TY - JOUR
T1 - Immigrant families coping with schizophrenia
T2 - Behavioural family intervention v. case management with a low-income Spanish-speaking population
AU - Telles, C.
AU - Karno, M.
AU - Mintz, J.
AU - Paz, G.
AU - Arias, M.
AU - Tucker, D.
AU - Lopez, S.
PY - 1995
Y1 - 1995
N2 - Background. This investigation compared the effectiveness and cross- cultural applicability of behavioural family management (BFM) and standard case management in preventing exacerbation of symptoms and relapse in schizophrenia. Method. Forty low income Spanish-speaking people with a diagnosis of schizophrenia were randomly assigned to receive standard case management or behavioural family management after stabilisation with neuroleptic medication. Results. Survival analyses indicated that among the less acculturated patients BFM was significantly related to greater risk of exacerbation of symptoms. Among the more acculturated patients, risk of exacerbation could be predicted by medication compliance but not by type of intervention. In analyses of symptom severity and functional status at 1- year follow-up, the level of patient acculturation was found to be significantly related to various measures of treatment outcome. Conclusion. Sociocultural factors affect responses to different types of intervention. The results did not support earlier findings of a beneficial effect of BFM when applied to a socioculturally diverse population.
AB - Background. This investigation compared the effectiveness and cross- cultural applicability of behavioural family management (BFM) and standard case management in preventing exacerbation of symptoms and relapse in schizophrenia. Method. Forty low income Spanish-speaking people with a diagnosis of schizophrenia were randomly assigned to receive standard case management or behavioural family management after stabilisation with neuroleptic medication. Results. Survival analyses indicated that among the less acculturated patients BFM was significantly related to greater risk of exacerbation of symptoms. Among the more acculturated patients, risk of exacerbation could be predicted by medication compliance but not by type of intervention. In analyses of symptom severity and functional status at 1- year follow-up, the level of patient acculturation was found to be significantly related to various measures of treatment outcome. Conclusion. Sociocultural factors affect responses to different types of intervention. The results did not support earlier findings of a beneficial effect of BFM when applied to a socioculturally diverse population.
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U2 - 10.1192/bjp.167.4.473
DO - 10.1192/bjp.167.4.473
M3 - Article
C2 - 8829715
AN - SCOPUS:0029555414
VL - 167
SP - 473
EP - 479
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
SN - 0007-1250
IS - OCT.
ER -