Family Interventions in Schizophrenia in Italian Mental Health Services

Roncone, Rita; Morosini, Pierluigi; Falloon, Ian R. H.; Casacchia, M

doi:10.1007/978-4-431-68514-2_30

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…The results indicate an increase in social functioning in the user and a decrease in EE in the primary caregiver, with a large effect size being observed in both variables (Table 5). These findings are consistent with what was reported by Roncone, Morosini, Falloon, & Casacchia (2002) in a study of 36 people with schizophrenia, who participated in an FBT program for three months and were evaluated six months later showed a significant increase in social functioning. They also agreed with the findings of Espina and González (2003), who, in a study of 36 people diagnosed with schizophrenia in the Basque Country, Spain, compared three types of intervention (Family Therapy [FT], Parent Support Group plus Group Therapy for patients [PSG+GT], and psychopedagogical therapy [PT]) and concluded that patients in the groups that received family therapy and the parent support group plus group therapy for patients showed statistically significant improvements in symptomatology and social adjustment, while those who received pedagogical therapy and the control group did not show the same effects.…”

Section: Discussionsupporting

confidence: 92%

Effectiveness of behavioral family therapy in people with schizophrenia: a randomized, controlled clinical trial

et al. 2019

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Objective. To evaluate the effectiveness of FBT in comparison with usual care in people with schizophrenia treated at an outpatient psychiatric department of a public hospital in Chile. Method. Quantitative study, with a randomized, controlled clinical trial design (CTCT) and pre-post measurements, with two arms. Fifty-four people with schizophrenia and their primary caregivers, randomly assigned to experimental and control groups, were studied. The main outcome variable was social functioning. As secondary outcomes, clinical symptoms and treatment adherence in people with schizophrenia were evaluated. Expressed emotion was evaluated in the primary caregiver. Results. FBT was effective in improving the social functioning of people with schizophrenia and decreasing expressed emotion in the primary caregiver, with a large effect size (d > 0.80). Conclusions. The implementation of FBT as a protocolized intervention, complementing usual care, helps to improve psychosocial outcomes in people with schizophrenia and their caregivers.

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Section: Discussionsupporting

confidence: 92%

Effectiveness of behavioral family therapy in people with schizophrenia: a randomized, controlled clinical trial

et al. 2019

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“…O mesmo se aplica à manutenção dos benefícios no tempo, embora os follow-ups mais prolongados (quatro anos) tenham sido escassos. Na Europa, existe já uma larga experiência com a TFC em países como o Reino Unido e Itália (Roncone et al, 2002). Em Inglaterra, um dos autores (GF) tem estado implicado na aplicação e treino em larga escala em TFC, nomeadamente através do Programa Meriden, responsável nos últimos anos pela implementação da TFC nas West Midlands, com fortes ligações a outras regiões do país.…”

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O Modelo de Falloon para intervenção familiar na esquizofrenia: Fundamentação e aspectos técnicos

Gonçalves‐Pereira

Xavier

Fadden³

2012

Análise Psicológica

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Os autores fazem uma retrospectiva da utilização de psicoterapia comportamental em famílias de pessoas com doença mental grave, nomeadamente esquizofrenia, focando o modelo de Falloon e colaboradores (Terapia Familiar Comportamental). Trata-se de uma intervenção unifamiliar, psicoeducativa, de inspiração comportamental, que pretende melhorar a capacidade de resolução de problemas no seio da família. Os resultados estão bem documentados em termos clínicos (menores taxas de recaída), psicossociais (melhor funcionamento socio-ocupacional, menor sobrecarga familiar) e económicos. Estas intervenções estão amplamente difundidas na Europa e EUA, e as suas indicações têm sido alargadas a diversos campos da psicopatologia do adulto, bem como da infância e adolescência. Em Portugal, o treino neste tipo de intervenções tem vindo a ser feito desde 1996, ainda que, paradoxalmente, sem tradução significativa na prática clínica de rotina. As dificuldades de implementação são parcialmente comuns a outras intervenções com famílias, constituindo uma área merecedora de investigação específica.

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“…The main strategies are: 1) socratic questioning, as described by Perris [ 15 ]; 2) encouraging effective communication among patients and to open dialogue among people with similar conditions rather than professionals giving information and advice to patients [ 16 ]; the first and second strategies are of a crucial importance because promote a high degree of adherence to the approach on the basis of a feeling of "reciprocity" ; 3) helping patients make connections between their thoughts, emotions and behaviors [ 15 ]; 4) modelling and role-playing; 5) "normalization" of symptoms and hospital admissions [ 17 ]; 6) positive reinforcement and constructive feed-back [ 18 ]; 7) structured problem solving but used in a flexible way [ 19 , 20 ]; 8) communication skills [ 18 ], i.e " positive feelings", "positive remarks", "negative feelings " and " active listening ".…”

Section: Methodsmentioning

confidence: 99%

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Veltro

Falloon

Vendittelli

et al. 2006

Clin Pract Epidemiol Ment Health

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ObjectiveTo measure the effectiveness of manualized cognitive-behavioural group therapy (CBGT) when it is integrated into the routine care on a general hospital psychiatric inpatient unit.MethodsA pre-post design is used to measure the "process", "results" and "outcome" indicators in the year before CBGT was introduced (2001) in contrast to the subsequent two years (2002, 2003). Readmission to hospital, compulsory admissions, ward atmosphere (i.e. the use of physical restraint, episodes of violent behaviour) and patients' satisfaction were assessed.Results90% of all inpatients in the years 2002–2003 attended the group therapy. In the years after CBGT was introduced the rate of readmission declined from 38% to 27% and 24% (p < .04), compulsory admissions were reduced from 17% to 4% (p < .03), the ward atmosphere and patients' satisfaction were both excellent (p < .01).ConclusionIt is probable that the improvements observed were attributable to the group therapy. These results and those observed in an earlier study are promising and further investigations of this approach are indicated.

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Family Interventions in Schizophrenia in Italian Mental Health Services

Cited by 8 publications

References 3 publications

Effectiveness of behavioral family therapy in people with schizophrenia: a randomized, controlled clinical trial

Effectiveness of behavioral family therapy in people with schizophrenia: a randomized, controlled clinical trial

O Modelo de Falloon para intervenção familiar na esquizofrenia: Fundamentação e aspectos técnicos

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