24 patients (mean age 43.9 yrs) who carried a Diagnostic and Statistical Manual of Mental Disorders (DSM-III) diagnosis of major affective disorder were identified 12-18 mo after hospital admission in 3 countries (Italy, Japan, and the US). Patients, their families, and their doctors were interviewed separately and then together, using instruments measuring delivery of treatment and achievement of treatment goals. Data were correlated with resolution of the index episode for the family. Data demonstrate that only 4 of the 24 families had achieved a relatively successful resolution of the index episode. At follow-up, almost all of the families were either no better off or no worse than at the time of the index episode. Data suggest that the greater the delivery of treatment to the family, the higher the achievement of treatment goals. It is suggested that the family must develop a working alliance with the physician. (PsycLIT Database Copyright 1992 American Psychological Assn, all rights reserved)
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