Families coping with schizophrenia: coping styles, their origins and correlates
Abstract
Synopsis: An analysis of the coping styles adopted by relatives of schizophrenic patients has been identified by many reviewers as essential to an understanding of the complex interactions between patient and caregiver and to the origins of relatives' expressed emotion (EE). This study reports a taxonomy of coping behaviour derived from interviews with relatives of schizophrenic patients. It was found that relatives adopted broad styles of coping across all areas of patients' behaviour change. Relationships were uncovered between the styles and (a) relatives perceived control, burden and stress, (b) patients' social functioning, severity of behavioural disturbance and progress of the illness. It is suggested that advising relatives of changes in their coping styles in the course of family intervention must be tempered by an understanding of their origins in patients' behaviour. Further research is recommended to identify the coping styles associated with the high EE/low EE research classification.
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Influence of Family Life on the Course of Schizophrenic Disorders: A Replication
Brown, G. W., Birley, J. L. T., & Wing, J. K. (1972) · British Journal of Psychiatry · doi:10.1192/bjp.121.3.241 · Cited by 1,770 · see citing works
Birchwood, M., Smith, J., Cochrane, R., Wetton, S., & Copestake, S. (1990) · British Journal of Psychiatry · doi:10.1192/bjp.157.6.853 · Cited by 1,157 · see citing works
Self-citationHogarty, G. E. (1986) · Archives of General Psychiatry · doi:10.1001/archpsyc.1986.01800070019003 · Cited by 917 · see citing works
(1985) · Cited by 592 · see citing works
The Community Management of Schizophrenia
Tarrier, N., Barrowclough, C., Vaughn, C. E., Bamrah, J., Porceddu, K., Watts, S., & Freeman, H. L. (1988) · The British Journal of Psychiatry · doi:10.1192/bjp.153.4.532 · Cited by 465 · see citing works
Measuring the burden of psychiatric illness on the family: an evaluation of some rating scales
Platt, S. D. (1985) · Psychological Medicine · doi:10.1017/s0033291700023680 · Cited by 301 · see citing works
A self-rating scale of distress
Kellner, R., & SHEFFIELD, B. F. (1973) · Psychological Medicine · doi:10.1017/s0033291700046377 · Cited by 280 · see citing works
Attribution and expressed emotion in the relatives of patients with schizophrenia.
Brewin, C. R., MacCarthy, B., Duda, K., & Vaughn, C. E. (1991) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.100.4.546 · Cited by 222 · see citing works
Schizophrenic Patients and their Families a Survey in a Psychiatric service based on a DGH Unit
Gibbons, J., Horn, S. H., Powell, J. M., & GIBBONS, J. L. (1984) · The British Journal of Psychiatry · doi:10.1192/bjp.144.1.70 · Cited by 215 · see citing works
Smith, J., & Birchwood, M. J. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.150.5.645 · Cited by 172 · see citing works
Self-citationIV. Expressed Emotion and Relapse
Macmillan, J. F., Gold, A., Crow, T. J., Johnson, A. L., & Johnstone, E. C. (1986) · The British Journal of Psychiatry · doi:10.1192/bjp.148.2.133 · Cited by 165 · see citing works
Social functioning in schizophrenic patients
Barrowclough, C., & Tarrier, N. (1990) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00782739 · Cited by 129 · see citing works
Expressed emotion research in schizophrenia: theoretical and clinical implications
Kuipers, L., & Bebbington, P. (1988) · Psychological Medicine · doi:10.1017/s0033291700009831 · Cited by 128 · see citing works
Expressed emotion: from predictive index to clinical construct
Koenigsberg, H. W., & Handley, R. (1986) · American Journal of Psychiatry · doi:10.1176/ajp.143.11.1361 · Cited by 127 · see citing works
Treatment of schizophrenia : family assessment and intervention
Goldstein, M. J., Hand, I., & Hahlweg, K. (1986) · Springer eBooks · Cited by 123 · see citing works
Relatives and Patients as Partners in the Management of Schizophrenia
Smith, J., & Birchwood, M. J. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.156.5.654 · Cited by 112 · see citing works
Self-citationSocial Control and Expressed Emotion
Greenley, J. R. (1986) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198601000-00004 · Cited by 110 · see citing works
Expressed Emotion and First-Admission Schizophrenia
