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The Nithsdale Schizophrenia Survey VII. Does Relatives' High Expressed Emotion Predict Relapse?

Published online by Cambridge University Press:  02 January 2018

R. G. McCreadie  and
K. Phillips
K. Phillips
Affiliation:
Crichton Royal Hospital, Dumfries
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Abstract

A review of all known schizophrenic people living in Nithsdale in South-West Scotland identified long-stay in-patients, patients living on their own and those living with relatives showing low or high expressed emotion (EE). A prospective 12-month follow-up identified relapsing patients, defined as those readmitted to hospital with exacerbation of schizophrenic symptoms or a fresh episode of illness, or, if not readmitted, with a significant increase in antipsychotic medication. There was no difference in relapse rates in patients living on their own, with low-EE, or with high-EE relatives. Amount of contact with high-EE relatives did not affect relapse rates. The different results obtained from the Nithsdale group compared with one from Camberwell are discussed.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 152 , Issue 4 , April 1988 , pp. 477 - 481
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

Bleuler, M. (1983) Schizophrenic deterioration. British Journal of Psychiatry, 143, 78–79.CrossRefGoogle ScholarPubMed
Brown, G. W. & Birley, J. L. T. (1968) Crises and life changes and the onset of schizophrenia. Journal of Health and Social Behaviour, 9, 203–214.CrossRefGoogle ScholarPubMed
Brown, G. W., Birley, J. L. T. & 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
Brown, G. W., Monck, E. M., Carstairs, G. M. & Wing, J. K. (1962) Influence of family life on the course of schizophrenic illness. British Journal of Preventive and Social Medicine, 16, 55–68.Google Scholar
Ciompi, L. (1980) The natural history of schizophrenia in the long term. British Journal of Psychiatry, 136, 413–420.Google Scholar
Feighner, J. P., Rubins, E., Guze, S., Woodruff, R. A., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–62.Google Scholar
Goldberg, E. M. & Warburton, R. W. (1979) Ends and Means in Social Work. The Development and Outcome of a Case Review System for Social Workers. London: George Allen and Unwin.Google Scholar
Hirsch, S. R., Gaind, R., Rohde, P. D., Stevens, B. C. & Wing, J. K. (1973) Outpatient maintenance of chronic schizophrenic patients with long-acting fluphenazine: double-blind placebo trial. British Medical Journal, i, 633–637.Google Scholar
Hogarty, G. E., Anderson, C. M., Reiss, D. J., Kornblith, S. J., Greenwald, D. P., Javna, C. D. & Madonia, M. J. (1986) Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. Archives of General Psychiatry, 43, 633–642.Google Scholar
Johnson, D. A. W. (1979) Further observations on the duration of depot neuroleptic maintenance therapy in schizophrenia. British Journal of Psychiatry, 135, 524–530.Google Scholar
Leff, J. (1973) The influence of selection of patients on results of clinical trials. British Medical Journal, iv, 156–158.CrossRefGoogle Scholar
Leff, J., Kuipers, L., Berkowitz, R., Eberlein-Vries, R. & Sturgeon, D. (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., & Sturgeon, D. (1985) A controlled trial of social intervention in the families of schizophrenic patients: two year follow-up. British Journal of Psychiatry, 146, 594–600.Google Scholar
McCreadie, R. G. & Robinson, A. D. T. (1987) The Nithsdale Schizophrenia Survey: VI. Relatives' expressed emotion: prevalence, patterns, and clinical assessment. British Journal of Psychiatry, 150, 640–644.Google Scholar
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
Wing, J. K., Cooper, J. E. Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
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