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Social functioning in schizophrenic patients

I. The effects of expressed emotion and family intervention

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Summary

The relationship between the social functioning of schizophrenic patients and the EE levels of their relatives is examined. Patients living with a high EE relative function significantly worse than those living with low EE relatives. This appeared to be due to a poorer social functioning in patients who lived with hostile relatives. Patients who participated in a nine month behavioural family intervention showed greater improvements in social functioning than control groups. The improvements could not be explained as being due to medication since high neuroleptic dosage over nine months was associated with poorer social functioning.

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References

  • Anthony WA, Liberman RP (1986) The practice of psychiatric rehabilitation. Schizophr Bull 12:542–559

    Google Scholar 

  • Barrowclough C, Tarrier N (1984) Psychosocial interventions with families and their effects on the course of schizophrenia. Psychol Med 14:629–642

    Google Scholar 

  • Barrowclough C, Tarrier N (1987) A behavioural family intervention with a schizophrenic patient: a case study. Behav Psychother 15:252–271

    Google Scholar 

  • Bellack AS, Muser KT (1986) A comprehensive treatment program for schizophrenia and chronic mental illness. Community Mental Health J 22:175–189

    Google Scholar 

  • Birchwood M (1983) Family coping behaviour and the course of schizophrenia: a two year follow-up study. Unpublished Ph.D. thesis. University of Birmingham, UK

    Google Scholar 

  • Birchwood M, Smith J, Cochrane R, Wetton S, Copestake S (in press) The social functioning scale: The development and validation of a scale of social adjustment for use in family intervention programmes with schizophrenic patients. Br J Psychiatry

  • Cohen CI, Sokolovsky J (1978) Schizophrenia and social networks: Ex-patients in the inner city. Schizophr Bull 4:546–560

    Google Scholar 

  • Falloon IRH, Boyd JL, McGill CW, Razani J, Moss HB, Gilderman AM (1982) Family management in the prevention of exacerbation of schizophrenia. N Engl J Med 306:14237–1440

    Google Scholar 

  • Falloon IRH, Boyd JL, McGill CW (1984) Family care of schizophrenia. Guilford Press, New York

    Google Scholar 

  • Hammer M (1981) Social supports, social networks and schizophrenia. Schizophr Bull 7:45–47

    Google Scholar 

  • Hogarty GE, Anderson CM, Reiss DJ, Kornblith SJ, Greenwald P, Javan CD, Manonia MJ, The EPICS Research Group (1986) Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. Arch Gen Psychiatry 43:633–642

    Google Scholar 

  • Leff JP, Vaughn CE (1985) Expressed emotion in families. Guilford Press, New York

    Google Scholar 

  • Leff JP, Kuipers L, Berkowitz R, Eberlein-Vries R, Sturgeon D (1982) A controlled trial of social intervention in families of schizophrenic patients. Br J Psychiatry 141:121–134

    Google Scholar 

  • Leff JP, Berkowitz R, Shavit N, Strachan A, Glass I, Vaughn C (1989) A trial of family therapy vs a relatives' group for schizophrenia. Br J Psychiatry 154:58–66

    Google Scholar 

  • Mintz LI, Nuechterlein K, Goldstien MJ, Mintz J, Snyder KS (1989) The initial onset of schizophrenia and family expressed emotion: Some methodological considerations. Br J Psychiatry 154: 212–217

    Google Scholar 

  • Nuechterlein KH (1987) Vulnerability models of schizophrenia: state of the art. In: Häfner H, Gattaz WF, Janzarik W (eds) Search for the cause of schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Nuechterlein KH, Dawson ME (1984) A heuristic vulnerability-stress model of schizophrenic episodes. Schizophr Bull 10: 300–312

    Google Scholar 

  • Platt S, Weyman A, Hirsch S, Hewett S (1980) The social behaviour assessment schedule (SBAS), rationale contents, scoring and reliability of a new intervention schedule. Soc Psychiatry 15:43–55

    Google Scholar 

  • Sokolovsky J, Cohen CI, Berger D, Geiger J (1978) Personal networks of ex-mental patients in Manhattan SRO hotel. Hum Organisation 37:5–15

    Google Scholar 

  • Smith J, Birchwood M (in press) Relative and patients as partners in the management of schizophrenia: The development of a service model. Br J Psychiatry

  • Suy E, Woestenborghs R, Heykants J (1982) Bioavailability and clinical effects of two different concentrations of haloperidol decanoate. Curr Ther Res 31:982–991

    Google Scholar 

  • Tarrier N, Barrowclough C (1989) New developments in research and practice in the community care of schizophrenia in England: The Salford Project. In: Kales A, Talbot J, Stefanis C (eds) Recent advances in schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Tarrier N, Barrowclough C, Vaughn C, Bamrah JS, Porceddu K, Watts S, Freeman HL (1988) The community management of schizophrenia: a controlled trial of a behavioral intervention with families to reduce relapse. Br J Pschiatry 153:532–542

    Google Scholar 

  • Tarrier N, Barrowclough C, Vaughn C, Bamrah JS, Porceddu K, Watts S, Freeman HL (1989) The community management of schizophrenia: A two year follow-up of a behavioural intervention with families. Br J Psychiatry 154:625–628

    Google Scholar 

  • Vaughn CE, Leff JP (1976) The measurement of expressed emotion in the families of psychiatric patients. Br J Soc Clin Psychol 15: 423–429

    Google Scholar 

  • Valone K, Norton JP, Goldstein MJ, Doane JA (1983) Parental expressed emotion and affective style in an adolescent sample at risk for schizophrenia. Spectrum disorders. J Abnorm Psychol 92: 399–407

    Google Scholar 

  • Wallace CJ (1986) Functional assessment in rehabilitation. Schizophr Bull 12:604–630

    Google Scholar 

  • Weissman MM, Prusoff BA, Thompson WD, Harding PS, Meyers JK (1978) Social adjustment by self-report in a community sample and in psychiatric outpatients. J Nery Ment Dis 166:317–326

    Google Scholar 

  • Wing J, Cooper J, Sartorius N (1974) The description and classification of psychiatric symptomatology: an instruction manual for the PSE and CATEGO systems. Cambridge University Press, London

    Google Scholar 

  • Zubin J, Spring B (1977) Vulerability: a new view of schizophrenia. J Abnorm Psychol 86:103–126

    Google Scholar 

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Barrowclough, C., Tarrier, N. Social functioning in schizophrenic patients. Soc Psychiatry Psychiatr Epidemiol 25, 125–129 (1990). https://doi.org/10.1007/BF00782739

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