Barrelet, L., Ferrero, F., Szigethy, L., Giddey, C., & Pellizzer, G. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.156.3.357 · Cited by 97 · see citing works
Coping with Disorder in the Family
Orford, J. (2026) · Routledge eBooks · doi:10.4324/9781003799689 · Cited by 78 · see citing works
Expressed emotion: current status
Falloon, I. R. H. (1988) · Psychological Medicine · doi:10.1017/s0033291700007819 · Cited by 64 · see citing works
Cochrane, R. (1980) · Psychological Medicine · doi:10.1017/s0033291700039647 · Cited by 56 · see citing works
Self-citationRelatives as a Resource in the Management of Functional Illness
Kuipers, L., & Bebbington, P. (1985) · British Journal of Psychiatry · doi:10.1192/bjp.147.5.465 · Cited by 44 · see citing works
Review Article Controversial Issues and Growing Points in Research On Relatives' Expressed Emotion
Leff, J. (1989) · International Journal of Social Psychiatry · doi:10.1177/002076408903500201 · Cited by 38 · see citing works
Family and Social Factors in the Course of Schizophrenia
Leff, J., & Brown, G. W. (1977) · The British Journal of Psychiatry · doi:10.1192/bjp.130.4.417 · Cited by 15 · see citing works
ECT for Depression in Dementia
Benbow, S. (1988) · The British Journal of Psychiatry · doi:10.1192/bjp.152.6.859a · Cited by 15 · see citing works
Effect of Treating the Family to Reduce Relapse in Schizophrenia: A Review
Tarrier, N. (1989) · Journal of the Royal Society of Medicine · doi:10.1177/014107688908200717 · Cited by 13 · see citing works
Expressed Emotion and First Episodes of Schizophrenia
Birchwood, M. J., & Smith, J. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.151.6.859 · Cited by 12 · see citing works
Self-citationFamily coping behaviour and the course and outcome of schizophrenia : a two year follow-up study.
Birchwood, M. J. (1983) · OpenGrey (Institut de l'Information Scientifique et Technique) · Cited by 9 · see citing works
Self-citation
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Cognitive model of caregiving in psychosis
Kuipers, E., Onwumere, J., & Bebbington, P. (2010) · British Journal of Psychiatry · doi:10.1192/bjp.bp.109.070466 · Cited by 225 · see citing works
Barrowclough, C., & Parle, M. (1997) · British Journal of Psychiatry · doi:10.1192/bjp.171.1.26 · Cited by 133 · see citing works
Coping strategies in relatives of people with schizophrenia before and after psychiatric admission
Scazufca, M., & Kuipers, E. (1999) · British Journal of Psychiatry · doi:10.1192/bjp.174.2.154 · Cited by 121 · see citing works
Expressed emotion as an adaptation to loss: Prospective study in first-episode psychosis
Patterson, P., Birchwood, M., & Cochrane, R. (2005) · British Journal of Psychiatry · doi:10.1192/bjp.187.48.s59 · Cited by 106 · see citing works
Self-citationThe effect of social network on burden and pessimism in relatives of patients with schizophrenia.
Magliano, L., National Mental Health Project Working Group, Fiorillo, A., Malangone, C., Marasco, C., Guarneri, M., & Maj, M. (2003) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.73.3.302 · Cited by 51 · see citing works
Caregiving types and psychosocial well-being of caregivers of people with mental illness in Finland.
Stengård, E. (2002) · Psychiatric Rehabilitation Journal · doi:10.2975/26.2002.154.164 · Cited by 30 · see citing works
- Authors
- Birchwood, M., & Cochrane, R.
- Affiliations
- University of Birmingham (GB)
- Corresponding author
- Birchwood, Max
- ORCID
- Birchwood, Max
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 1990-11
- Volume
- 20
- Issue
- 4
- Pages
- 857-865
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2036189048
- Cited by
- 125
- References
- 28
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 6 · 2013: 11 · 2012: 2
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- schizophrenia, family coping, relatives of schizophrenic patients, coping styles, expressed emotion, caregiver burden, perceived control, stress, social functioning, behavioral problems, family intervention, patient-caregiver interaction
- MeSH terms
- Adaptation, Psychological, Adult, Defense Mechanisms, Emotions, Family, Female, Home Nursing, Humans, Male, Personality Tests, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Social Adjustment
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