What question did this study set out to answer?

To determine the long-term effectiveness of personal therapy in preventing psychotic relapse among patients with schizophrenia or schizoaffective disorder based on their living arrangements.

November 1, 1997American Journal of Psychiatry

Three-Year Trials of Personal Therapy Among Schizophrenic Patients Living With or Independent of Family, I: Description of Study and Effects on Relapse Rates

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Authors

GHGerard E. HogartyUniversity of Connecticut SKSander J. KornblithAllegheny Health Network DGDeborah P. GreenwaldBeth Israel Deaconess Medical Center

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Implication

Randomized trial reveals divergent relapse rates from personal therapy in schizophrenia based on family cohabitation, suggesting individual therapy requires residential stability.

Key Points

To determine the long-term effectiveness of personal therapy in preventing psychotic relapse among patients with schizophrenia or schizoaffective disorder based on their living arrangements.
Randomized trial following 151 patients diagnosed with schizophrenia or schizoaffective disorder over a 3-year post-discharge period.
Patients were evaluated in two concurrent cohorts: those living with family (N = 97) and those living independent of family (N = 54), assigned to personal therapy or contrasting therapies (family or supportive therapy).
Across all groups, 29% (n = 44) experienced recurrent psychotic episodes and 18% (n = 27) dropped out prematurely over the 3-year trial.
Among patients living with family, personal therapy demonstrated superior efficacy over family and supportive therapies in forestalling psychotic relapse, affective relapse, and noncompliance.
Among patients living independently, personal therapy resulted in significantly more psychotic decompensations compared to supportive therapy.

Cite This Study

Hogarty et al. (1997) studied this question.

synapsesocial.com/papers/6a8d07c9d190ea52f78e4da3 https://doi.org/10.1176/ajp.154.11.1504

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Implication

Randomized trial reveals divergent relapse rates from personal therapy in schizophrenia based on family cohabitation, suggesting individual therapy requires residential stability.

Three-Year Trials of Personal Therapy Among Schizophrenic Patients Living With or Independent of Family, I: Description of Study and Effects on Relapse Rates

Discussion

Member takes

Implication

Key Points

Cite This Study

Three-Year Trials of Personal Therapy Among Schizophrenic Patients Living With or Independent of Family, I: Description of Study and Effects on Relapse Rates

Discussion

Member takes

Implication

Key Points

Cite This Study

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