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Needs-based cognitive-behavioural family intervention for carers of patients suffering from schizophrenia: twelve month follow-up

Research output: Contribution to journal › Journal article

Published
  • William Sellwood
  • Christine Barrowclough
  • Nicholas Tarrier
  • Joanne Quinn
  • John Mainwaring
  • Shon Lewis
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<mark>Journal publication date</mark>11/2001
<mark>Journal</mark>Acta Psychiatrica Scandinavica
Issue number5
Volume104
Number of pages10
Pages (from-to)346-355
Publication StatusPublished
<mark>Original language</mark>English

Abstract

Objective: To examine longer-term effectiveness of a needs-based family intervention for carers and out-patients suffering from schizophrenia.

Method: Seventy-nine unselected patient–carer pairs were recruited from a geographical area and allocated randomly to one of two conditions. One group received needs-based cognitive-behavioural family intervention in combination with general family support plus the standard care. The control group received the general family support and standard care only.

Results: Analysis was carried out on an intention-to-treat basis. There was a significant advantage for family intervention, in terms of relapse (37% relapsed compared to 72%, NNT=3) and on other clinical measures. Treatment group and medication compliance were significant and independent predictors of relapse. There was a significant reduction in carer needs in the intervention group.

Conclusion: Family intervention directed at carers' needs within a standard mental health service can produce benefits for patients beyond the term of intervention.