Family therapy Flashcards
family therapy is a range of…
interventions
who is it aimed at
individuals diagnosed with sz who are in contact with or live with family members
when should this therapy become a priority
when there are persistent symptoms or a high risk of relapse
what has research shown about ee
sz p’s in families with high ee are at a higher risk of relapse than those with low ee
when are sessions offered and how many should sz p’s have
between 3-12 months with at least 10 sessions
what do they aim to do
reduce ee and reduce relapse rates
what did Garety et al find
relapse rates were 25% after family therapy compared the 50% without
what does it do for the family
provides them with info about sz and find ways for the family to support the patient and strengthen relationships by listening and negotiate solutions for their issues
why would it increase patients’ treatment confidence
patients are usually suspicious about it so if they are more involved their confidence may increase
E-Pharoah et al - limitation heading? how many studies? from where? published between? why were the studies flawed?
Pharoah et al -methodological issues. they reviewed 53 studies from Europe, Asia and North America published between 2002-2010. the studies had flaws e.g. problems with random allocation and lack of blinding
E-explain random allocation problem of Pharoah et al meta-analysis
many studies were from the People’s Republic of China, in many chinese studies although they claim to use random allocation, in many it is not used
E-explain lack of blinding problem of Pharoah et al meta-analysis
possibility of observer bias as they perhaps weren’t blinded to the condition people were allocated to. ten studies reported no blinding used and 16 didn’t report whether or not it was used
E-explain how results show it is successful
they compared results from the family therapy and control group who used standard care. found that mental state, compliance with medication and social functioning improved and there was reduction in risk of relapse and re-hospitalisation rates, but some studies found no difference.
E-can’t be sure of the effectiveness. Garety et al failed to show what? what did both groups show? what does this suggest? what may be a more significant factor?
the study by Garety et al failed to show a difference in outcomes between the control group and the group with family therapy. both groups showed a lowered relapse rate and lower relapse rate than a group who endured no type of care. this suggests care is effective but the type makes no difference. the carers had low ee so perhaps this is a more significant factor
E-benefits for the family - economic savings? what did the NICE review show?
it saves money due to the lower relapse rates that it brings so less hospitalisation fees. relapse rates also stay low for an extended period after fam therapy so money is saved further
