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Cited by 586

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Family Management in the Prevention of Morbidity of Schizophrenia: Clinical Outcome of a Two-Year Longitudinal Study

Falloon, Ian R. H.·1985·Archives of General Psychiatry

Abstract

Environmental stress may contribute to the clinical morbidity of established cases of schizophrenia treated with optimal neuroleptic drugs. A family-based approach that aimed to enhance the problem-solving capacity of the index patient and his family caregivers was compared with a patient-oriented approach of similar intensity over a two-year period. Thirty-six patients who returned to stressful parental households after florid episodes of schizophrenia (CATEGO and DSM-III) were stabilized with optimal neuroleptics before being randomly assigned to family or individual therapy in a comprehensive community management program. After nine months, family-managed patients had fewer exacerbations of schizophrenia, lower ratings of schizophrenic psychopathology, fewer hospital admissions, and a trend toward lower deficit symptoms and reduced neuroleptic dosage. This reduced clinical morbidity was sustained throughout the second year of less intensive follow-up. The relative efficacy of the family approach in this clinical management study did not appear to be due to prognostic factors, rater bias, stressful life events, or the effectiveness of pharmacotherapy. Definitive tests of these findings with respect to efficacy require further well-designed studies.

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Metadata

Authors
Falloon, I. R. H.
Venue
Archives of General Psychiatry
Published
1985-09-01
Volume
42
Issue
9
Pages
887
ISSN
0003-990X (ISSN-L)
OpenAlex
W2089436947
Cited by
586
References
26
FWCI
30.01
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Family Management in the Prevention of Morbidity of Schizophrenia: Clinical Outcome of a Two-Year Longitudinal Study. https://app.cochat.ai/papers/10.1001/archpsyc.1985.01790320059008
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Falloon, I. R. H. (1985). Family Management in the Prevention of Morbidity of Schizophrenia: Clinical Outcome of a Two-Year Longitudinal Study. Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.1985.01790320059008

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