This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Predicting Course of Illness and Social Functioning

Jeri A. Doane, PhD; Ian R. H. Falloon, MD; Michael J. Goldstein, PhD; Jim Mintz, PhD

Arch Gen Psychiatry. 1985;42(1):34-42.

Abstract
• In a randomized controlled study, the affective style (AS) of parents of schizophrenics in clinic-based individual treatment groups and home-based family treatment groups was compared prior to treatment and again three months after treatment had begun. Affective style is an index reflecting the quality of the family emotional climate, measured from face-toface discussion. Pretherapy and posttherapy measures of negative AS were significantly predictive of relapse within the nine-month treatment period for patients in individual treatment. In addition, for both treatment groups, a negative AS pattern at the posttherapy reassessment was significantly associated with decreased patient social functioning, reduced ability of the family to absorb the family intervention, and lower capacity of the family to cope with everyday family stresses. The results suggest that AS is an important intrafamilial attribute, with implications for treatment strategy and planning.

Author Affiliations
From the Department of Psychology (Drs Doane and Goldstein) and the Department of Psychiatry, School of Medicine (Dr Mintz), UCLA; and the Department of Psychiatry and the Behavioral Sciences, University of Southern California School of Medicine, Los Angeles (Dr Falloon). Dr Doane is currently with the Yale Psychiatric Institute and Department of Psychiatry, Yale University School of Medicine, New Haven, Conn.

Footnotes
Accepted for publication March 5, 1984.

Reprint requests to Yale Psychiatric Institute, PO Box 12A Yale Station, New Haven, CT 06520 (Dr Doane).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Transcranial Magnetic Stimulation of Left Temporoparietal Cortex and Medication-Resistant Auditory Hallucinations
Hoffman et al.
Arch Gen Psychiatry 2003;60:49-56.
ABSTRACT | FULL TEXT  

Neurocognitive Vulnerability, Interpersonal Criticism, and the Emergence of Unusual Thinking by Schizophrenic Patients During Family Transactions
Rosenfarb et al.
Arch Gen Psychiatry 2000;57:1174-1179.
ABSTRACT | FULL TEXT  

Effects of behavioural family management on family communication and patient outcomes in schizophrenia
BELLACK et al.
Br. J. Psychiatry 2000;177:434-439.
ABSTRACT | FULL TEXT  

The Family and Type 2 Diabetes: A Framework for Intervention
Fisher et al.
The Diabetes Educator 1998;24:599-607.
 

Single and Repeated Admissions to a Mental Health Center: Demographic, Clinical and Use of Service Characteristics
Swigar et al.
Int J Soc Psychiatry 1991;37:259-266.
ABSTRACT  

Conceptualizing Contextual Emotion The Grounds for "Supra-Rationality"
Hanson
Diogenes 1991;39:33-46.
 

Family Factors and the Course of Bipolar Affective Disorder
Miklowitz et al.
Arch Gen Psychiatry 1988;45:225-231.
ABSTRACT