Family Expressed Emotion Prior to Onset of Psychosis
Abstract
This study compared components of expressed emotion (EE; rejection, warmth, protectiveness, and fusion) across three samples: two in which the subjects had an established schizophrenic or mood disorder, and a third in which the subjects were at high risk for an initial psychosis. Methods: Family members rated themselves on the Social Adjustment Scale‐III and, in the prodromal sample, estimated the duration of the prodrome. Results: Scores were all but identical in the two established‐disorder samples but were markedly higher than scores in the prodromal sample on all four factors. In mothers, warmth (decreasing), rejection, protectiveness, and fusion (increasing) were significantly correlated with duration of prodrome, whereas for fathers, warmth and protectiveness were similarly correlated. Conclusion: These data suggest that expressed emotion is largely reactive to deterioration manifested by the young person developing a psychotic disorder, rather than a trait of family members.
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Recovery after an initial episode is more rapid in those with positive relationships and family support.
“Recent studies have reported that recovery after an initial episode is more rapid in those with positive relationships and family support.1,34”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [1]
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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
Predicting marital happiness and stability from newlywed interactions
Gottman, J. M., Coan, J., Carrere, S., & Swanson, C. (1998) · Journal of Marriage and the Family · doi:10.2307/353438 · Cited by 1,121 · see citing works
Hooley, J. M., Gruber, S. A., Scott, L. A., Hiller, J. B., & Yurgelun-Todd, D. A. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.01.012 · Cited by 132 · see citing works
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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
Miklowitz, D. J., O’Brien, M. P., Schlosser, D. A., Addington, J., Candan, K. A., Marshall, C., Domingues, I., Walsh, B. C., Zinberg, J. L., De Silva, S. D., et al. (2014) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.04.020 · Cited by 200 · see citing works
Internet-Based Interventions for Psychosis
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Carers' attributions about positive events in psychosis relate to expressed emotion
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- Authors
- MCFARLANE, W. R., & COOK, W. L.
- Affiliations
- University of Vermont (US)
- Venue
- Family Process
- Publisher
- Wiley
- Published
- 2007-05-15
- Volume
- 46
- Issue
- 2
- Pages
- 185-197
- ISSN
- 0014-7370 (ISSN-L)
- 1545-5300
- OpenAlex
- W2151265919
- Cited by
- 119
- References
- 3
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 6 · 2017: 39 · 2016: 7 · 2015: 4 · 2014: 8 · 2013: 5 · 2012: 6
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Process (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01MH065367)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- expressed emotion, prodromal psychosis, schizophrenia, mood disorders, family caregiving, parental warmth, parental rejection, at-risk youth, mothers, fathers
- MeSH terms
- Adolescent, Adult, Child, Education, Family Relations, Family Therapy, Female, Hostility, Humans, Male, Maternal Behavior, Middle Aged, Paternal Behavior, Personality Assessment, Psychotherapy, Group, Rehabilitation, Vocational, Rejection, Psychology, Risk Factors, Schizophrenia, Schizophrenic Psychology, Schizotypal Personality Disorder, Social Support, Randomized Controlled Trials as Topic, Expressed Emotion
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