Expressed Emotion in Staff Working with the Long-Term Adult Mentally Ill.
Abstract
Staff-patient relationships in long-term settings were examined in 35 staff and 61 patients. Measures were also taken of the staff's general health, their coping style in relation to work events, and job satisfaction. A range of ratings of EE was evident in staff descriptions of patients under their care. Strain and criticism in the relationship were not associated with identified stressors in the workplace, or the general health of the carer. When patients were grouped according to high-EE and low-EE interviews, there were no significant differences in their symptoms. Criticism was associated with other patient characteristics, including aggressive and attention-seeking behaviour, underactivity, and limited social interaction. The findings have implications for staff training and for the maintenance of optimal staff-patient relationships in services supporting severely disabled patients.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Clients with serious mental health difficulties may be perceived as troublesome, hard to understand, and difficult to help, and these perceptions may make mental health workers feel demotivated and burnt out.
“Clients with serious mental health difficulties may be perceived as troublesome, hard to understand and difficult to help and these perceptions may make MHWs feel demotivated [88] and burnt out [89].”
From Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda (2024) · cites this paper as [89]
Cites
The detection of psychiatric illness by questionnaire
Levy, R. (1973) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(73)90039-1 · Cited by 2,707 · see citing works
Book Review: Measurement and Classification of Psychiatric Symptoms
Priest, R. G. (1975) · Proceedings of the Royal Society of Medicine · doi:10.1177/003591577506800751 · Cited by 2,268 · see citing works
Measurement and classification of psychiatric symptoms
Goldberg, D. P. (1975) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(75)90076-8 · Cited by 2,194 · see citing works
The role of coping responses and social resources in attenuating the stress of life events
Billings, A., & Moos, R. (1981) · Journal of behavioral medicine · doi:10.1007/bf00844267 · Cited by 1,311 · see citing works
The Measurement of Expressed Emotion in the Families of Psychiatric Patients
Vaughn, C. E., & Leff, J. (1976) · British Journal of Social and Clinical Psychology · doi:10.1111/j.2044-8260.1976.tb00021.x · Cited by 1,039 · see citing works
Toward an understanding of the burnout phenomenon.
Jackson, S. E., Schwab, R. L., & Schüler, R. S. (1986) · Journal of Applied Psychology · doi:10.1037/0021-9010.71.4.630 · Cited by 988 · see citing works
Staff Burnout: Job Stress in the Human Services
Cherniss, C. (1980) · Cited by 817 · see citing works
Characteristics of Staff Burnout in Mental Health Settings
Pines, A. M., & Maslach, C. (1978) · Psychiatric Services · doi:10.1176/ps.29.4.233 · Cited by 701 · see citing works
(1985) · Cited by 592 · see citing works
Levels and sources of stress in medical students.
Firth, J. (1986) · BMJ · doi:10.1136/bmj.292.6529.1177 · Cited by 558 · see citing works
Fadden, G., Bebbington, P., & Kuipers, L. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.150.3.285 · Cited by 419 · see citing works
Leff, J., Kuipers, L., Berkowitz, R., & Sturgeon, D. (1985) · The British Journal of Psychiatry · doi:10.1192/bjp.146.6.594 · Cited by 399 · see citing works
Wykes, T., & Sturt, E. (1986) · The British Journal of Psychiatry · doi:10.1192/bjp.148.1.1 · Cited by 371 · see citing works
Cognitive Behaviour Therapy for Psychiatric Problems
(2015) · Oxford University Press eBooks · doi:10.1093/med:psych/9780192615879.001.0001 · Cited by 328 · see citing works
The concept of a ‘case’ in psychiatric population surveys
Wing, J. K., Mann, S. A., Leff, J., & Nixon, J. M. (1978) · Psychological Medicine · doi:10.1017/s0033291700014264 · Cited by 265 · see citing works
An Increase in Violence on an Acute Psychiatric Ward
James, D., Fineberg, N. A., Shah, A. K., et al. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.156.6.846 · Cited by 238 · see citing works
Understanding Major Mental Disorder: The Contribution of Family Interaction Research
Borduin, C. M., & Blaske, D. M. (1988) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1988.42.3.493 · Cited by 223 · see citing works
Expressed emotion and patient-relative interaction in families of recent onset schizophrenics.
