Treatment, expressed emotion and relapse in recent onset schizophrenic disorders

Psychol Med. 1996 Mar;26(2):333-42. doi: 10.1017/s0033291700034723.


The effect of in-patient and individual orientated psychosocial intervention (IPI) and in-patient and individual and family orientated intervention (IPFI) across levels of expressed emotion (EE) on relapse was compared in a group of patients with recent onset schizophrenic disorders. Patients were randomly assigned to an individual orientated psychosocial intervention programme or to an identical psychosocial programme plus a behavioural family intervention. Seventy-six patients were studied during a 12 month out-patient treatment period after an in-patient treatment programme in which parents followed a psychoeducational programme. Overall relapse rates during the out-patient interventions were low (16%). Adding family intervention to the psychosocial intervention did not affect the relapse rate. Patients in low EE families relapsed slightly more often during the psychosocial plus family intervention. In-patient treatment with psychoeducation for parents, followed by an out-patient psychosocial intervention programme, has a favourable impact on relapse. Additional family intervention may increase stress in low EE families, thus affecting relapse in their children.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care
  • Behavior Therapy
  • Combined Modality Therapy
  • Emotions*
  • Family / psychology*
  • Family Therapy*
  • Female
  • Hostility
  • Humans
  • Male
  • Parents / education
  • Parents / psychology
  • Patient Admission*
  • Psychiatric Status Rating Scales
  • Psychotherapy*
  • Recurrence
  • Schizophrenia / diagnosis
  • Schizophrenia / rehabilitation*
  • Schizophrenic Psychology*