This application represents a competing renewal of a project designed to examine family interactions and the outcome of family treatment for schizophrenia. Videotapes of problem solving discussions between 256 schizophrenia patients and their relatives participating in a well- controlled clinical trial were secured on one, two or three occasions over a 2-year period. Extensive clinical data and ratings of parent attitudes about the patient were collected as well. The goals of the original project (evaluation of the family treatments) dictated specific methodological choices in the structure and content of the coding system developed for the study. We request funds in this renewal application to address questions not within the scope of the original project, especially in regard to: negative reciprocity and other sequential patterns of interaction, and patients' response to negative affect. These issues will be examined in relationship to gender differences and symptomatology. The project will entail recoding of a large portion of the tapes and the use of data analytic methods not fully available at the time of the original proposal. Our library of videotapes is a unique resource. It provides an unparalleled opportunity to advance our understanding of family processes associated with the illness. Our proposed research will shed light on the affective climate in families with a schizophrenia proband, and provide information necessary for the development of new and more effective treatment strategies.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH041577-10
Application #
2033657
Study Section
Treatment Assessment Review Committee (TA)
Project Start
1987-07-01
Project End
1999-11-30
Budget Start
1997-02-01
Budget End
1999-11-30
Support Year
10
Fiscal Year
1997
Total Cost
Indirect Cost
Name
University of Maryland Baltimore
Department
Psychiatry
Type
Schools of Medicine
DUNS #
003255213
City
Baltimore
State
MD
Country
United States
Zip Code
21201
Blanchard, Jack J; Sayers, Steven L; Collins, Lindsay M et al. (2004) Affectivity in the problem-solving interactions of schizophrenia patients and their family members. Schizophr Res 69:105-17
Wuerker, Anne K; Long, Jeffrey D; Haas, Gretchen L et al. (2002) Interpersonal control, expressed emotion, and change in symptoms in families of persons with schizophrenia. Schizophr Res 58:281-92
Wuerker, Anne K; Fu, Vincent Kang; Haas, Gretchen L et al. (2002) Age, expressed emotion, and interpersonal control patterning in families of persons with schizophrenia. Psychiatry Res 109:161-70
Wuerker, A K; Haas, G L; Bellack, A S (2001) Interpersonal control and expressed emotion in families of persons with schizophrenia: change over time. Schizophr Bull 27:671-85
Bellack, A S; Haas, G L; Schooler, N R et al. (2000) Effects of behavioural family management on family communication and patient outcomes in schizophrenia. Br J Psychiatry 177:434-9
Wuerker, A K; Haas, G L; Bellack, A S (1999) Racial and gender differences in expressed emotion and interpersonal control in families of persons with schizophrenia. Fam Process 38:477-96
Blanchard, J J; Mueser, K T; Bellack, A S (1998) Anhedonia, positive and negative affect, and social functioning in schizophrenia. Schizophr Bull 24:413-24
Penn, D L; Mueser, K T; Doonan, R (1997) Physical attractiveness in schizophrenia. The mediating role of social skill. Behav Modif 21:78-85
Mueser, K T; Penn, D L; Blanchard, J J et al. (1997) Affect recognition in schizophrenia: a synthesis of findings across three studies. Psychiatry 60:301-8
Bellack, A S; Blanchard, J J; Mueser, K T (1996) Cue availability and affect perception in schizophrenia. Schizophr Bull 22:535-44

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