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Klingberg, S.* ; Buchkremer, G.* ; Holle, R. ; Schulze Mönking, H.* ; Hornung, W.P.*

Differential therapy effects of psychoeducational psychotherapy for schizophrenic patients - results of a 2-year follow-up.

Eur. Arch. Psychiatry Clin. Neurosci. 249, 66-72 (1999)
DOI PMC
Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
There is increasing evidence of the efficacy and effectiveness of psychosocial interventions in schizophrenic patients. However, little research has been done on differential therapy effects. In a prospective, randomized clinical trial we carried out psychoeducational medication management training, cognitive psychotherapy, and key-person counseling. The patients of the control group participated in structured free-time activities for control of therapeutic commitment. Data from a total of 156 schizophrenic patients (DSM-III-R, no first-admissions) were available at 2-year follow-up. We analyzed in this study whether there are differential therapy effects of these interventions, depending on patient characteristics at baseline. There was a significant statistical interaction between treatment condition (specific/non-specific) and prognosis with respect to treatment outcome. Patients with a favorable prognosis and better social functioning had a better course under the specific treatment but a less favorable outcome in the non-specifically treated control group. These results suggest that more vulnerable patients are not sufficiently capable of learning and using coping strategies for relapse prevention. We need to learn more about differential indications for psychosocial treatment.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter schizophrenia; psychoeducation; cognitive psychotherapy; differential effects; COGNITIVE-BEHAVIORAL THERAPY; RESIDUAL PSYCHOTIC SYMPTOMS; RANDOMIZED CONTROLLED TRIAL; MAINTENANCE CHEMOTHERAPY; FAMILY PSYCHOEDUCATION; AFTERCARE TREATMENT; EXPRESSED EMOTION; RELAPSE; SKILLS; PREDICTORS
ISSN (print) / ISBN 0940-1334
e-ISSN 1433-8491
Zeitschrift European Archives of Psychiatry and Clinical Neuroscience
Quellenangaben Band: 249, Heft: 2, Seiten: 66-72 Artikelnummer: , Supplement: ,
Verlag Springer
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Health Economics and Health Care Management (IGM)
Department for Medical Information Systems (MEDIS)
Institute of Biological and Medical Imaging (IBMI)