Guilt proneness and expressed emotion in relatives of patients with schizophrenia or related psychoses
Abstract
Objective . Knowledge of what predicts relatives' expressed emotion (EE) may contribute to improved family work in schizophrenia. In the present study we examined guilt proneness as a determinant of EE components. Method . In a Norwegian sample of 46 recently hospitalized patients (schizophrenia or schizophreniform disorder) and 69 relatives, relatives' expressed emotion was assessed by means of the Camberwell Family Interview, and guilt proneness by means of the Revised Mosher Guilt Inventory (RMGI). Results . Confirmatory multiple regression analyses showed that hostility‐guilt (RMGI) was negatively related to high levels of criticism and hostility and, for men, positively related to emotional overinvolvement. There was a strong positive relationship between relatives' guilty conscience (RMGI) and emotional overinvolvement if the patient had a diagnosis of schizophrenia. Conclusions . Our analyses indicate that relatives’ guilt proneness may be a determinant of their criticism, hostility and emotional overinvolvement towards a schizophrenic family member. This personality trait should be taken into account in family work which aims at modifying relatives’ expressed emotion.
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In overinvolved relationships, carers focus on the caring role to the exclusion of other roles such as work or leisure.
“Focus on caring role to the exclusion of other roles such as work or leisure”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [64]
In overinvolved relationships, carers try to control the situation.
“Tries to control situation”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [64]
In overinvolved relationships, carers lose their social network.
“Loss of social network”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [64]
Overinvolved relationships are associated with high expressed emotion and high negative impact of care.
“High EOI, high negative impact of care”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [64]
In overinvolved relationships, carers experience worry, stress, anxiety, depression and guilt.
“Worried, stressed, anxious, feels depressed and guilty”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [64]
In overinvolved relationships, carers cope by doing everything for the service user.
“Copes by trying to do everything for the service user”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [64]
In overinvolved relationships, carers become exhausted.
“Carer exhausted”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [64]
In overinvolved relationships, services are not seen as helpful because they do not get involved enough.
“Services not seen as helpful as they do not get involved enough”
From Cognitive model of caregiving in psychosis (2010) · cites this paper as [64]
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- Authors
- Bentsen, H., Notland, T. H., Munkvold, O., Boye, B., Ulstein, I., Bjørge, H., Uren, G., Lersbryggen, A. B., Oskarsson, K. H., Berg‐Larsen, R., Lingjærde, O., & Malt, U. F.
- Affiliations
- University of Oslo (NO)
- Corresponding author
- Bentsen, Håvard
- Venue
- British Journal of Medical Psychology
- Publisher
- Wiley
- Published
- 1998-06
- Volume
- 71
- Issue
- 2
- Pages
- 125-138
- ISSN
- 0007-1129 (ISSN-L)
- OpenAlex
- W2034265382
- Cited by
- 35
- References
- 43
- Citations by year
- 2021: 1 · 2020: 1 · 2019: 1 · 2017: 3 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Medical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- guilt proneness, expressed emotion, relatives of schizophrenic patients, schizophrenia, family responsibilities, criticism, hostility, emotional overinvolvement, Camberwell Family Interview
- MeSH terms
- Adolescent, Adult, Defense Mechanisms, Family, Family Therapy, Female, Guilt, Hostility, Humans, Male, Norway, Personality Inventory, Psychotic Disorders, Recurrence, Schizophrenia, Schizophrenic Psychology, Expressed Emotion
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