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CLINICAL HANDBOOK OF SCHIZOPHRENIA

CLINICAL HANDBOOK OF SCHIZOPHRENIA

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22. Family Intervention 217TABLE 22.1. (continued)StudyZhang et al.(1994)Buchremeret al. (1997)Telles et al.(1995)Leff et al.(1990)Zastownyet al. (1992)McFarlaneet al. (1995)Schooleret al. (1997)TreatmentconditionsMultiple- andsingle-familypsychoeducationand support.Customary care.Relatives group.Customary care.Behavioral familymanagement.Individual casemanagement.Multiple-familypsychoeducationand support.Single-familypsychoeducationand support.Behavioralfamily therapy.Single-familypsychoeducationand support.Multiple-familypsychoeducationand support.Single-familypsychoeducationand support.Applied familymanagement.Supportive familymanagement.NType of familyintervention78 Multiple-family clinicbasedpsychoeducationcounseling,medication/symptommanagement.68 “Therapeutic”relatives groups andinitiated relatives.——Clinic-basedbehavioral familymanagement23 Multiple-familygroups in theclinic; singlefamily sessionsat home30 Hospital-basedbehavioral familytherapy; hospitalbased single-familypsychoeducation andadvice on handlingcommon problems8389157156Multiple-familygroups or singlefamilysessions inthe clinicApplied managementcomprising homebasedbehavioralfamily therapysessions plussupportive familymanagement;supportive familymanagementcomprising clinicbasedmultiple-familygroupsFrequency anddurationof treatmentIndividual andgroup counselingsessions every1–3 months for18 months.Every 2 weeksfor 2 yearsWeekly for 6months, every 2weeks for 3months, monthlyfor 3 monthsBiweekly for 9months, varyingamounts afterwardWeekly for 4months, monthlyfor 12 monthsBiweekly sessionsfor 2 yearsRelapse18 months: familyeducation andsupport better thancustomary careNo differencesbetween groups at1 year or 2 years.12 months: fortotal groupconditions equal;for “poorlyacculturated”patients, individualmanagement betterfor “highlyacculturated”patients, conditionsequal2 years: conditionsequal16 months:conditions equal2 years: multiplefamilyconditionsbetter than singlefamilyconditionApplied family 2 years: conditionsmanagement: equalbehavioral familytherapy weekly for3 months, biweeklyfor 6 months, andmonthly for 3–6months plusconcurrent monthlysupportive familymanagement for 24–28 months;supportive familymanagementmonthly for 24–28months.

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