Tarrier N, Barrowclough C
University of Sydney.
Behav Modif. 1990 Oct;14(4):408-40. doi: 10.1177/01454455900144003.
Studies that have attempted to reduce schizophrenic relapse by the use of family interventions are described. Results from studies that implemented behavioral family interventions with patients who were identified as high risk because of the expressed emotion status of their relatives have demonstrated that relapse rates can be significantly reduced over a 2-year postdischarge follow-up period. A number of ongoing studies, especially those that are investigating the interaction of family interventions and different medication regimes, are also discussed. Areas for further investigation are identified, for example: the use of multiple outcome measures, the use of single-case studies and the development of ideographic assessment measures, the interaction of biological and environmental influences, the alleviation of the burden of care, the involvement of the consumer in services, the development of behavioral formulations and analysis of family engagement and compliance, staff training in intervention methods, and the translation of research results into clinical practice.
本文描述了通过家庭干预来降低精神分裂症复发率的相关研究。对那些针对因亲属情感表达状况而被认定为高风险患者实施行为家庭干预的研究结果表明，在出院后两年的随访期内，复发率可显著降低。文中还讨论了一些正在进行的研究，尤其是那些探究家庭干预与不同药物治疗方案相互作用的研究。同时确定了有待进一步研究的领域，例如：使用多种结果测量方法、采用单病例研究及开发个性化评估措施、生物与环境影响的相互作用、减轻护理负担、让患者参与服务、制定行为公式及分析家庭参与度和依从性、对工作人员进行干预方法培训，以及将研究结果转化为临床实践。