Hahlweg, K., Goldstein, M. J., Nuechterlein, K. H., Magana-Amato, A., Mintz, J., Doane, J. A., Miklowitz, D. J., & Snyder, K. S. (1989) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.57.1.11 · Cited by 177 · see citing works
Theory and practice of psychiatric rehabilitation
Watts, F., & Bennett, D. (1983) · Wiley eBooks · Cited by 156 · see citing works
Mann, S. A., & Cree, W. (1977) · Psychological Medicine · doi:10.1017/s0033291700018249 · Cited by 155 · see citing works
Expressed emotion and patient-relative interaction in families of recent onset schizophrenics.
Hahlweg, K., Goldstein, M. J., Nuechterlein, K. H., et al. (1989) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.57.1.11 · Cited by 140 · see citing works
The prevalence of minor psychiatric morbidity in the community
Finlay‐Jones, R., & Burvill, P. W. (1977) · Psychological Medicine · doi:10.1017/s0033291700004463 · Cited by 135 · 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
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
The concept of case management for long-term mental illness
Thornicroft, G. (1991) · International Review of Psychiatry · doi:10.3109/09540269109067527 · Cited by 107 · see citing works
Is Expressed Emotion an Index of a Transactional Process? I. Parents' Affective Style
Miklowitz, D. J., Goldstein, M. J., Doane, J. A., Nuechterlein, K. H., STRACHAN, A. M., Snyder, K. S., & Magana-Amato, A. (1989) · Family Process · doi:10.1111/j.1545-5300.1989.00153.x · Cited by 103 · see citing works
The nature and origins of expressed emotion.
Hooley, J. M. (1987) · Cited by 98 · see citing works
Daughters of People with Dementia Expressed Emotion, Strain and Coping
Bledin, K., MacCarthy, B., Kuipers, L., & Woods, B. T. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.157.2.221 · Cited by 94 · see citing works
Handbook of Psychiatric Rehabilitation Practice
Goldberg, D. (1982) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.45.5.480-a · Cited by 78 · see citing works
Determinants of Staff Behaviour in Long-term Care
Woods, P. A., & Cullen, C. (1983) · Behavioural Psychotherapy · doi:10.1017/s0141347300008776 · Cited by 65 · see citing works
A new unit for long-stay psychiatric patients: organization, attitudes and quality of care
Garety, P. A., & Morris, I. (1984) · Psychological Medicine · doi:10.1017/s0033291700003196 · Cited by 62 · see citing works
Jackson, H. J., Smith, N., & McGorry, P. D. (1990) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1990.tb03060.x · Cited by 51 · see citing works
The Concept of Negative Symptoms
Wing, J. K. (1989) · The British Journal of Psychiatry · doi:10.1192/s000712500029140x · Cited by 47 · see citing works
New developments in clinical psychology
Fraser, D. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90108-7 · Cited by 46 · see citing works
Towards a psychology of caring*
Hall, J. (1990) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1990.tb00863.x · Cited by 35 · see citing works
Community psychiatry—the principles
Turner, T. H. (1992) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(92)90013-r · Cited by 33 · see citing works
Stress and Contradiction in Psychiatric Nursing
Handy, J. A. (1991) · Human Relations · doi:10.1177/001872679104400103 · Cited by 32 · see citing works
Adult clinical problems : a cognitive-behavioural approach
Dryden, W., & Rentoul, R. R. (1991) · Routledge eBooks · Cited by 23 · see citing works
Brewin, C. R., Veltro, F., Wing, J. K., et al. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.157.5.671 · Cited by 23 · see citing works
O’Driscoll, C., Marshall, J., & Reed, J. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.157.5.694 · Cited by 22 · see citing works
Working in partnership : clinicians and carers in the management of longstanding mental illness
Kuipers, L., & Bebbington, P. (1990) · UCL Discovery (University College London) · Cited by 21 · see citing works
Community psychiatric services in England and Finland
Salokangas, R. K. R., Der, G., & Wing, J. K. (1985) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00595045 · Cited by 21 · see citing works
The management of schizophrenic patients: the nurses'view
BerkowitZ, R., & Heinl, P. (1984) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1984.tb00340.x · Cited by 20 · see citing works
Nichols, K. A. (1985) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1985.tb02640.x · Cited by 18 · see citing works
Strategies for the management of severe psychiatric illness in the community
Isaacs, A. D., & Bebbington, P. (1991) · International Review of Psychiatry · doi:10.3109/09540269109067522 · Cited by 8 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- Goldberg, 1978, Manual of the General Health Questionnaire.
