Eastern Journal of Psychiatry

Register      Login

VOLUME 23 , ISSUE 1 ( January-June, 2020 ) > List of Articles

ORIGINAL RESEARCH

Effectiveness of Psychoeducation on Expressed Emotion of Family Members and as Perceived by the Patient with Schizophrenia

Boby Begam, Arunjyoti Baruah

Keywords : Expressed emotion, Patient with schizophrenia, Family member, Psychoeducation

Citation Information : Begam B, Baruah A. Effectiveness of Psychoeducation on Expressed Emotion of Family Members and as Perceived by the Patient with Schizophrenia. 2020; 23 (1):21-26.

DOI: 10.5005/jp-journals-11001-0009

License: CC BY-NC 4.0

Published Online: 15-11-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Background: Expressed emotion is a measure of the family environment that is based on how the relatives of a psychiatric patient spontaneously talk about the patient. Outcome of the mental disorder depends upon the various prognostic factors. Among various prognostic factors, expressed emotion is the bad prognostic factor, which is the negative attitude shown by a family member toward the patient. This expressed emotion can be reduced and is reversible if the family member and the patient undergo various psychoeducation programs. Aim: To find out the effectiveness of psychoeducation on expressed emotion of family members and patients with schizophrenia. Method: The study adopted a quantitative approach with pre-experimental design. Fifty patients with schizophrenia and their family members from Tertiary Hospital of Assam, following convenience sampling technique, were selected. Brief Psychiatric Rating Scale (BPRS) was used to rule out psychopathology in patient. Family Attitude Scale and Family Emotional Involvement and Criticism Scale were used for assessing the expressed emotion of family members and the patient as a pretest and then on the same day psychoeducation was provided. On the 30th day of follow-up, again assessment of expressed emotion was done by using same scales as posttest. Analysis was done by using SPSS version 18. Results: There was a significant difference between the expressed emotion of family members and patients with schizophrenia following psychoeducation. So, psychoeducation was effective to decrease the level of expressed emotion. Conclusion: Psychoeducation has a positive impact on decreasing the level of expressed emotion and thus improving the outcome of mental illness.


PDF Share
  1. Leff J, Guilford CV. Expressed Emotion in Families: Its Significance for Mental Illness. Psychiatric Services. 1985; 37:741–742. DOI: 10.1176/ps.37.7.741-a
  2. Amaresha AC, Venkatasubramanian G. Expressed Emotion in Schizophrenia. Journal of Psychological Medicin. 2012;34:12–20. DOI: 10.4103/0253-7176.96149
  3. Sharif F, Shaygan M, Mani A. Effect of a psycho-educational intervention for family members on caregiver burdens and psychiatric symptoms in patients with schizophrenia in Shiraz, Iran. BMC Psychiatr. 2012;12(1):1–9. DOI: 10.1186/1471-244X-12-48
  4. Ikram A, Suhail K,Jafery SZ, et al. Rates of expressed emotions in Pakistani relatives of patient with schizophrenia. Isr J Psychiatry Relat Sci 2011;48:74–81.
  5. Tanaka S, Mino Y, Inoue S. Expressed emotion and the course of schizophrenia in Japan. Br J Psychiatry 1995;167(6):794–798. DOI: 10.1192/bjp.167.6.794
  6. Nirmala BP, Vranda MN, Reddy S. Expressed emotion and caregiver burden in patients with schizophrenia. J Psychiatr Res 2011; 33(2):119–122. DOI: 10.4103/0253-7176.92052
  7. Overall JE, Gorham DR. The brief psychiatric rating scale. Psychol Rep. 1962;(3):799–812. DOI: 10.2466/pr0.1962.10.3.799
  8. Kavanagh DJ, O’Halloran P, Manicavasagar V, et al. The family attitude scale: reliability and validity of a new scale for measuring the emotional climate of families. Psychiatry Res 1997;70(3):185–195. DOI: 10.1016/s0165-1781(97)00033-4
  9. Shields CG, Franks P, Harp JJ, et al. Development of the family emotional involement and critcism scale (FEICS): a self-report scale to measure expressed emotion. J Marital Fam Ther 1992;18(4):395–407. DOI: 10.1111/j.1752-0606.1992.tb00953.x
  10. Batra BS, Ghildiyal R, Saoji AM. Expressed emotions among caregivers of patients with mental illness: a descriptive study. J Dent Med Sci 2016;15:59–68. DOI: 10.9790/0853-1507125968
  11. Carra G, Montomoli C, Clerici M, et al. Family interventions for schizophrenia in Italy: randomized controlled trial. Eur Arch Psychiatry Clin Neurosci 2007;257(1):23–30. DOI: 10.1007/s00406-006-0677-z
  12. Sadiq S, Suhail K. Relationship of expressed emotion with burden of care and health of caregivers of patients with Schizophrenia. Pak J Soc Clin Psychol 2013;11:3–10.
  13. Marom S, Munitz H, Jones PB, et al. Expressed emotion: relevance to rehospitalization in schizophrenia over 7 years. Schizophr Bull 2005; 31(3):751–758. DOI: 10.1093/schbul/sbi016
  14. Devaramane V, Pai NB, Vella SL. The effect of a brief family intervention on primary carer's functioning and their schizophrenic relatives levels of psychopathology in India. Asian J Psychiatr. 2011;4(3):183–187. DOI: 10.1016/j.ajp.2011.06.004
  15. Moxon A, Ronan K. Providing information to relatives and patients about expressed emotion and schizophrenia in a community-support setting: a randomized, controlled trial. Clin Schizophr RelatPsychoses 2008;2(1):47–58.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.