Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-03T02:34:06.503Z Has data issue: false hasContentIssue false
  • English
  • Français

The Influence of Family Expressed Emotion on the Course of Schizophrenia in a Sample of Spanish Patients

A Two-Year Follow-Up Study

Published online by Cambridge University Press:  02 January 2018

I. Montero ,
M. Gómez-Beneyto ,
I. Ruiz ,
E. Puche  and
A. Adam
I. Montero*
Affiliation:
Department of Psychiatry, University of Valencia
M. Gómez-Beneyto
Affiliation:
Department of Psychiatry, University of Valencia
I. Ruiz
Affiliation:
Department of Psychiatry, University of Valencia
E. Puche
Affiliation:
Department of Psychiatry, University of Valencia
A. Adam
Affiliation:
Psychiatric Unit of the General Hospital of Alcoi (Alicante)
*
∗Departamento de Psiquiatria, Facultad de Medicina, Blasco Ibañez, 17, 46010 Valencia, Spain
Get access Rights & Permissions [Opens in a new window]

Abstract

A sample of 60 Spanish schizophrenic patients was studied to ascertain the relationship between their relatives' expressed emotion (EE) and relapse at follow-up. The relatives' EE and patients' relapse were operationalised following Leff & Vaughn's criteria. At nine months a significant association was not found between the relatives' EE and relapse, but this association became significant on reclassifying the relatives' EE scores after decreasing to four points the cut-off point for critical comments. At 24 months no association was found between EE and relapse. There was a tendency for patients who interrupted their medication or who did not work to relapse more frequently, particularly among the high-EE group.

Type
Papers
Information
The British Journal of Psychiatry , Volume 161 , Issue 2 , August 1992 , pp. 217 - 222
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, DSM–III). Washington, DC: APA.Google Scholar
Arevalo, J. & Vizcarro, C. (1989) ‘Emoción expresada’ y curso de la esquizofrenia en una muestra española. Analisis y Modificación de conducta, 15, 3–24.Google Scholar
Brown, G. W., Birley, J. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241–258.Google Scholar
Falloon, I. (1988) Expressed emotion: current status. Psychological Medicine, 18, 269–274.Google Scholar
Gutiérrez, E., Escudero, V., Valero, J. A., et al (1988) Expresion de emocionesy el curso de la esquizofrenia. II. Componentes en revisión. Analisis y Modificación de conducta, 15, 275–316.Google Scholar
Koeningsberg, H. & Handley, R. (1986) Expressed emotion: from predictive index to clinical construct. American Journal of Psychiatry, 143, 1361–1373.Google Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1977) A standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica, 55, 299–308.Google Scholar
Kuipers, L. & Bebbington, P. (1988) Expressed emotion research in schizophrenia: theoretical and clinical implications. Psychological Medicine, 18, 893–909.Google Scholar
Leff, J. & Vaughn, C. (1981) The role of maintenance therapy and relatives' expressed emotion in the relapse of schizophrenia: a two-year follow-up. British Journal of Psychiatry, 139, 102–104.Google Scholar
Leff, J. & Vaughn, C. (1985) Expressed Emotion and Families: Its Significance for Mental Illness. New York: Guilford Press.Google Scholar
Leff, J., Vaughn, C. & Gosh, N., et al (1987) The influence of relatives' expressed emotion in the course of schizophrenia in Chandigarh. British Journal of Psychiatry, 151, 166–173.Google Scholar
Leff, J., Vaughn, C. & Bedi, H., et al (1990) Relatives' expressed emotion and the course of schizophrenia in Chandigarh. A two-year follow-up of a first-contact sample. British Journal of Psychiatry, 156, 351–356.Google Scholar
MacMillan, J. F., Gold, T., Crow, T. J. et al (1986) Expressed emotion and relapse. British Journal of Psychiatry, 148, 133–143.Google Scholar
McCreadie, R. G., Phillips, K. (1988) The Nithsdale Schizophrenia Survey VII. Does relatives' high expressed emotion predict relapse? British Journal of Psychiatry, 152, 472–481.Google Scholar
Mintz, J., Mintz, L. & Goldstein, M. (1987) Expressed emotion and relapse in first episodes of schizophrenia. A rejoinder to MacMillan et al (1986). British Journal of Psychiatry, 151, 314–320.Google Scholar
Montero, I., Adam, A., Gomez, A., et al (1984) Influencia de la terapia psicosocial en la evolución de la Esquizofrenia: un estudio comparativo. Actas Luso-Españolas de Neurologia Psiquiatria, 12, 267–278.Google Scholar
Montero, I., Gomez-Beneyto, M., Ruiz, I., et al (1990) Expresividad Emocional y evolución de la esquiofrenia: una replica al trabajo de Vaughn. Actas Luso-Españolas de Neurologia Psiquiatria, 18, 387–395.Google Scholar
Parker, G., Johnston, P. & Hayward, L. (1988) Parental ‘expressed emotion’ as a predictor of schizophrenic relapse. Archives of General Psychiatry, 45, 806–813.Google Scholar
Perez Fuster, A., Ballester, M., Giron, M., et al (1989) Fiabilidad, validez y sensibilidad de la Escala de Evaluación Psiquiatrica de Krawiecka. Actas Luso-Españolas de Neurologia Psiquiatria, 17, 111–118.Google Scholar
Tarrier, N., Barrowclough, C., Vaughn, C., et al (1989) Community management of schizophrenia. A two-year follow-up of a behavioural intervention with families. British Journal of Social and Clinical Psychology, 15, 157–165.Google 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, 157–165.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, 1169–1177.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.