- Herzog, 1992, Family Intervention in Schizophrenia: Experiences and Orientations in Europe
- Watts S. (1988) A descriptive investigation of the incidence of high expressed emotion in staff working with schizophrenic patients in a hospital setting. Unpublished dissertation for the Diploma in Clinical Psychology, the British Psychological Society, Leicester.
- 1990, Statistics Version 4.0.
- Creer, 1982, Long Term Community Care. Psychological Medicine, Monograph Supplement 2, 29
Cited by
Sorted by citations
Expressed Emotion and Relapse of Psychopathology
Hooley, J. M. (2007) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.2.022305.095236 · Cited by 499 · see citing works
A review of expressed emotion research in health care
Wearden, A. J., Tarrier, N., Barrowclough, C., Zastowny, T. R., & Rahill, A. A. (2000) · Clinical Psychology Review · doi:10.1016/s0272-7358(99)00008-2 · Cited by 368 · see citing works
Attitudes Toward Antipsychotic Medication
Day, J. C., Bentall, R. P., Roberts, C., Randall, F., Rogers, A. E., Cattell, D., Healy, D., Rae, P., & Power, C. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.7.717 · Cited by 360 · see citing works
“This is a 20-item scale that is based on research showing associations between the expressed emotion of ward staff and patient outcomes.(37) It measures patients’ perceptions of relationships with staff and is scored in 3 subscales that were derived by factor analysis: supportiveness, intrusiveness, and criticism.”
A scientific agenda for the concept of recovery as it applies to schizophrenia
Silverstein, S. M., & Bellack, A. S. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.03.004 · Cited by 329 · see citing works
Does training in psychosocial interventions reduce burnout rates in forensic nurses?
Ewers, P., Bradshaw, T., McGovern, J., & Ewers, B. (2002) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2002.02115.x · Cited by 160 · see citing works
Mothers’ expressed emotion towards children with and without intellectual disabilities
Beck, A., Daley, D., Hastings, R. P., & Stevenson, J. (2004) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2003.00564.x · Cited by 151 · see citing works
Relation Between Burnout Syndrome and Job Satisfaction Among Mental Health Workers
Ogresta, J., Rusac, S., & Zorec, L. (2008) · Croatian Medical Journal · doi:10.3325/cmj.2008.3.364 · Cited by 128 · see citing works
Impact of Training Dementia Caregivers in Sensitivity to Nonverbal Emotion Signals
Magai, C., Gomberg, D., & Cohen, C. I. (2002) · International Psychogeriatrics · doi:10.1017/s1041610202008256 · Cited by 117 · see citing works
Mental Health Team Leadership and Consumers' Satisfaction and Quality of Life
Corrigan, P. W., Lickey, S. E., Campion, J., & Rashid, F. (2000) · Psychiatric Services · doi:10.1176/appi.ps.51.6.781 · Cited by 100 · see citing works
Hastings, R. P. (2004) · Educational Psychology · doi:10.1080/0144341042000301166 · Cited by 97 · see citing works
DENNIS, A. M., & LEACH, C. (2007) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2007.01073.x · Cited by 92 · see citing works
Family burden in schizophrenia: implications for services
Kuipers, L. (1993) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00788738 · Cited by 86 · see citing works
“Hostels function like homes, so it is not surprising that the staff in them can have attitudes similar to those of relatives (Ball et al. 1992; Moore et al. 1992).”
