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Gender differences in family attitudes about schizophrenia

Published online by Cambridge University Press:  09 July 2009

J. A. Davis ,
M. J. Goldstein  and
K. H. Nuechterlein
J. A. Davis*
Affiliation:
Department of Psychology, University of California, Los Angeles, USA
M. J. Goldstein
Affiliation:
Department of Psychology, University of California, Los Angeles, USA
K. H. Nuechterlein
Affiliation:
Department of Psychology, University of California, Los Angeles, USA
*
1Address for correspondence: Dr Julie A. Davis, UCLA Family Project., 1347 Franz Hall, University of California, Los Angeles, California 90095–1563, USA
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Synopsis

Recent studies have found that the expressed emotion (EE) status of relatives of female schizophrenics may not possess the prognostic value found previously for male schizophrenics. In the present study, relatives of 110 recent onset schizophrenic patients were assessed using the Camberwell Family Interview (CFI-EE), the Five Minute Speech Sample Method (FMSS-EE) and a measure of Affective Style (AS) to determine whether affective attitudes or behaviours varied by patient gender. Brief Psychiatric Rating Scale (BPRS) ratings made during in-patient and outpatient periods were examined to assess patient symptomatology. No differences were found by patient gender for CFI-EE, FMSS-EE, or subcomponents of the CFI-EE measure. However, when the subcomponents on the FMSS associated with a high EE critical rating were examined, males were found to be recipients of more harsh criticism than female patients. Similarly, for the AS measure, there was a distinct subgroup of male patients who received a level of criticism not seen in female patients. When the concordance across the two EE measures was examined, relatives of males were more consistent in their affective attitudes than relatives of female patients. Analysis of the BPRS data from the in-patient to the out-patient periods suggested variations by patient gender which may explain some of the differences in relatives' affective attitudes.

Type
Original Articles
Information
Psychological Medicine , Volume 26 , Issue 4 , July 1996 , pp. 689 - 696
Copyright
Copyright © Cambridge University Press 1996

