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Culturally Based Family Therapy for Improving Treatment Outcome for People With Schizophrenia

Phase 2
Completed
Conditions
Schizophrenia
Interventions
Behavioral: Psychoeducation treatment as usual
Behavioral: Culturally informed therapy for schizophrenia (CIT-S)
Registration Number
NCT00356317
Lead Sponsor
University of Miami
Brief Summary

This study will evaluate the effectiveness of a culturally based family therapy intervention in improving treatment outcome in people with schizophrenia.

Detailed Description

Schizophrenia is a disabling mental disorder that affects approximately 1% of the population worldwide. People with schizophrenia frequently experience hallucinations, delusions, disordered thinking, movement disorders, emotional numbness, social withdrawal, and cognitive deficits. These symptoms can hinder a person's ability to perform everyday functions, such as hold a job and maintain normal social relationships. When combined with medication, family-oriented therapy interventions have been beneficial for people with schizophrenia. There are few programs, however, that are tailored to the needs of minorities. With the rising number of minority populations in the U.S., it is important to develop psychotherapy interventions that are designed specifically for these groups. This study will evaluate the effectiveness of a culturally based family therapy intervention in improving treatment outcome in people with schizophrenia.

Participants in this 12-month, open label study will first attend a 2-hour screening visit, at which information will be gathered regarding coping styles, spirituality, and expressed emotion. Participants will then be randomly assigned to receive either culturally based therapy or treatment as usual. Although the culturally based therapy will be tailored to the needs and values of Hispanics, people who are not Hispanic will not be excluded. The culturally based therapy will entail 15 weekly therapy sessions, which will focus on family unity, psychoeducation, spirituality, communication skills, and problem-solving. The group receiving treatment as usual will attend 3 weekly psychoeducation sessions that will focus on informing participants about schizophrenia. Outcomes for both groups will be assessed upon completion of treatment and at follow-up visits at Months 6 and 12.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
400
Inclusion Criteria

For participants with schizophrenia or schizoaffective disorder:

  • Diagnosis of schizophrenia or schizoaffective disorder
  • Currently taking medication
  • 18 or older

For all participants:

  • Two or more family members, including patient, are available for participation (therapy can be conducted if patient is not available, as long as two other family members are interested in participating)
  • Family members must be at least 13 years old
Exclusion Criteria
  • N/A

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2Psychoeducation treatment as usualParticipants will receive a 3-week family therapy (treatment as usual)
1Culturally informed therapy for schizophrenia (CIT-S)Participants will receive a 15-week family therapy
Primary Outcome Measures
NameTimeMethod
Schizophrenia symptom severityMeasured immediately post-treatment and at Months 6 and 12
Secondary Outcome Measures
NameTimeMethod
Cultural IdentityMeasured immediately post-treatment and at Months 6 and 12
Coping stylesMeasured immediately post-treatment and at Months 6 and 12
Symptoms of depression, anxiety, and stressMeasured immediately post-treatment and at Months 6 and 12
Family functioningMeasured immediately post-treatment and at Months 6 and 12
Religiosity/SpiritualityMeasured immediately post-treatment and at Months 6 and 12
Alcohol and Drug UseMeasured immediately post-treatment and at Months 6 and 12
Knowledge and knowledge about schizophreniaMeasured immediately post-treatment and at Months 6 and 12

Trial Locations

Locations (1)

University of Miami

🇺🇸

Coral Gables, Florida, United States

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