1990 Barrelet et al Br J Psychiat.pdf (original) (raw)
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British Journal of Psychiatry, 1992
A sample of 60 Spanish schizophrenic patients was studied to ascertain the relationship between their relatives' expressed emotion (EE) and relapse at follow-up. The relatives' EE and patients' relapse were operationalised following Leff & Vaughn's criteria. At nine months a significant association was not found between the relatives' EE and relapse, but this association became significant on reclassifying the relatives' EE scores after decreasing to four points the cut-off point for critical comments. At 24 months no association was found between EE and relapse. There was a tendency for patients who interrupted their medication or who did not work to relapse more frequently, particularly among the high-EE group.
Revista da Escola de Enfermagem da U S P, 2018
Assess the relationship between psychiatric relapses of patients with a diagnosis of schizophrenia, the levels of expressed emotion among their relatives and related factors. Prospective study carried out at a mental health outpatient clinic and two Psychosocial Care Centers, with patients and relatives responding to the Family Questionnaire - Brazilian Portuguese Version, a form containing socio-demographic and clinical variables and a structured script to assess relapses. A logistic regression model was used for the analysis. A total of 89 dyads participated in the study. Of the patients investigated, 31% presented relapses and, among the relatives, 68% presented elevated levels of expressed emotion. The relationship between expressed emotion and the relapses was not significant. The logistic regression analysis demonstrated that when there were a higher number of hospital admissions in the two years preceding the study, the chance of the patient relapsing in the 24-month period i...
Social psychiatry and psychiatric epidemiology, 1994
This paper presents the results of a study carried on an urban population in Belgrade investigating the connections between relapse in schizophrenia and the expressed emotion (EE) status of families where at least one of the patient's parents was a member of the household. The overall rate of high EE was just under 50%, in the middle of the range of values reported in studies carried out elsewhere. Relapse was found to be 10 times more frequent in patients whose families were rated high in EE. The sample consisted of 30 patients with hebephrenic schizophrenia and 30 with paranoid schizophrenia. The results suggested that these subtypes may be associated with different attributes of EE. Criticism was more frequent in families of patients with paranoid schizophrenia, while emotional overinvolvement was more frequent in families having a hebephrenic offspring. The different components of EE, suitably combined, may differentiate between the two subtypes of schizophrenia in terms of ...
Psychiatry Research, 2011
Keywords: expressed emotion first episode psychosis early intervention ultra high risk schizophrenia Expressed emotion (EE) was examined in a large sample of families of patients with either first-episode psychosis (FEP) within the schizophrenia spectrum, or who met the criteria for ultra high-risk (UHR) of psychosis. The aim of our study was to determine the patterns and relationship of EE with the duration of untreated illness (DUI) or of untreated psychosis (DUP), as well as with illness severity. The sample used in our study included 77 FEP and 66 UHR families. The Camberwell Family Interview was used to assess EE.
Expressed emotion: relevance to rehospitalization in schizophrenia over 7 years
Schizophrenia bulletin, 2005
Expressed emotion (EE) is an established factor in short-term relapse in schizophrenia. However, data on its long-term predictive ability are scarce. We extended our short-term investigation over 7 years' followup. The study population consisted of 108 patients, 93 with schizophrenia and 15 with schizoaffective disorder. EE of the key relatives was rated with the Five Minute Speech Sample (FMSS). Patient households were categorized by EE and its two components: criticism (CR) and emotional overinvolvement (EOI). High CR was associated with earlier first and second readmissions (Breslow p = 0.002 and 0.04, respectively). High CR was associated with a higher rate of readmissions (p = 0.01) and a longer hospital stay (p = 0.02) compared with low CR. Both compliance with pharmacotherapy and the interaction of high-CR x poor compliance were additional contributors to time to first readmission. This study is the first to demonstrate the prolonged predictive validity of EE. Our results...
Expressed Emotion and Schizophrenia in North India An Essay-Review
Transcultural Psychiatric Research Review, 1988
EE rernains an esoteric measure. Although it is possible to assess critical remarks and emotonal overinvolvement reLiabLy, it is still impossible to say what exactly the measure is reflecting. Liz Kuipers (1979, p. 241) The existence of the experimental method rnakes us think we have the means of solving the problems which trouble us; though problem and method pass one another by. Ludwig Wittgenstein (1958: p. 232)
Schizophrenia among first-degree relatives of paranoid and nonparanoid schizophrenics
Comprehensive Psychiatry, 1974
I 197 1, McCabe et al.' conducted a blind family study of a group consisting of 28 good-prognosis and 25 poor-prognosis schizophrenics. The results of that study showed that the families of poor-prognosis schizophrenics contained significantly more schizophrenia, neurosis, and overall illness, but significantly less affective disorder, than the families of good-prognosis schizophrenics. On the basis of their study, the data seemed to support the idea of at least two illnesses in schizophrenia: namely, that which could be called "good prognosis," which tends toward affective disorder, and that which could be called "poor prognosis," which tends toward process schizophrenia.