Effectiveness of behavioral family therapy in people with schizophrenia: a randomized, controlled clinical trial
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Resumen
Método. Estudio cuantitativo, longitudinal, con diseño de ensayo clínico controlado aleatorizado (ECCA) y mediciones pre-post, a dos brazos. Se estudiaron 54 personas con esquizofrenia y sus cuidadores principales, asignados aleatoriamente a grupo control y experimental. La variable de resultado primaria fue el funcionamiento social; como resultados secundarios se evaluaron la sintomatología clínica y la adherencia a tratamiento del paciente y la emoción expresada en el cuidador principal.
Resultados. La TFC fue efectiva en el mejoramiento del funcionamiento social de la persona con esquizofrenia y en la disminución de la emocionalidad expresada en el cuidador principal, con un tamaño de efecto grande (d > 0.80).
Conclusiones. La implementación de la TFC, como intervención protocolizada y complementaria a los cuidados usuales, contribuye a mejorar resultados psicosociales en personas con esquizofrenia y en sus cuidadores.
Referencias
Amaresha, A. C., & Venkatasubramanian, G. (2012). Expressed emotion in schizophrenia: an overview. Indian journal of psychological medicine, 34(1), 12.
Bebbington, P., Kuipers, L., & Ballenger, J. C. (1996). the Predictive Utility of Expressed Emotion in Schizophrenia: An Aggregate Analysis. Year Book of Psychiatry & Applied Mental Health, 1996(8), 349-350.
Brown, G. W. (1959). Experiences of discharged chronic schizophrenic patients in various types of living group. The Milbank Memorial Fund Quarterly, 37(2), 105-131.
Brown, G. W. and Rutter, M. L. (1966). “The measurement of family activities and relationships.” Human Relations, 19, 241.
Brown, G. W., & Rutter', M. (1966). The measurement of family activities and relationships: A methodological study. Human relations, 19(3), 241-263.
Brown, G. W., Birley, J. L. T., and Wing, J. K. (1972) Influence of Family Life on the Course of Schizophrenic Disorders: A Replication. British Journal of Psychiatry 121: 241-58.
Bucci, S., Berry, K., Barrowclough, C., & Haddock, G. (2016). Family interventions in psychosis: a review of the evidence and barriers to implementation. Australian Psychologist, 51(1), 62-68.
Burbach, F. R., Fadden, G., & Smith, J. (2010). Family Interventions for First‐Episode Psychosis. Promoting Recovery in Early Psychosis: A Practice Manual, 210-225.
Caqueo-Urízar, A., Rus-Calafell, M., Urzúa, A., Escudero, J., & Gutiérrez-Maldonado, J. (2015). The role of family therapy in the management of schizophrenia: challenges and solutions. Neuropsychiatric disease and treatment, 11, 145.
Cirici, R. (2002). La adherencia al tratamiento de los pacientes psicóticos. Rev Psiquiatría Fac Med Barna, 29(4), 232-238.
Cohen, J. (1992). Quantitative methods in psychology: A power primer. Psychol. Bull., 112, 1155-1159.
Espina, A., & González, P. (2003). Intervenciones familiares en la esquizofrenia. Cambios en la sintomatología y el ajuste social. Salud Mental, 26(1), 51-58.
Falloon, I. R. H., & Liberman, R. P. (1983). Behavioral family interventions in the management of chronic schizophrenia. Family therapy in schizophrenia, 117-137.
Garcia-Portilla, M. P., Saiz, P. A., Bousoño, M., Bascaran, M. T., Guzmán-Quilo, C., & Bobes, J. (2011). Validation of the Spanish Personal and Social Performance scale (PSP) in outpatients with stable and unstable schizophrenia. Revista de Psiquiatría y Salud Mental (English Edition), 4(1), 9-18.
Gonçalves-Pereira, M., Xavier, M., & Fadden, G. (2007). O Modelo de Falloon para intervenção familiar na esquizofrenia: Fundamentação e aspectos técnicos. Análise psicológica, 25(2), 241-255.
Grácio, J., Gonçalves‐Pereira, M., & Leff, J. (2016). What do we know about family interventions for psychosis at the process level? A systematic review. Family process, 55(1), 79-90.
Kavanagh, D. J. (1992). Recent developments in expressed emotion and schizophrenia. The British Journal of Psychiatry, 160(5), 601-620.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia bulletin, 13(2), 261-276.
Leff, J., Kuipers, L., Berkowitz, R., Eberlein-Vries, R., & Sturgeon, D. (1982). A controlled trial of social intervention in the families of schizophrenic patients. The British Journal of Psychiatry, 141(2), 121-134.
Lobban, F., & Barrowclough, C. (2016). An interpersonal CBT framework for involving relatives in interventions for psychosis: evidence base and clinical implications. Cognitive therapy and research, 40(2), 198-215.
Lobban, F., Postlethwaite, A., Glentworth, D., Pinfold, V., Wainwright, L., Dunn, G., ... & Haddock, G. (2013). A systematic review of randomised controlled trials of interventions reporting outcomes for relatives of people with psychosis. Clinical Psychology Review, 33(3), 372-382.
Magaña, A. B., Goldstein, M. J., Karno, M., Miklowitz, D. J., Jenkins, J., & Falloon, I. R. (1986). A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry research, 17(3), 203-212.
Marvin, S. E., Miklowitz, D. J., O'brien, M. P., & Cannon, T. D. (2016). Family‐focused therapy for individuals at clinical high risk for psychosis: treatment fidelity within a multisite randomized trial. Early intervention in psychiatry, 10(2), 137-143.
McFarlane, W. R. (2016). Family interventions for schizophrenia and the psychoses: A review. Family Process, 55(3), 460-482.
Ministerio de Salud, Chile. (2005). Guía clínica: primer episodio esquizofrenia.
Morisky, D. E., Green, L. W., & Levine, D. M. (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Medical care, 67-74.
Nilsen, L., Frich, J. C., Friis, S., Norheim, I., & Røssberg, J. I. (2016). Participants' perceived benefits of family intervention following a first episode of psychosis: a qualitative study. Early intervention in psychiatry, 10(2), 152-159.
Olivares, E. B., Arango, C., & Buchanan, R. W. (2000). El Eje Hipotalámico-Hipofisiario-Adrenal (HPA) y Regulación del Cortisol Plasmático en la Esquizofrenia.
Peralta Martín, V., & Cuesta Zorita, M. J. (1994). Validacion de la escala de los sindromes positivo y negativo (IPANSS) en una muestra de esquizofrenicos espanoles. Actas Luso Espanolas de Neurologia Psiquiatria y Ciencias Afines, 22(4), 171-177.
Pharoah, F., Mari, J., Rathbone, J., & Wong, W. (2010). Family intervention for schizophrenia. The Cochrane database of systematic reviews, (12), CD000088.
Richardson, H. B. (1945). Patients have families.
Roncone, R., Morosini, P., Falloon, I. R., & Casacchia, M. (2002). Family interventions in schizophrenia in Italian mental health services. In Comprehensive treatment of schizophrenia (pp. 284-289). Springer, Tokyo.
Saiz Ruiz, J., Sánchez, V., Diego, C., & Sánchez Páez, P. (2010). Bases neurobiológicas de la Esquizofrenia. Clínica y salud, 21(3), 235-254.
Vaughn, C. E. (1986). Patterns of emotional response in the families of schizophrenic patients. In Treatment of schizophrenia (pp. 97-106). Springer, Berlin, Heidelberg.
Zubin, J., & Spring, B. (1977). Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology, 86(2), 103-126.
