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Patients' Perceptions of Family Emotional Climate and Outcome in Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Malca B. Lebell ,
Stephen R. Marder ,
Jim Mintz ,
Lois I. Mintz ,
Martha Tompson ,
William Wirshing ,
Kathleen Johnston-Cronk  and
Joanne McKenzie
Malca B. Lebell*
Affiliation:
West Los Angeles VA Medical Center, Brentwood Division, and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
Stephen R. Marder
Affiliation:
Psychiatry Service, West Los Angeles VA Medical Center, Brentwood Division, and University of California, Los Angeles, USA
Jim Mintz
Affiliation:
University of California, Los Angeles, USA
Lois I. Mintz
Affiliation:
Department of Psychiatry, University of California, Los Angeles, USA
Martha Tompson
Affiliation:
Department of Psychology, University of California, Los Angeles, USA
William Wirshing
Affiliation:
West Los Angeles VA Medical Center, Brentwood Division, and Associate Professor of Clinical Psychiatry, University of California, Los Angeles, USA
Kathleen Johnston-Cronk
Affiliation:
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
Joanne McKenzie
Affiliation:
West Los Angeles VA Medical Center, Brentwood Division, and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
*
∗West Los Angeles VA Medical Center, Brentwood Division, 11301 Wilshire Boulevard, Building 210, Room 15, Los Angeles, CA 90073, USA
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Abstract

Thirty-nine chronic schizophrenic male out-patients and their relatives were interviewed separately to assess their perceptions of their current relationships. Two simple 5-point rating scales predicted the risk of psychotic exacerbation during a one-year follow-up: patients' perceptions of the relatives' attitudes towards them, and patients' own attitudes towards the relatives. Survival analysis of data in a 2 × 2 factorial - combining degree of contact with the key relatives and the patients' perceptions of their relatives - found that patients in frequent contact with a positively perceived relative had significantly better survival rates without psychotic exacerbation. Patients' perceptions of their relatives may help identify patients at risk of exacerbation of their illness.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 162 , Issue 6 , June 1993 , pp. 751 - 754
Copyright
Copyright © The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Baker, B., Helmes, E. & Kazarian, S. S. (1984) Past and present perceived attitudes of schizophrenics in relation to rehospitalisation. British Journal of Psychiatry, 144, 263–269.CrossRefGoogle Scholar
Baker, B., Kazarian, S. S., Helmes, E., et al (1987) Perceived attitudes of schizophrenic inpatients in relation to rehospitalization. Journal of Consulting and Clinical Psychology, 55, 775–777.Google Scholar
Brown, G. W. (1959) Experiences of discharged chronic schizophrenic mental hospital patients in various types of living group. Millbank Memorial Fund Quarterly, 37, 105–131.CrossRefGoogle Scholar
Brown, G. W., Birley, J. L. T. & Wino, J. K. (1972) Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241–258.CrossRefGoogle ScholarPubMed
Brown, G. W., Monck, E. M., Carstairs, G. M., et al (1962) The influence of family life on the course of schizophrenic illness. British Journal of Preventative Social Medicine, 16, 55–68.Google Scholar
Hooley, J. M. & Teasdale, J. D. (1989) Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology, 94, 229–235.CrossRefGoogle Scholar
Karno, M., Jenkins, J. H., de la Selva, A., et al (1987) Expressed emotion and schizophrenic outcome among Mexican-American families. Journal of Nervous and Mental Disease, 175, 143–151.Google Scholar
Kreisman, D. E., Simmons, S. J. & Joy, V. D. (1979) Rejecting the patient: preliminary validation of a self-report scale. Schizophrenia Bulletin, 5, 220–222.CrossRefGoogle ScholarPubMed
Leff, J., Wig, N. N., Ghosh, A., et al (1987) III. Influence of relatives' expressed emotion on the course of schizophrenia in Chandigarh. British Journal of Psychiatry, 151, 166–173.CrossRefGoogle ScholarPubMed
Marder, S. R., Van Putten, T., Mintz, J., et al (1984) Costs and benefits of two doses of fluphenazine. Archives of General Psychiatry, 41, 1025–1029.CrossRefGoogle ScholarPubMed
Marder, S. R., Van Putten, T., Mintz, J., et al (1987) Low- and conventional-dose maintenance therapy with fluphenazine decanoate: two-year outcome. Archives of General Psychiatry, 44, 518–521.Google Scholar
Moos, R. H. & Moos, B. S. (1981) Family Environment Scale Manual. Palo Alto, California: Consulting Psychologists Press.Google Scholar
Overall, J. & Gorham, D. (1962) The Brief Psychiatric Rating Scale (BPRS). Psychological Reports, 10, 799–812.Google Scholar
Parker, G., Tupling, M. & Brown, L. B. (1979) A parental bonding instrument. British Journal of Medical Psychology, 52, 1–10.CrossRefGoogle Scholar
Parker, G., Fairley, M., Greenwood, J., et al (1982) Parental representations of schizophrenics and their association with onset and course of schizophrenia. British Journal of Psychiatry, 141, 573–581.Google Scholar
Parker, G., & Mater, R. (1986) Predicting schizophrenic relapse: a comparison of two measures. Australian and New Zealand Journal of Psychiatry, 20, 82–86.Google Scholar
Schnur, D. B., Friedman, S., Dorman, M., et al (1986) Assessing the family environment of schizophrenic patients with multiple hospital admissions. Hospital and Community Psychiatry, 37, 249–252.Google ScholarPubMed
Spanier, G. (1976) Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28.CrossRefGoogle Scholar
Spiegel, D. & Wissler, T. (1986) Family environment as a predictor of psychiatric rehospitalization. American Journal of Psychiatry, 143, 56–60.Google ScholarPubMed
Vaughn, C. E. & Leff, J. P. (1976a) The influence of family and social factors on the course of psychiatric illness: A comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125–137.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976b) The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology, 15, 157–165.CrossRefGoogle ScholarPubMed
Warner, R. & Atkinson, M. (1988) The relationship between schizophrenic patients' perceptions of their parents and the course of their illness. British Journal of Psychiatry, 153, 344–353.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Description and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and Catego System. London: Cambridge University Press.Google Scholar
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