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Expressed emotion and schizophrenia: the ontogeny of EE during an 18-month follow-up

Published online by Cambridge University Press:  09 July 2009

J. Stirling ,
D. Tantam ,
P. Thomas ,
D. Newby ,
L. Montague ,
N. Ring  and
S. Rowe
J. Stirling*
Affiliation:
Department of Psychology and Speech Pathology, Manchester Metropolitan University; Department of Psychology, Warwick University, Coventry; Mental Health Office, Bron Y Garth Hospital, Penrhyndrearth, Gwynedd; High Royds Hospital, Ilkley, West Yorkshire; Trafford General Hospital, Manchester; Department of Psychiatry, Withington Hospital, Manchester; and Learning Disabilities Directorate, Liverpool
D. Tantam
Affiliation:
Department of Psychology and Speech Pathology, Manchester Metropolitan University; Department of Psychology, Warwick University, Coventry; Mental Health Office, Bron Y Garth Hospital, Penrhyndrearth, Gwynedd; High Royds Hospital, Ilkley, West Yorkshire; Trafford General Hospital, Manchester; Department of Psychiatry, Withington Hospital, Manchester; and Learning Disabilities Directorate, Liverpool
P. Thomas
Affiliation:
Department of Psychology and Speech Pathology, Manchester Metropolitan University; Department of Psychology, Warwick University, Coventry; Mental Health Office, Bron Y Garth Hospital, Penrhyndrearth, Gwynedd; High Royds Hospital, Ilkley, West Yorkshire; Trafford General Hospital, Manchester; Department of Psychiatry, Withington Hospital, Manchester; and Learning Disabilities Directorate, Liverpool
D. Newby
Affiliation:
Department of Psychology and Speech Pathology, Manchester Metropolitan University; Department of Psychology, Warwick University, Coventry; Mental Health Office, Bron Y Garth Hospital, Penrhyndrearth, Gwynedd; High Royds Hospital, Ilkley, West Yorkshire; Trafford General Hospital, Manchester; Department of Psychiatry, Withington Hospital, Manchester; and Learning Disabilities Directorate, Liverpool
L. Montague
Affiliation:
Department of Psychology and Speech Pathology, Manchester Metropolitan University; Department of Psychology, Warwick University, Coventry; Mental Health Office, Bron Y Garth Hospital, Penrhyndrearth, Gwynedd; High Royds Hospital, Ilkley, West Yorkshire; Trafford General Hospital, Manchester; Department of Psychiatry, Withington Hospital, Manchester; and Learning Disabilities Directorate, Liverpool
N. Ring
Affiliation:
Department of Psychology and Speech Pathology, Manchester Metropolitan University; Department of Psychology, Warwick University, Coventry; Mental Health Office, Bron Y Garth Hospital, Penrhyndrearth, Gwynedd; High Royds Hospital, Ilkley, West Yorkshire; Trafford General Hospital, Manchester; Department of Psychiatry, Withington Hospital, Manchester; and Learning Disabilities Directorate, Liverpool
S. Rowe
Affiliation:
Department of Psychology and Speech Pathology, Manchester Metropolitan University; Department of Psychology, Warwick University, Coventry; Mental Health Office, Bron Y Garth Hospital, Penrhyndrearth, Gwynedd; High Royds Hospital, Ilkley, West Yorkshire; Trafford General Hospital, Manchester; Department of Psychiatry, Withington Hospital, Manchester; and Learning Disabilities Directorate, Liverpool
*
1Address for correspondence: Dr John Stirling, Department of Psychology and Speech Pathology, Manchester Metropolitan University, Elizabeth Gaskell Building, Hathersage Road, Manchester, M13 0JA.
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Synopsis

Key relatives of 30 first or early admission psychotic patients (mainly with a diagnosis of schizophrenia) were interviewed (for a second time) 18 months after participating in an initial assessment of expressed emotion (EE). The patients were followed up throughout the interim period, during which time 17 experienced a psychotic relapse. Although there continued to be a negligible association between initial EE rating (established during the index admission) and relapse, a significant association between EE rating at 18 months and psychiatric status of the patient during the follow-up period emerged. Results are discussed in the context of recent interactional theories of the relationship between household EE and psychiatric morbidity.

Type
Original Articles
Information
Psychological Medicine , Volume 23 , Issue 3 , August 1993 , pp. 771 - 778
Copyright
Copyright © Cambridge University Press 1993

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