Cognitive therapy for schizophrenia: family therapy Flashcards
(13 cards)
how long is family therapy usually offered for?
between 3 and 12 months and at least 10 sessions
what is the aim of family therapy?
providing family members with information about schizophrenia
finding ways of supporting an individual with sz and resolving any practical problems
To improve how the family communicated and handled the situation.
should also include the schizophrenic individual in its reasonable
how does family therapy work?
reducing levels of expressed emotion and stress.
increasing capacity of relatives to solve problems related to sz
reducing relapse for the person with schizophrenia
what strategies does family therapy use?
psychoeducation- helping the person and their carers to understand sz and deal with it better
reducing expressions of anger and guilt by family members
reducing the emotional climate within the family and the burden of care for family members
enhancing relatives ability to anticipate and solve problems
maintain reasonable expectations amongst family members for sz patients performance
encouraging relatives to set appropriate limits whilst maintaining some degree of separation when needed
who should family therapy be offered to?
all individuals diagnosed with schizophrenia who are in contact with or who live with family
should be considered a priority when there are persistent symptoms or a high risk of relapse
garety et al
supports family therapy
estimates relapse rate for individuals who receive family therapy as 25% compared to 50% for those who received standard care alone
what was the procedure of pharoah
reviewed 53 studies to investigate the effectiveness of family therapy
studies chosen were conducted in europe asia and north america
the studies compared outcomes from family therapy to standard care
what were the findings of pharoah?
mental state- some studies reported an improvement in overall mental state with family therapy but others didnt
compliance with medication- the use of family therapy increased patients compliance with medication
social functioning- it appeared to show some improvement in general functioning but family therapy didnt seem to have much of an effect on more concrete aspects such as living independently or employment
reduction in relapse and readmission- there was a reduction in the risk of relapse and a reduction in hospital admission during treatment and in the 24 months after
what did pharoah find about mental state?
some studies reported an improvement in overall mental state with family therapy but others didnt
what did pharoah find about compliance with medication?
the use of family therapy increased patients compliance with medication
what did pharoah find about social functioning?
it appeared to show some improvement in general functioning but family therapy didnt seem to have much of an effect on more concrete aspects such as living independently or employment
what did pharoah find about
reduction in relapse and readmission?
there was a reduction in the risk of relapse and a reduction in hospital admission during treatment and in the 24 months after
what did pharoahs meta analysis conclude/show ?
established that family therapy can be effective in improving clinical outcomes such as mental state and social functioning
however it suggests that the main reason for its effectiveness may have less to do with improvement in these clinical outcomes and more to do with the fact that it INCREASES MEDICATION COMPLIANCE
patients are more likely to get the benefits of medication because theyre more likely to comply with their medicine
