinn J, Hamlin C
Academic Department of Clinical Psychology, Tameside General Hospital, Ashton-under-Lyne, Lancashire.
Br J Psychiatry. 1999 Jun;174:505-11. doi: 10.1192/bjp.174.6.505.
Family interventions are effective in reducing relapse in patients with schizophrenia, but there is little work demonstrating the effectiveness of the interventions in routine service settings.
To test the effectiveness of a needs-based family intervention service for patients recruited as out-patients and their carers, including those of low expressed emotion status.
Carers of out-patient schizophrenia sufferers selected only on illness history factors were randomly allocated to receive either family support alone or in combination with systematic psychosocial interventions based on an assessment of need. Delivery of family interventions attempted to involve the clinical team.
Relapse outcomes were superior for family-treated patients at six-month follow-up, although most of the clinical and symptom patient variables assessed remained stable, as did measures of carer burden.
The study demonstrated the effectiveness of family interventions in routine service settings. Problems with staff, patient and carer engagement and participation were identified.
家庭干预对于降低精神分裂症患者的复发率是有效的，但几乎没有研究表明这些干预措施在常规服务环境中的有效性。
测试一项基于需求的家庭干预服务对门诊招募患者及其照顾者（包括低情感表达状态者）的有效性。
仅根据病史因素选择的门诊精神分裂症患者的照顾者被随机分配，要么仅接受家庭支持，要么根据需求评估接受家庭支持与系统心理社会干预相结合的措施。家庭干预的实施试图让临床团队参与进来。
在六个月的随访中，接受家庭治疗的患者复发情况更好，尽管评估的大多数临床和症状患者变量保持稳定，照顾者负担指标也是如此。
该研究证明了家庭干预在常规服务环境中的有效性。同时也发现了工作人员、患者及照顾者参与方面存在的问题。
