Psychoeducational intervention and prevention of relapse among schizophrenic disorders in the Italian community psychiatric network

biomed - Aguglia Eugenio , Pascolo-Fabrici Elisabetta , Bertossi Francesca , Bassi , Bassi Mariano

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12 pages

English

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The lack of compliance is associated with an increased risk of hospitalization and switching or augmentation of therapy when compared with being compliant. A synergy of drug therapy and psychosocial interventions can give more benefits in treatment. Methods A perspective study was conducted on 150 patients with schizophrenia over 15 centers in Italy. The experimental group was treated with drug therapy, traditional psychosocial and psychoeducation for the patients and their families, while the control group received traditional psychosocial and drug intervention over 1 year. Results The experimental group showed a significant statistical improvement (p < 0,05) in almost all the scales that have been assessed (BPRS, SAPS, SANS, SIMPSON-ANGUS SCALE, LANCASHIRE QL SCALE). Significant was the reduction of the number of hospitalizations and of days of hospital stay. Conclusion As it is shown in international literature, psychoeducational intervention with schizophrenic patients and their families can reduce the occurrence of relapse.

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Publié par	biomed
Publié le	01 janvier 2007
Nombre de lectures	17
Langue	English

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Published: 25 June 2007 Received: 27 November 2006 Clinical Practice and Epidemiology in Mental Health 2007, 3 :7 doi:10.1186/1745-0179-3- Accepted: 25 June 2007 7 This article is available from: http:/ /www.cpementalhealth.com/content/3/1/7 © 2007 Aguglia et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons. org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the orig inal work is properly cited.

Abstract Background: The lack of compliance is as sociated with an increased risk of hospitalization and switching or augmentation of therapy when comp ared with being compliant. A synergy of drug therapy and psychosocial interventions ca n give more benefits in treatment. Methods: A perspective study was conducted on 150 pati ents with schizophrenia over 15 centers in Italy. The experimental group was treated wi th drug therapy, traditional psychosocial and psychoeducation for the patients and their families, while the cont rol group received traditional psychosocial and drug inte rvention over 1 year. Results: The experimental group showed a significant statistical improvement (p < 0,05) in almost all the scales that have been assessed (BPRS, SAPS, SANS, SIMPSON-ANGUS SCALE, LANCASHIRE QL SCALE). Significant was the reducti on of the number of hospitalizations and of days of hospital stay. Conclusion: As it is shown in international litera ture, psychoeducational intervention with schizophrenic patients and their families can reduce the occurrence of relapse.

1. Background symptomatic acute phases, to bring the patient to comply The recent changes in the treatment of schizophrenic dis- with the prescribed treatment plan, to restore a certain orders allow us to use both traditional and atypical antip- social and working functioning and to reach a better qual-sychotic drugs, and psychosocial interventions with a ity of life. reliable efficacy, in treating the symptoms of both positive and negative schizophrenia [1-11]. Among the psychosocial interventions, the psychoeduca-tional ones for the patients and their family, have been The clear aim of the treatment of such disorders is not considered to be the most promising and successful only to control the symptoms, but it is also to prevent new within the last thirty years [12-14].

Research Open Access Psychoeducational intervention and prevention of relapse among schizophrenic disorders in the Italian community psychiatric network Eugenio Aguglia* 1 , Elisabetta Pascolo-Fabrici 1 , Francesca Bertossi 1 and Mariano Bassi 2

Address: 1 Psychiatric Clinic of the University of Trieste, Via Paolo De Ralli 5, 34126, Trieste, Italy and 2 Mental Health Department, Local Health Unit, AUSL Via Castiglione 29, 40124 Bologna, Italy Email: Eugenio Aguglia* - e.aguglia@fmc.units.it; Elisabetta Pascolo-Fabrici - e.pascolo@fmc.units.it; Francesca Bertossi - bertossi.francesca@libe ro.it; Mariano Bassi - tarpon8349@libero.it * Corresponding author