How does family intervention improve the outcome of people with schizophrenia?

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Title: How does family intervention improve the outcome of people with schizophrenia?
Authors: Girón, Manuel | Nova-Fernández, Francisco | Mañá-Alvarenga, Sonia | Nolasco, Andreu | Molina-Habas, Antonia | Fernández-Yañez, Antonio | Tabarés-Seisdedos, Rafael | Gómez-Beneyto, Manuel
Research Group/s: Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Keywords: Schizophrenia | Family attitudes | Psychosocial family intervention | Relational control | Empathy
Knowledge Area: Enfermería
Issue Date: Aug-2014
Publisher: Springer Berlin Heidelberg
Citation: Social Psychiatry and Psychiatric Epidemiology. 2014, Aug. doi:10.1007/s00127-014-0942-9
Abstract: Background: There is strong evidence of the efficacy of family psychosocial interventions for schizophrenia, but evidence of the role played by the attitudes of relatives in the therapeutic process is lacking. Method: To study the effect of a family intervention on family attitudes and to analyse their mediating role in the therapeutic process 50 patients with schizophrenia and their key relatives undergoing a trial on the efficacy of a family psychosocial intervention were studied by means of the Affective Style Coding System, the Scale of Empathy, and the Relational Control Coding System. Specific statistical methods were used to determine the nature of the relationship of the relatives’ attitudes to the outcome of family intervention. Results: Family psychosocial intervention was associated with a reduction in relatives’ guilt induction and dominance and an improvement in empathy. Empathy and lack of dominance were identified as independent mediators of the effect of family psychosocial intervention. The change in empathy and dominance during the first 9 months of the intervention predicted the outcome in the following 15 months. Conclusion: Relatives’ empathy and lack of dominance are mediators of the beneficial effect of family psychosocial intervention on patient’s outcome.
Sponsor: This study was supported by project grant 011010 from Fundació La Marató de TV3. This study was supported by the Associació Valenciana de Docència i Investigació en Salut Mental.
ISSN: 0933-7954 (Print) | 1433-9285 (Online)
DOI: 10.1007/s00127-014-0942-9
Language: eng
Type: info:eu-repo/semantics/article
Rights: The final publication is available at Springer via
Peer Review: si
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