Eastern Journal of Psychiatry

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VOLUME 16 , ISSUE 1-2 ( February-August, 2013 ) > List of Articles

REVIEW ARTICLE

Expressed Emotion in Psychiatric Disorders

Satyakam Mohapatra, NM Rath

Citation Information : Mohapatra S, Rath N. Expressed Emotion in Psychiatric Disorders. 2013; 16 (1-2):17-22.

DOI: 10.5005/EJP-16-1--2-17

License: CC BY-NC 4.0

Published Online: 13-10-2021

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Expressed emotion (EE) is currently among the most thoroughly investigated psychosocial research constructs in psychiatry. Expressed emotion (EE) is the general re?ection of the family's attitude towards the patient as a precursor to relapse in major psychiatric disorders. On the basis of recent research on EE many family intervention programmes have been developed to reduce EE of the family and consequent relapse of illness


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  1. Blosch, S. Haffer, J. Harari, E. & Szmukler, G. The family in clinical Psychiatry. Oxford: oxford university press 1994.
  2. Baronet AM (Factors associated with caregiver burden in mental illness: a critical review of the research literature. Clin Psychol Rev (1999): 19:819-841.
  3. Awad AG, Voruganti LN: The burden of schizophrenia on caregivers: a review. Pharmaco Economics,(2008). 26:149-162.
  4. Brown, G.W., Monck, E.M., Carstairs, G.M., Wing, J.K., Influence of family life on the course of schizophrenic illness. British Journal of Preventive Social Medicine (1962). 16, 55-68.
  5. Hooley JM, Rosen LR, Richters JE Expressed emotion: toward clarification of a critical construct. Miller Ged. The Behavioral High-Risk Paradigm in Psycho pathology. New York, NY Springer;(1995), 88–120
  6. Kavanagh DJ: Recent developments in expressed emotion and schizo phrenia. Br J Psychiatry; (1992):160, 601–620.
  7. Hooley JM Orley J Teasdale JD Levels of expressed emotion and relapse in depressed patients. Br J Psychiatry.;(1986), 148642–647.
  8. Vaughn CE Leff JP The influence of family and social factors in the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. Br J Psychiatry (1976);129 125–137.
  9. Miklowitz DJ Goldstein MJ Nuechterlein KH Snyder KS Mintz J Family factors and the course of bipolar affective disorder. Arch Gen Psychiatry. (1988):;45225–231.
  10. Szmukler GI Eisler I Russell GFM Dare C, Anorexia nervosa, parental “expressed emotion,” and dropping out of treatment. Br J Psychiatry. (1985);147265–271.
  11. Vitaliano PP Becker J Russo J Magaña-Amato Amaiuro RD, Expressed emotion in spouse caregivers of patients with Alzheimer's disease. J Appl Soc Sci. (1989),; 13215–250.
  12. Hogarty, G. E., Anderson, C. M., Reiss, D. J., Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia. Archives of General Psychiatry, (1986):43, 633–642.
  13. Leff, J., Kuipers, L., Berkowitz, R., Eberlein-Fries, R., & Sturgeon, D. A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, (1982).141, 121–134.
  14. Brown GW. The discovery of expressed emotion: Induction or deduction? In: Leff J, Vaughn C, editors. Expressed emotion in families. New York: Guilford Press; (1985). p. 7-25.
  15. Wearden AJ, Tarrier N, Barrowclough C, Zastowny TR, Rahill AA. A review of expressed emotion research in health care. Clin Psychol Rev (2000);20:633-66.
  16. Brewin, C. R., MacCarthy, B. Duda, K., & Vaughn, C. E. Attribution and expressed emotion in the relatives of the patients with schizophrenia. Journal of Abnormal Psychology (1991), 100, 546-554.
  17. Barrowclough, C., Haddock, G., Lowens, I. Staff expressed emotion and causal attributions for client problems on a low security unit: An exploratory study. Schizophrenia Bulletin (2001)27(3), 517-526.
  18. Barrowclough, C., Parle, M., Appraisal, psychological adjustment and expressed emotion in relat ives of pat ients suffering from schizophrenia. British Journal of Psychiatry (1997).171(7), 26-30.
  19. Lopez, S. R., Hipke, K. N., Polo, A. J., Jenkins, Ethnicity, expressed emotion, attributions, and course of schizophrenia: Family warmth matters. Journal of Abnormal Psychology, (2004).113, 428-439.
  20. Bullock, B. M., Bank, L., & Buraston, B. Adult sibling expressed emotion and fellow sibling deviance: A new piece of family process puzzle. Journal of Family Psychology (2002)., 16, 307–317.
  21. Leff, J. P., & Vaughn, C. E. Expressed emotion in families. New York: Guilford Press. (1985).
  22. Magaña, A. B., Goldstein, J. M., Karno, M., Miklowitz, D. J. A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research,(1986) 17, 203–21.
  23. Cole, J. D., & Kazarian, S. S. (1988). The Level of Expressed Emotion Scale: A new measure of expressed emotion. Journal of Clinical Psychology, 44, 392–397.