BackgroundThe clinical utility of expressed emotion in schizophrenia
Bebbington, P., & Kuipers, L. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb05865.x · Cited by 86 · see citing works
Expressed Emotion in community care staff
Ball, R. A., Moore, E., & Kuipers, L. (1992) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00788954 · Cited by 78 · see citing works
“In a previous study ( Moore et al. 1991 ) we found that the turnover of hostel staff was considerably lower than that in a day hospital setting and in-patient unit.”
BackgroundMethodSelf-citationResidential Care in Hospital and in the Community – Quality of Care and Quality of Life
Shepherd, G., Muijen, M., Dean, R., et al. (1996) · The British Journal of Psychiatry · doi:10.1192/bjp.168.4.448 · Cited by 75 · see citing works
Berry, K., Barrowclough, C., & Wearden, A. J. (2008) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465808005018 · Cited by 73 · see citing works
Berry, K., Barrowclough, C., & Haddock, G. (2010) · Schizophrenia Bulletin · doi:10.1093/schbul/sbp162 · Cited by 70 · see citing works
“In line with research with relatives,(3) there is, however, more consistent evidence of a positive association between EE and a poorer level of social functioning or negative symptoms.(11,14,21,23,24,29,42) The high level of disengagement of these patients may be a key factor in evoking criticism in staff.”
BackgroundResultInfluentialBrief Report: Job Satisfaction Among Mental Health Professionals in Rome, Italy
Gigantesco, A., Picardi, A., Chiaia, E., Balbi, A., & Morosini, P. (2003) · Community Mental Health Journal · doi:10.1023/a:1024076209376 · Cited by 63 · see citing works
Expressed emotion and schizophrenia: the efficacy of a staff training programme
Willetts, L., & Leff, J. (1997) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1997.00738.x · Cited by 62 · see citing works
Stress and Its Relationship to Expressed Emotion in Community Mental Health Workers
Oliver, N., & Kuipers, E. (1996) · International Journal of Social Psychiatry · doi:10.1177/002076409604200209 · Cited by 62 · see citing works
Expressed Emotion: Toward Clarification of a Critical Construct
Hooley, J. M., Rosen, L. R., & Richters, J. E. (1995) · Series in psychopathology · doi:10.1007/978-1-4612-4234-5_3 · Cited by 62 · see citing works
Barrowclough, C., Haddock, G., Lowens, I., Connor, A., Pidliswyj, J., & Tracey, N. (2001) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a006892 · Cited by 58 · see citing works
“However, a number of studies have shown that high-EE attitudes may be evident in staff working with people who have long-term mental illness (Watts 1988; Moore et al. 1992; Snyder et al. 1994; Siol and Stark 1995; Oliver and Kuipers 1996; Willets and Leff 1997; Moore and Kuipers 1999; Tattan and Tarrier 1999).”
BackgroundStaff-patient relationships in the care of the long-term adult mentally ill
Moore, E., Kuipers, L., & Ball, R. A. (1992) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00788953 · Cited by 55 · see citing works
Self-citationPatterson, P. H., Birchwood, M. J., & Cochrane, R. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/000486700243 · Cited by 56 · see citing works
Expressed emotion and psychiatric illness: From empirical data to clinical practice
Holley, J. M. (1998) · Behavior Therapy · doi:10.1016/s0005-7894(98)80022-1 · Cited by 45 · see citing works
Psychiatric rehabilitation and staff development: Educational and organizational models
Corrigan, P. W., & McCracken, S. G. (1995) · Clinical Psychology Review · doi:10.1016/0272-7358(95)00044-5 · Cited by 43 · see citing works
The Management of Difficult to Treat Patients with Schizophrenia, Using Non-drug Therapies
Kuipers, E. (1996) · The British Journal of Psychiatry · doi:10.1192/s0007125000298607 · Cited by 42 · see citing works
Intimacy as a determinant of expressed emotion in carers of people with Alzheimer's disease
Fearon, M., Donaldson, C., Burns, A. S., & Tarrier, N. (1998) · Psychological Medicine · doi:10.1017/s0033291798007156 · Cited by 40 · see citing works
“about one residential patient and low EE when talking about another (Moore et al. 1992).”
