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Randomised controlled trial of a behavioural family intervention: 1 year and 11-years follow-up

Published online by Cambridge University Press:  18 May 2011

Franco Veltro ,
Lorenza Magliano ,
Pierluigi Morosini ,
Elvira Fasulo ,
Giuseppe Pedicini ,
Isabella Cascavilla  and
Ian Falloon
Franco Veltro
Affiliation:
Dipartimento di Salute Mentale di Campobasso, Campobasso
Lorenza Magliano
Affiliation:
Istituto di Psichiatria, Seconda Facoltà di Medicina di Napoli, Napoli
Pierluigi Morosini*
Affiliation:
Istituto Superiore di Sanità, Roma
Elvira Fasulo
Affiliation:
Dipartimento di Salute Mentale di Benevento, Benevento
Giuseppe Pedicini
Affiliation:
Dipartimento di Salute Mentale di Benevento, Benevento
Isabella Cascavilla
Affiliation:
Istituto Superiore di Sanità, Roma
Ian Falloon
Affiliation:
Department of Psychiatry, University of Auckland, Auckland
*
Address for correspondence: Professor P. Morosini, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Roma. E-mail: morosini@iss.it
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Summary

Aim – To test the efficacy of a Behavioural Family Therapy (BFT) in a routine setting, both short and long term, of a community mental health service (CMHS). Methods – In a randomised clinical trial 24 patients with a diagnosis of schizophrenia, as confirmed by PSE-IX, were assigned to the BFT according to Falloon (n = 12) or to individual usual treatment (n = 12). They were assessed before and at the end of the active treatment (after one year), and after an 11-years follow-up with compared on basic indicators (hospitalisations, length of stay, drop-out rate) and standardised instruments of psychopathological symptoms, social functioning, family burden. Results – At one-year follow-up clinical important and statistically significant differences were observed for psychotic positive symptoms (p<0.01), self-care (p<0.01), autonomy in daily life (p<0.001), subjective/objective family burden (p<0.001). Other psychosocial variables showed positive outcomes non reaching statistical significance. At the 11-year follow-up, marked differences were observed only in hospitalisations and drop-outs. Conclusions – The BFT was rather easy to implement in a CMHS and very cost effective. However, as it has been shown in other studies, to keep all the benefits a consistent program of monitoring with booster sessions is essential.

Declaration of Interest: in the last 2 years, none of the authors has had any interest or he/she has received any form of support, including that from drug companies and “honoraria” for lectures and consultancies, potentially in conflict with this scientific work.

Keywords

psychoeducationfamilyschizophreniaefficacyRCT
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 15 , Issue 1 , March 2006 , pp. 44 - 51
Copyright
Copyright © Cambridge University Press 2006

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References

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