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A holistic program for chronic schizophrenic patients.

D Lukoff, C J Wallace, R P Liberman

Schizophrenia Bulletin

|January 1, 1986

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A holistic health program for male schizophrenic patients showed no significant difference in relapse rates compared to social skills training. Stress reduction techniques were not maintained after discharge.

Area of Science:

Psychiatry
Mental Health
Clinical Psychology

Background:

Schizophrenia treatment often involves medication and psychosocial interventions.
Stressful life events and familial tension are associated with schizophrenic relapse.
The efficacy of holistic health programs, including stress reduction, requires further investigation.

Purpose of the Study:

To compare a 10-week inhospital holistic health program with social skills training for male schizophrenic patients.
To assess the impact of holistic techniques on psychopathology and relapse rates.
To evaluate the maintenance of holistic techniques after discharge.

Main Methods:

A 10-week inhospital program comparing holistic health (exercise, meditation, stress management, positive belief exploration) with social skills training.

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Psychopathology was assessed from admission to discharge.

Relapse rates were monitored over 2 years post-discharge.

Main Results:

Both groups exhibited significant decreases in psychopathology from admission to discharge.
The use of medication and a token economy milieu confounded the interpretation of psychopathology findings.
No maintenance of holistic techniques was observed after discharge.
There was no significant difference in the 2-year relapse rate between the two treatment groups.

Conclusions:

The holistic health program did not demonstrate superior outcomes in reducing psychopathology or preventing relapse compared to social skills training.
The lack of maintenance of holistic techniques post-discharge suggests a need for further research into long-term integration strategies.
Despite findings, further experimentation with stress reduction techniques for schizophrenia treatment is warranted due to associations with stressful life events.