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J Clin Psychiatry. 2006 Mar;67(3):443-52.

Psychoeducation and compliance in the treatment of schizophrenia: results of the Munich Psychosis Information Project Study.

Author information

  • 1Department of Psychiatry and Psychotherapy, Technical University of Munich, Munich, Germany. g.pitschel-walz@lrz.tu-muenchen.de

Abstract

OBJECTIVE:

The present study examined whether psychoeducational groups for patients with schizophrenic disorders and for their families can reduce rehospitalization rates and improve compliance.

METHOD:

236 inpatients who met DSM-III-R criteria for schizophrenia or schizoaffective disorder and who had regular contact with at least 1 relative or other key person were randomly assigned to 1 of 2 treatment conditions. In the intervention condition, patients and their relatives were encouraged to attend psychoeducational groups over a period of 4 to 5 months. The patients' and relatives' psychoeducational programs were separate, and each consisted of 8 sessions. Patients in the other treatment condition received routine care. Outcomes were compared over 12-month and 24-month follow-up periods. The study was conducted from 1990 to 1994.

RESULTS:

It was possible to significantly reduce the rehospitalization rate after 12 and 24 months in patients who attended psychoeducational groups compared with those receiving routine care (p < .05). Patients who attended psychoeducational groups showed better compliance than patients under routine care without psycho-education.

CONCLUSIONS:

The results suggest that a relatively brief intervention of 8 psychoeducational sessions with systematic family involvement in simultaneous groups can considerably improve the treatment of schizophrenia. Psychoeducation should be routinely offered to all patients with schizophrenia and their families.

PMID:
16649832
[PubMed - indexed for MEDLINE]
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