  24. Kavanagh, D. J., O'Halloran, P., Manicavasagar, V., Clark, D., Piatkowska, O., Tennant, C., & Rosen, A. The Family Attitude Scale: Reliability and validity of a new scale for measuring the emotional climate of families. Psychiatry Research,(1997) 70, 185–195.
  25. Butzlaff, R.L., Hooley, J.M. Expressed emotion and psychiatric relapse: a metaanalysis. Archives of General Psychiatry 55(1998)., 547–552.
  26. Bebbington, P., and Kuipers, L. The predictive utility of expressed emotion in schizophrenia: An aggregate analysis. Psychological Medicine., (1994)24:707-718.
  27. Leff J, Wig NN, Ghosh A, et al. Expressed emotion and schizophrenia in North India. III: Influence of relatives' expressed emotion on the course of schizophrenia in Chandigarh. Br J Psychiatry;(1987) 151:166-173
  28. MacMillan JF, Gold A, Crow TJ, et al. The Northwick Park study of first episodes of schizophrenia. Expressed emotion and relapse. Br J Psychiatry (1986); 148:133-143.
  29. Ivanoviæ M., Z. Vuletiæ, P. Bebbington Expressed emotion in the families of patients with schizophrenia and its influence on the course of illness, Social Psychiatry and Psychiatric Epidemiology, (1994), Volume 29, Issue 2, pp 61-65.
  30. Rylands, A.J., McKie, S., El l iot t, R., Wi l l iam- Deakin, J.F., Tarrier, N. A functional magnetic resonance imaging paradigm of expressed emotion in schizophrenia. The Journal of Nervous and Mental Disease.,(2011). 199 (1), 25–29.
  31. Simoneau, T. L., Miklowitz, D. J., & Saleem, R. Expressed emotion and interactional patterns in the families of bipolar patients. Journal of Abnormal Psychology,(1998). 107, 497-507.
  32. Kim EY, Miklowitz DJ, Journal of Affective Disorders (2004), Volume 82, Issue 3, Pages 343–352.
  33. O'Farrell, T. J., Hooley, J., Fals-Stewart, W., & Cutter, H. S. G. Expressed emotion and relapse in alcoholic patients. Journal of Consulting and Clinical Psychology., (1998). 66, 744-752.
  34. Hooley, J. M., & Hoffman, P. D. Expressed emotion and clinical outcome in borderline personality disorder. American Journal of Psychiatry,(1999) 156, 1557-1562.
  35. Lam, D., Giles, A., & Lavander, A. Carers’ expressed emotion, appraisal of behavioural problems and stress in children attending schools for learning disabilities. Journal of Intellectual Disability Research, (2003).47, 456-463.
  36. Jenkins JH, Karno M. The meaning of expressed emotion: theoretical issues raised by cross-cultural research. Am J Psychiatry 1992;149:9-20.
  37. Bhugra, D., & McKenzie, K. Expressed emotion across cultures. Advances in Psychiatric Treatment, (2003). 9, 342–348. doi:10.1192/apt.9.5.342.
  38. Tanaka, S., Mino, Y., & Inoue, S. Expressed emotion and the course of schizophrenia in Japan. British Journal of Psychiatry., (1995) 167, 794–798. doi:10.1192/bjp.167.6.794.
  39. Leff, J., Wig, N. N., Bedi, H et al Relatives’ expressed emotion and the course of schizophrenia in Chandigarh. British Journal of Psychiatry, (1990). 156, 351–356. doi:10.1192/bjp.156.3.351
  40. Wig, N. N., Menon, D. K., Bedi, H et al., Expressed emotion and schizophrenia in north India: II. Distribution of expressed emotion components among relatives of schizophrenic patients in Aarhus and Chandigarh. British Journal of Psychiatry, (1987) 151, 160–165. doi:10.1192/bjp. 151.2.160.
  41. King, S., & Dixon, M. J. Expressed emotion and relapse in young schizophrenia outpatients. Schizophrenia Bulletin, (1999)25, 377–386.
  42. Vaughn, C., & Leff, J. The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology,(1976) 15, 157–165; and British: 45%.
  43. Karno, M., Jenkins, J. H., de la Selva, A et al, Expressed emotion and schizophrenic outcome among Mexican-American families. Journal of Nervous and Mental Disorders, (1987).175, 143–151.
  44. Barbato A. & D'Avanzo B. Family interventions in schizophrenia and related disorders: a critical review of clinical trials. Acta Psychiatrica Scandinavica (2000). 102, 81-97.
  45. Dixon L., Adams C. & Lucksted A. Update on family psychoeducation for schizophrenia. Schizophrenia Bulletin (2000).26(1), 5-20.
  46. Pilling S., Bebbington P., Kuipers E et al, Psychological treatments in schizophrenia: I. Meta-analysis of family intervention and cognitive behaviour therapy. Psychological Medicine (2002).32 (5), 763-782.
  47. Barrowclough C, Johnston M, Tarrier N Attributions, expressed emotion, and patient relapse: An attributional model of relatives’ response to schizophrenia illness. Behav Ther (1994).;25:67-88.
  48. Lam DH Psychosocial family intervention in schizophrenia: a review of empirical studies. Psychol,(1991), Med.;21423–441.
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