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  • Title: [Randomised controlled trial of a behavioural family intervention: 1 year and 11-years follow-up].
    Author: Veltro F, Magliano L, Morosini P, Fasulo E, Pedicini G, Cascavilla I, Falloon I, Gruppo di Lavoro DSM-BN1.
    Journal: Epidemiol Psichiatr Soc; 2006; 15(1):44-51. PubMed ID: 16584102.
    Abstract:
    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.
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