BackgroundThe ‘ward-in-a-house’: Residential care for the severely disabled
Shepherd, G. (1995) · Community Mental Health Journal · doi:10.1007/bf02188980 · Cited by 39 · see citing works
“Research on the interaction between family carers and patients with schizophrenia suggests that an absence of critical and ~overinvolved' relationships may be particularly beneficial for patients who are resident in family homes (Kuipers and Bebbington, 1988) and there is now also some preliminary evidence that these…”
BackgroundBehavioural correlates of expressed emotion in staff-patient interactions
Moore, E. N., & Kuipers, L. (1992) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00788902 · Cited by 38 · see citing works
Self-citationZijlmans, L. J. M., Embregts, P. J. C. M., Bosman, A. M. T., & Willems, A. P. A. M. (2012) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2012.03.022 · Cited by 37 · see citing works
Willems, A. P. A. M., Embregts, P. J. C. M., Stams, G. J. J. M., & Moonen, X. (2009) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2009.01226.x · Cited by 36 · see citing works
Maximizing the synergy between pharmacotherapy and psychosocial therapies for schizophrenia
Lauriello, J., Lenroot, R., & Bustillo, J. (2003) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(02)00017-5 · Cited by 35 · see citing works
“Further research on expressed emotion has shown that it is significant in many other psychiatric and nonpsychiatric illnesses besides schizophrenia [32] and that it is not specific to the family environment but can be a factor in patient outcome in multiple care settings [33,34], social groups, or consistently stressf…”
BackgroundExpressed emotion on long‐stay wards
Finnema, E., Louwerens, J. W. K., Slooff, C. J., et al. (1996) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1996.02146.x · Cited by 34 · see citing works
Schizophrenia and Psychosocial Stresses
Bebbington, P., & Kuipers, E. (2003) · Wiley eBooks · doi:10.1002/9780470987353.ch31 · Cited by 33 · see citing works
Treatment-Resistant Schizophrenia and Staff Rejection
Heresco‐Levy, U., Ermilov, M., Giltsinsky, B., et al. (1999) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033393 · Cited by 32 · see citing works
Expressed emotion in staff-patient relationships: the professionals' and residents' perspectives
Humbeeck, G. V., Audenhove, C. V., Pieters, G., Hert, M. D., Storms, G., Vertommen, H., Peuskens, J., & Heyrman, J. (2001) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270170013 · Cited by 30 · see citing works
“Critical remarks were most frequently related to the negative symptoms and socially embarrassing behavior and not to positive symptomatology (Moore et al. 1992; Oliver and Kuipers 1996).”
BackgroundMethodKatsuki, F., Goto, M., & Someya, T. (2005) · International Journal of Mental Health Nursing · doi:10.1111/j.1440-0979.2005.00391.x · Cited by 28 · see citing works
Expressed Emotion and Staff-Client Relationships
Kuipers, E., & Moore, E. (1995) · International Journal of Mental Health · doi:10.1080/00207411.1995.11449316 · Cited by 27 · see citing works
Self-citationHumbeeck, G. V., Audenhove, C. V., Pieters, G., Hert, M. A. F. D., Storms, G., Vertommen, H., Peuskens, J., & Heyrman, J. (2002) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-002-0565-4 · Cited by 24 · see citing works
“During the CFI, the professional caregivers gave a total of 145 critical comments (mean 2.59, SD 2.81, range 0–11).”
