Evidence map›Paper›PMID 16917681›Full record

Trial reportEuropean archives of psychiatry and clinical neuroscience2007

Family interventions for schizophrenia in Italy: randomized controlled trial.

Giuseppe Carrà, Cristina Montomoli, Massimi Clerici, Carlo Lorenzo Cazzullo

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European archives of psychiatry and clinical neuroscience, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Psychoeducation (brief) for people with serious mental illness.The Cochrane database of systematic reviews · 2015
    Pooled it
  4. Training to recognise the early signs of recurrence in schizophrenia.The Cochrane database of systematic reviews · 2013
    Pooled it
  5. Family intervention for schizophrenia.The Cochrane database of systematic reviews · 2010
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Giuseppe CarràDepartment of Mental Health Sciences, Royal Free and University College Medical School, 48 Riding House Street, London W1W 7EY, UK. g.carra@ucl.ac.uk
Cristina Montomoli
Massimi Clerici
Carlo Lorenzo Cazzullo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of multiple group family treatment for Schizophrenia.

methodRelatives were randomly provided with an informative programme (n = 50), or allocated to receive an additional support programme (n = 26). Patients did not attend the programme to overcome cultural and organizational implementation barriers. The 12 and 24 months clinical and family outcomes were assessed.

resultsPatients' compliance with standard care was greater at 12 months in the more intensive behavioural management group over a control group receiving treatment as usual (TAU) (n = 25). A reduction in levels of expressed emotion (EE), significantly more frequent in those receiving the additional support programme than just the informative, occurred after treatment completion. Other clinical and family outcomes did not differ. However, treatment benefits declined at 24 months, when baseline high EE was again predictive of patient's admission and relatives were more vulnerable to objective burden. Baseline illness severity variables predicted a number of medium and long-term poor clinical outcomes.

conclusionsAlthough family psychoeducation has been tested in a wide range of Anglo-Saxon settings, there remains need to assess outcomes more internationally. Effective family interventions for people with schizophrenia probably require continued administration of key-elements or ongoing informal support to deal with the vicissitudes of illnesses.

Indexed as

Family TherapyAdultAgedCaregiversCost of IllnessEmploymentExpressed EmotionFemaleHealth EducationHospitalizationHumansItalyLogistic ModelsMaleMiddle AgedModels, Statistical

Identifiers

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.