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Relatives and depressive relapse: the critical period after discharge from in-patient treatment

Published online by Cambridge University Press:  09 July 2009

Hans O. F. Veiel  and
Christine Kühner
Hans O. F. Veiel*
Affiliation:
Central Institute of Mental Health, Mannheim, West Germany
Christine Kühner
Affiliation:
Central Institute of Mental Health, Mannheim, West Germany
*
1Address for correspondence: Dr H. O. F. Veiel, Central Institute of Mental Health, PO Box 5970, D-6800 Mannheim I, West Gremany.
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Synopsis

In a sample of 60 remitted depressed in-patients, the power of three basic parameters of the social support network – Kin Support Network Size; Non-kin Support Network Size; and Satisfaction with Support – to predict depressive symptom levels seven months after discharge was examined. The results suggest that even positive, supportive family relationships can have a distinctly detrimental effect, and that a depressed in-patient's return to his or her family represents a crucial period for the further course of the disorder. The findings are discussed with respect to the social support literature and the ‘Expressed Emotion’ concept. It is held that neither paradigm provides an adequate explanation, and alternative mediating mechanisms are suggested.

Type
Preliminary Communication
Information
Psychological Medicine , Volume 20 , Issue 4 , November 1990 , pp. 977 - 984
Copyright
Copyright © Cambridge University Press 1990

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