Long-term effects of a psychoeducational psychotherapeutic intervention for schizophrenic outpatients and their key-persons – results of a five-year follow-up

  • W. P. Hornung
  • Reinhold Feldmann
  • Stefan Klingberg
  • Gerhard Buchkremer
  • Thomas Reker
Original paper

DOI: 10.1007/s004060050082

Cite this article as:
Hornung, W., Feldmann, R., Klingberg, S. et al. European Archives of Psychiatry and Clinical Neurosciences (1999) 249: 162. doi:10.1007/s004060050082

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.

Key words Schizophrenia Psychoeducation Key-person counselling Long-term course 

Copyright information

© Steinkopff Verlag 1999

Authors and Affiliations

  • W. P. Hornung
    • 1
  • Reinhold Feldmann
    • 2
  • Stefan Klingberg
    • 3
  • Gerhard Buchkremer
    • 3
  • Thomas Reker
    • 4
  1. 1.Rheinische Kliniken Bonn, Kaiser-Karl-Ring 20, D-53111 Bonn, Germany Tel.: 0228/551-2247, Fax: 0228/551-2606 e-mail: wp.hornung@mail.lvr.deDE
  2. 2.Klinik und Poliklinik für Psychiatrie, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Strasse 11, D-48149 Münster
  3. 3.Klinik und Poliklinik für Psychiatrie und Psychotherapie, Eberhard-Karl-Universität Tübingen, Osianderstr. 22, D-72076 Tübingen
  4. 4.Westfälische Klinik für Psychiatrie und Psychotherapie Münster, Abteilung für Suchtkrankheiten, Friedrich-Wilhelm-Weber-Str. 30, D-48148 Münster