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Identifier

000455709

Title

Η εφαρμογή της σύντομης συστημικής θεραπείας επικεντρωμένης στη λύση (brief solution -focused therapy ) σε χρόνιους σχιζοφρενείς

Alternative Title

The application of systemic solution -focused psychotherapy in chronic schizophrenia patients

Author

Αϊβαλιώτη, Ελένη

Thesis advisor

Βγόντζας, Αλέξανδρος

Reviewer

Σίμος, Π.
Μπάστα, Μ.
Γιοβαζιολάς Θ.
Καραδήμας, Ε.
Μουδάτσου, Μ.
Κουρκούτας, Η.

Abstract

Family therapy for schizophrenia has been shown to be effective in reducing the risk for clinical relapse by moderating family characteristics associated with relapse. In a systemic context, there is circular causality among communication patterns, family rules and boundaries or family structure and the belief system of each member. The Brief Solution Focused therapy is a future–oriented psychotherapy model which encourages clients to focus on “change-talking” instead of “problem-talking” and on instances where a successful solution has been achieved. The purpose of this study was to examine the effectiveness of BSFT in patients with schizophrenia focusing on the impact of change in family characteristics, such as cohesion, conflict, organization and control on patients’ psychopathology. Thirty patients were randomly assigned to the control or intervention group. The intervention group participated in 5 BSFT sessions over 3 months, whereas the control group received the standard care for chronic schizophrenia. Main outcomes were patient-rated family characteristics measured by the Family Environment Scale (FES), and severity of psychopathology measured by the Brief Psychiatric Rating Scale (BPRS). The two groups did not differ on age, sex, number of relapses, hospital admissions, and BPRS score at baseline. Patients in the intervention group, reported significant reduction on Conflict (p=0.001), and increases in Cohesion and Expressiveness (p=0.004), and Active Recreational Dimension (p=0.001) FES subscales. In addition, the intervention group displayed a significant reduction of BPRS scores (p<0.001) as compared to baseline, whereas no statistically significant changes were noticed in the control group after 3 months. These preliminary findings suggest that BSFT in patients with schizophrenia is effective in altering the global properties of the whole family system, specifically cohesion, conflict, organization and control which, in turn, have an impact on reducing patient psychopathology.

Language

Greek, English

Subject

Brief solution focused family therapy

Family intervention

Οικογενειακή θεραπεία

Σχιζοφρένια

Σύντομη εστιασμένη στη λύση θεραπεία

Issue date

2023-07-28

Collection

School/Department--School of Medicine--Department of Medicine--Doctoral theses