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References

REFERENCES

Angermeyer, M. & Kuhn, L. (1988). Gender differences in age at onset of schizophrenia. European Archives of Psychiatry and Neurological Sciences 237, 351–364.CrossRefGoogle ScholarPubMed
Angermeyer, M., Kuhn, L. & Goldstein, J. (1990). Gender and the course of schizophrenia; Differences in treated outcomes. Schizophrenia Bulletin 16, 293–307.CrossRefGoogle ScholarPubMed
Brown, G., Monck, E., Carstairs, G. & Wing, J. (1962). Influence of family life on the course of schizophrenic illness. British Journal of Preventative Social Medicine 16, 55–68.Google Scholar
Brown, G., Birley, J. & Wing, J. (1972). Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry 121, 241–258.CrossRefGoogle ScholarPubMed
Childers, S. & Harding, C. (1990). Gender, premorbid social functioning, and long-term outcome in DSM-III schizophrenia. Schizophrenia Bulletin 16, 309–318.CrossRefGoogle ScholarPubMed
Chu, C., Abi-Dargham, A., Ackerman, B., Cetingok, M. & Klein, H. (1988). Sex differences in schizophrenia. International Journal of Social Psychiatry 35, 237–244.CrossRefGoogle Scholar
Doane, J., West, K., Goldstein, M., Rodnick, E. & Jones, J. (1981). Parental communication deviance and affective style: predictors of subsequent schizophrenia spectrum disorders in vulnerable adolescents. Archives of General Psychiatry 38, 679–685.CrossRefGoogle ScholarPubMed
Flor-Henry, P. (1990). Influence of gender in schizophrenia as related to other psychopathological syndromes. Schizophrenia Bulletin 16, 211–227.CrossRefGoogle ScholarPubMed
Goldstein, J. & Kreisman, D. (1988). Gender, family environment and schizophrenia. Psychological Medicine 18, 861–872.CrossRefGoogle ScholarPubMed
Goldstein, J. & Link, B. (1988). Gender and the expression of schizophrenia. Journal of Psychiatry Research 22, 141–155.CrossRefGoogle ScholarPubMed
Goldstein, J., Tsuang, M. & Faraone, S. (1989). Gender and schizophrenia: implications for understanding the heterogeneity of the illness. Psychiatry Research 28, 243–253.CrossRefGoogle ScholarPubMed
Goldstein, J., Santangelo, S., Simpson, J. & Tsuang, M. (1990). The role of gender in identifying subtypes of schizophrenia: a latent class analytic approach. Schizophrenia Bulletin 16, 263–275.CrossRefGoogle ScholarPubMed
Guy, W. (1976). ECDEU Assessment Manual for Psychopharmacology (DHEW publication No. ADM-76–338). National Institute of Mental Health: Rockville, MD.Google Scholar
Haas, G., Glick, I., Clarkin, J., Spencer, J. & Lewis, A. (1990). Gender and schizophrenia outcome: a clinical trial of an inpatient family intervention. Schizophrenia Bulletin 16, 277–292.CrossRefGoogle ScholarPubMed
Hogarty, G. (1985). Expressed emotion and schizophrenic relapse: Implications from the Pittsburgh study. In Controversies in Schizophrenia (ed. Alpert, M.), pp. 345–363. Guilford Press: New York.Google Scholar
Iacono, W. & Beiser, M. (1992). Are males more likely than females to develop schizophrenia? American Journal of Psychiatry 149, 1070–1074.Google ScholarPubMed
Karno, M., Jenkins, J., De La Selva, A., Santana, F., Telles, C., Lopez, S. & Mintz, J. (1987). Expressed emotion and schizophrenic outcome among Mexican–American families. Journal of Nervous and Mental Disease 175, 143–151.CrossRefGoogle ScholarPubMed
Kavanagh, D. (1992). Recent developments in expressed emotion and schizophrenia. British Journal of Psychiatry 160, 601–620.CrossRefGoogle ScholarPubMed
Lewine, R. (1980). Sex differences in age of symptom onset and first hospitalization in schizophrenia. American Journal of Orthopsychiatry 50, 316–322.CrossRefGoogle ScholarPubMed
Lewine, R. (1988). Gender and schizophrenia. In Handbook of Schizophrenia, vol. 3 (ed. Simpson, J.), pp. 379–397. Elsevier: Amsterdam.Google Scholar
Lewine, R., Surbach, D. & Meltzer, H. (1984). Effect of diagnostic criteria on the ratio of male to female schizophrenic patients. American Journal of Psychiatry 14, 84–87.Google Scholar
Lukoff, D., Nuechterlein, K. & Ventura, J. (1986). Manual for the expanded BPRS. Schizophrenia Bulletin 12, 594–602.Google Scholar
Magana, A., Goldstein, M., Karno, M., Miklowitz, D., Jenkins, J. & Falloon, I. (1986). A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research 17, 203–212.CrossRefGoogle ScholarPubMed
Mueser, K., Bellack, A., Morrison, R. & Wade, J. (1990). Gender, social competence, and symptomatology in schizophrenia: a longitudinal analysis. Journal of Abnormal Psychology 99, 138–147.CrossRefGoogle ScholarPubMed
Nuechterlein, K., Snyder, K. & Mintz, J. (1992 a). Paths to relapse: possible transactional processes connecting patient illness onset, expressed emotion, and psychotic relapse. British Journal of Psychiatry 161, 88–96.CrossRefGoogle Scholar
Nuechterlein, K., Dawson, M., Gitlin, M., Ventura, J., Goldstein, M., Snyder, K., Yee, C. & Mentz, J. (1992 b). Developmental processes in schizophrenic disorders: longitudinal studies of vulnerability and stress. Schizophrenia Bulletin 18, 387–425.CrossRefGoogle ScholarPubMed
Phillips, D. (1964). Rejection of the mentally ill: the influence of behavior and sex. American Sociological Review 29, 679–687.CrossRefGoogle Scholar
Seeman, M. (1983). Schizophrenic men and women require different treatment programs. Journal of Psychiatric Treatment and Evaluation 5, 143–148.Google Scholar
Seeman, M. & Hauser, P. (1984). Schizophrenia: the influence of gender on family environment. International Journal of Family Psychiatry 5, 227–232.Google Scholar
Shore, D. & Keith, S. (eds.). (1990). Gender and schizophrenia. Schizophrenia Bulletin 16, 171–361.Google Scholar
Spitzer, R., Endicott, J. & Robins, E. (1978). Research Diagnostic Criteria. New York State Psychiatric Institute, Biometric Research Unit: New York.CrossRefGoogle ScholarPubMed
Vaughn, C. & Leff, J. (1976). The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry 129, 125–137.CrossRefGoogle ScholarPubMed
Vaughn, C., Snyder, K., Jones, S., Freeman, W. & Falloon, I. (1984). Family factors in schizophrenic relapse. Archives of General Psychiatry 41, 1169–1177.CrossRefGoogle ScholarPubMed
Wahl, O. & Hunter, J. (1992). Are gender effects being neglected in schizophrenia research? Schizophrenia Bulletin 18, 313–317.CrossRefGoogle ScholarPubMed
Wing, J., Cooper, J. & Sartorious, N. (1974). The Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and CATEGO Program. Cambridge University Press: London.Google Scholar