Immigrant families coping with schizophrenia. Behavioral family intervention v. case management with a low-income Spanish-speaking population.

Publisher: Cambridge University Press Country of Publication: England NLM ID: 0342367 Publication Model: Print Cited Medium: Print ISSN: 0007-1250 (Print) Linking ISSN: 00071250 NLM ISO Abbreviation: Br J Psychiatry Subsets: MEDLINE

Publication: 2019- : [Cambridge] : Cambridge University Press
Original Publication: London, Headley Brothers.

Adaptation, Psychological* ; Behavior Therapy* ; Case Management* ; Emigration and Immigration* ; Family Therapy* ; Schizophrenic Psychology*; Hispanic or Latino/*psychology ; Poverty/*psychology ; Schizophrenia/*therapy; Acculturation ; Adolescent ; Adult ; Antipsychotic Agents/adverse effects ; Antipsychotic Agents/therapeutic use ; California ; Combined Modality Therapy ; Family/psychology ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Patient Admission ; Patient Compliance/psychology ; Schizophrenia/ethnology ; Treatment Outcome

Background: This investigation compared the effectiveness and cross-cultural applicability of behavioural family management (BFM) and standard case management in preventing exacerbation of symptoms and relapse in schizophrenia.
Method: Forty low-income Spanish-speaking people with a diagnosis of schizophrenia were randomly assigned to receive standard case management or behavioural family management after stabilisation with neuroleptic medication.
Results: Survival analyses indicated that among the less acculturated patients BFM was significantly related to greater risk of exacerbation of symptoms. Among the more acculturated patients, risk of exacerbation could be predicted by medication compliance but not by type of intervention. In analyses of symptom severity and functional status at 1-year follow-up, the level of patient acculturation was found to be significantly related to various measures of treatment outcome.
Conclusion: Sociocultural factors affect responses to different types of intervention. The results did not support earlier findings of a beneficial effect of BFM when applied to a socioculturally diverse population.

MH 30911 United States MH NIMH NIH HHS

0 (Antipsychotic Agents)

Date Created: 19951001 Date Completed: 19961016 Latest Revision: 20211203

20231215

10.1192/bjp.167.4.473

8829715