{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:53:29Z","timestamp":1790823209008,"version":"4.1.0"},"reference-count":23,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":8555,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1994,8]]},"abstract":"<jats:sec><jats:title>Background.<\/jats:title><jats:p>We developed and evaluated a comprehensive, ongoing intervention for families of schizophrenic patients appropriate for China's complex family relationships and unique social environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method.<\/jats:title><jats:p>Sixty-three DSM\u2013III\u2013R schizophrenic patients living with family members were enrolled when admitted to hospital and randomly assigned to receive standard care or a family-based intervention that included monthly 45-minute counselling sessions focused on the management of social and occupational problems, medication management, family education, family group meetings, and crisis intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>At 6, 12, and 18-month follow-ups by blind evaluators, the proportion of subjects rehospitalised was lower, the duration of rehospitalisation was shorter, and the duration of employment was longer in the experimental group than in the control group; these differences were statistically significant at the 12 and 18-month follow-ups and were not explained by differences in drug compliance. Family intervention was associated with significantly lower levels of family burden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions.<\/jats:title><jats:p>This intervention is less costly than standard treatment, is suitable for urban families of schizophrenic patients in China and feasible given the constraints of the Chinese mental health system.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.165.2.239","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:26:25Z","timestamp":1224048385000},"page":"239-247","source":"Crossref","is-referenced-by-count":210,"title":["Family-Based Intervention for Schizophrenic Patients in China"],"prefix":"10.1192","volume":"165","author":[{"given":"Wei","family":"Xiong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. R.","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiong","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruiwen","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinqing","family":"Dai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Kleinman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kleinman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000132490_ref14","first-page":"277","volume-title":"Chinese Families in the Post-Mao Era","author":"Phillips","year":"1993"},{"key":"S0007125000132490_ref3","unstructured":"Anonymous (1992) Free medical service under profound change. China Daily, 1 February, p. 4."},{"key":"S0007125000132490_ref18","unstructured":"State Statistical Bureau (1992) Communiqu\u00e9 on national income and social development in 1991. China Daily (Business Weekly Section), 8\u201314 March, p. 4."},{"key":"S0007125000132490_ref7","first-page":"1","article-title":"Families in the treatment of schizophrenia \u2013 part II","volume":"6","author":"Grinspoon","year":"1989","journal-title":"The Harvard Medical School Mental Health Newsletter"},{"key":"S0007125000132490_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1991.tb03161.x"},{"key":"S0007125000132490_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700020535"},{"key":"S0007125000132490_ref5","first-page":"70","article-title":"Analysis of survey results of all types of psychiatric illnesses, drug and alcohol dependence, and personality disorders","volume":"19","year":"1986","journal-title":"Chinese Journal of Neurology and Psychiatry"},{"key":"S0007125000132490_ref23","doi-asserted-by":"crossref","unstructured":"Zhang M. Y. , Yan H. Q. & Phillips M. R. (1994) Community-based psychiatric rehabilitation in Shanghai: facilities, services, outcome, and culture-specific characteristics. British Journal of Psychiatry, in press.","DOI":"10.1192\/S000712500029301X"},{"key":"S0007125000132490_ref20","doi-asserted-by":"publisher","DOI":"10.1007\/BF00788951"},{"key":"S0007125000132490_ref11","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.146.6.594"},{"key":"S0007125000132490_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1985.01790320059008"},{"key":"S0007125000132490_ref13","unstructured":"Pearson V. & Phillips M. R. (1994) Psychiatric Social Work and Socialism: Problems and Potential in China. Social Work, in press."},{"key":"S0007125000132490_ref22","first-page":"76","article-title":"Use of the Chinese version of the Brief Psychiatric Rating Scale","volume":"9","author":"Zhang","year":"1983","journal-title":"Chinese Journal of Nervous and Mental Diseases"},{"key":"S0007125000132490_ref1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.57.2.232"},{"key":"S0007125000132490_ref12","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1176\/ajp.147.2.221","article-title":"Witchdoctors and mental illness in mainland China: a preliminary study","volume":"147","author":"Li","year":"1990","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000132490_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-9417(09)90010-3"},{"key":"S0007125000132490_ref15","first-page":"103","volume-title":"Issues involved in the use of Scales for Assessment of Negative and Positive Symptoms in Mental Disorders","author":"Phillips","year":"1990"},{"key":"S0007125000132490_ref17","doi-asserted-by":"crossref","unstructured":"Phillips M. R. , & Pearson V. (1994) Future opportunities and challenges for the development of psychiatric rehabilitation in China. British Journal of Psychiatry, in press.","DOI":"10.1192\/S0007125000293094"},{"key":"S0007125000132490_ref21","volume-title":"WHO Psychiatric Disability Assessment Schedule.","year":"1988"},{"key":"S0007125000132490_ref19","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.154.5.625"},{"key":"S0007125000132490_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4899-4457-3_27"},{"key":"S0007125000132490_ref2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1987"},{"key":"S0007125000132490_ref10","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.157.4.571"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000132490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T03:28:15Z","timestamp":1557890895000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000132490\/type\/journal_article"}},"subtitle":["A Randomised Controlled Trial"],"short-title":[],"issued":{"date-parts":[[1994,8]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1994,8]]}},"alternative-id":["S0007125000132490"],"URL":"https:\/\/doi.org\/10.1192\/bjp.165.2.239","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,8]]}}}