Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-22T07:41:25.809Z Has data issue: false hasContentIssue false

Expressed Emotion and First-Admission Schizophrenia

Nine-Month Follow-up in a French Cultural Environment

Published online by Cambridge University Press:  02 January 2018

L. Barrelet*
Affiliation:
Hopital Psychiatrique Cantonal, 2018 Perreux, Switzerland
F. Ferrero
Affiliation:
Secteur Jonction, Service Psychiatrie II, Institutions Universitaires de Psychiatrie Genevoises (IUPG)
L. Szigethy
Affiliation:
IUPG, 1224 Geneva, Switzerland
C. Giddey
Affiliation:
IUPG, 1224 Geneva, Switzerland
G. Pellizzer
Affiliation:
IUPG, 1224 Geneva, Switzerland
*
Correspondence

Abstract

A study of 36 French-speaking families in Geneva identified 66% of high-EE household. At nine-month follow-up, the relapse rate for the high-EE group (33%) was significantly higher than for the low-EE group (0%). These results seem to confirm the relevance of EE as predictor of relapse. However, in our sample, it appears that one component of EE, critical comments, was principally responsible for the prognostic validity.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1990 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, C., Hogarty, G., Bayer, T., et al (1984) Expressed emotion and social networks of parents of schizophrenic patients. Schizophrenia Bulletin, 7, 4344.Google Scholar
Barrelet, L., Pellizzer, G. & Ammann, L. (1988) Family expressed emotion and outcome of schizophrenics: a study in a French cultural environment. Archives Suisses de Neurologic et de Psychiatric, 139, 2734.Google Scholar
Brown, G., Monck, E., Carstairs, G., et al (1962) Influence of the family life on the course of schizophrenic illness. British Journal of Preventive and Social Medicine, 16, 5568.Google Scholar
Brown, G. & Rutter, M. (1966) The measurement of family activities and relationships. Human Relations, 19, 241263.Google Scholar
Crow, T. J., MacMillan, J. F., Johnson, A., et al (1986) A randomized controlled trial of prophylactic neuroleptic treatment. British Journal of Psychiatry, 148, 120127.CrossRefGoogle ScholarPubMed
Goldstein, M. J. & Strachan, A. N. (1986) Impact of family intervention programs on family communication and the short term course of schizophrenia. In Treatment of Schizophrenia (eds Goldstein, M. J., Hand, I. & Hahlweg, K.). New York: Springer-Verlag.Google Scholar
Falloon, I., Boyd, J. L., McGill, C. W., et al (1982) Family management in the prevention of exacerbations of schizophrenia: a controlled study. New England Journal of Medicine, 306, 14371440.Google Scholar
Jenkins, J. H., Karno, M., de la Selva, A., et al (1986) Expressed emotion in a cross-cultural context: familial responses to schizophrenic illness among Mexican Americans. In Treatment of Schizophrenia (eds Goldstein, M. J., Hand, I. & Hahlweg, K.). Berlin: Springer-Verlag.Google Scholar
Koenigsberg, H. W. & Handley, R. (1986) Expressed emotion: from predictive index to clinical construct. American Journal of Psychiatry, 143, 13611373.Google Scholar
Kottgen, C., Sonnichsen, I., Mollenhauer, K., et al (1984) Families' high expressed emotion and relapses in young schizophrenic patients: results of the Hambourg-Camberwell family intervention study, II. International Journal of Family Psychiatry, 5, 7182.Google Scholar
Kuipers, L., Sturgeon, D., Berkowitz, R., et al (1983) Characteristics of expressed emotion: its relationship to speech and looking in schizophrenic patients and their relatives. British Journal of Psychiatry, 22, 257264.Google ScholarPubMed
Leff, J. & Brown, G. (1977) Family and social factors in the course of schizophrenia. British Journal of Psychiatry, 130, 417418.CrossRefGoogle ScholarPubMed
Leff, J. & Vaughn, C. (1981) The role of maintenance therapy and relatives' expressed emotion in relapse of schizophrenia: a two-year follow-up. British Journal of Psychiatry, 139, 102104.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., et al (1985) A controlled trial of social intervention in the families of schizophrenic patients: two-year follow-up. British Journal of Psychiatry, 146, 594600.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., et al (1986) Controlled trial of social intervention in the families of schizophrenic patients. In Treatment of Schizophrenia (eds Goldstein, M. J., Hand, I. & Hahlweg, K.). New York: Springer-Verlag.Google Scholar
Leff, J., Wig, N., Ghosh, A., et al (1987) III. Influence of relatives' expressed emotion on the course of schizophrenia in Chandigarh. British Journal of Psychiatry, 151, 166173.CrossRefGoogle ScholarPubMed
MacMillan, J. F., Gold, A., Crow, T. J., et al (1986) The Northwick Park study of first episodes of schizophrenia, IV: expressed emotion and relapse. British Journal of Psychiatry, 148, 133143.CrossRefGoogle Scholar
MacMillan, J. F., Crow, T. J., Johnson, A. L., et al (1987) Expressed emotion and relapse in first episodes of schizophrenia. British Journal of Psychiatry, 151, 320323.CrossRefGoogle ScholarPubMed
McCreadie, R. G. & Robinson, D. T. (1987) The Nithsdale Schizophrenia Survey, VI. Relatives' expressed emotion: prevalence, patterns, and clinical assessment. British Journal of Psychiatry, 150, 640644.Google Scholar
Miklowitz, D. J., Goldstein, M. J., Falloon, I. R. H., et al (1984) Interactional correlates of expressed emotion in the families of schizophrenics. British Journal of Psychiatry, 144, 482487.Google Scholar
Moline, R. A., Singh, S., Morris, A., et al (1985) Family expressed emotion and relapse in schizophrenia in 24 urban American patients. American Journal of Psychiatry, 142, 10781081.Google ScholarPubMed
Parker, G., Johnston, P. & Hayward, L. (1988) Parental “expressed emotion” as a predictor of schizophrenic relapse. Archives of General Psychiatry, 45, 800813.Google Scholar
Sturgeon, D., Kuipers, L. & Berkowitz, R. (1981) Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives. British Journal of Psychiatry, 138, 4045.Google Scholar
Sturgeon, D., Turpin, G., Kuipers, L., et al (1984) Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives: a follow-up study. British Journal of Psychiatry, 145, 6269.Google Scholar
Tarrier, N., Vaughn, C., Lader, M., et al (1979) Bodily reactions to people and events in schizophrenics. Archives of General Psychiatry, 36, 311315.Google Scholar
Valone, K., Norton, J., Goldstein, M., et al (1983) Parental expressed emotion and affective style in an adolescent sample at risk for schizophrenia spectrum disorders. Journal of Abnormal Psychology, 92, 339407.CrossRefGoogle Scholar
Vaughn, C. & Leff, J. (1976) The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology, 15, 157165.CrossRefGoogle ScholarPubMed
Vaughn, C. & Leff, J. (1981) Patterns of emotional response in relatives of schizophrenic patients. Schizophrenia Bulletin, 7, 4344.Google Scholar
Vaughn, C., Snyder, K., Jones, S., et al (1984) Family factors in schizophrenic relapse: replication in California of British research on expressed emotion. Archives of General Psychiatry, 41, 11691177.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Description and Classification of Psychiatric Symptoms: An Instructional Manual for the Use of the PSE and Catego System. Cambridge: Cambridge University Press.Google Scholar
World Health Organization (1985) Disability Assessment Schedule. Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.