BackgroundMethodResultInfluentialMigone, P. (1995) · Contemporary Psychoanalysis · doi:10.1080/00107530.1995.10746929 · Cited by 24 · see citing works
Expressed Emotion in the Relatives of People with Epileptic or Nonepileptic Seizures
Stanhope, N., Goldstein, L. H., & Kuipers, E. (2003) · Epilepsia · doi:10.1046/j.1528-1157.2003.09503.x · Cited by 22 · see citing works
Is mental health work psychologically hazardous for staff? A critical review of the literature
Walsh, S. (2001) · Journal of Mental Health · doi:10.1080/09638230123742 · Cited by 23 · see citing works
The relationship of case managers’ expressed emotion to clients’ outcomes
Solomon, P., Alexander, L. B., & Uhl, S. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0051-3 · Cited by 21 · see citing works
“Pilot studies, all of them carried out in Europe, have reported high EE levels among a range of different staff who work with persons with severe mental illness, including nurses [31]; day hospital staff [30]; and nonprofessional staff in sheltered living facilities [47] inpatient settings, particularly high security…”
BackgroundArthur, D. G. (2002) · International Journal of Mental Health Nursing · doi:10.1046/j.1440-0979.2002.00247.x · Cited by 18 · see citing works
Patterson, P. H., Birchwood, M. J., & Cochrane, R. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/000486740003401s29 · Cited by 18 · see citing works
Kuipers, L. (1992) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00788948 · Cited by 18 · see citing works
“Dealing with long-term patients is extremely skilled work that requires not only proper training but also continuing support for staff to maintain morale and a sense of achievement (Moore et al. 1992).”
BackgroundInfluentialThe perceived expressed emotion in staff scale
Forster, J., Finlayson, S., Bentall, R. P., DAY, J., RANDALL, F., WOOD, P., Reid, D., Rogers, A. E., & Healy, D. (2003) · Journal of Psychiatric and Mental Health Nursing · doi:10.1046/j.1365-2850.2003.00529.x · Cited by 17 · see citing works
The measurement of expressed emotion: Its influence on research and clinical practice
Kuipers, L. (1994) · International Review of Psychiatry · doi:10.3109/09540269409023258 · Cited by 14 · see citing works
Expressed emotion of professionals towards mental health patients
Humbeeck, G. V., & Audenhove, C. V. (2003) · Epidemiology and Psychiatric Sciences · doi:10.1017/s1121189x00003043 · Cited by 14 · see citing works
“…(Ball et al, 1992; Barrowclough et al., 2001; Cottle et al., 1995; Finnema et al, 1996; Hansen et al, 1991; Moore & Kuipers, 1992, 1999; Moore et al, 1992a; Oliver & Kuipers, 1996; Sabarese, 1999; Snyder et al, 1994; Stark & Siol, 1994; Tattan & Tarrier, 2000; Van Humbeeck et al, 2001;…”
BackgroundInfluentialCaseload factors and the psychological well-being of community mental health staff
Walsh, S., & Walsh, S. (2002) · Journal of Mental Health · doi:10.1080/096382301200041470 · Cited by 14 · see citing works
Senn, V., Kendal, R., & Trieman, N. (1997) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00805435 · Cited by 13 · see citing works
Mental health, burnout and job satisfaction among professionals in sheltered living in Flanders
Humbeeck, G. V., Audenhove, C. V., & Declercq, A. (2004) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-004-0784-y · Cited by 11 · see citing works
Patterson, P. H., Birchwood, M. J., & Cochrane, R. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1046/j.1440-1614.2000.00796.x · Cited by 11 · see citing works
Expressed emotion in professional relationships
Audenhove, C. V., & Humbeeck, G. V. (2003) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000079206.36371.60 · Cited by 10 · see citing works
Expressed Emotion in the Client-Professional Dyad
Humbeeck, G. V., Audenhove, C. V., Storms, G., Hert, M. D., Pieters, G., Vertommen, H., Peuskens, J., & Heyrman, J. (2004) · European Journal of Psychological Assessment · doi:10.1027/1015-5759.20.4.237 · Cited by 9 · see citing works
Katsuki, F., Fukui, S., Niekawa, N., et al. (2008) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2008.01803.x · Cited by 8 · see citing works
Causes and psychosocial consequences of schizophrenia: the opinions of Mental Health services' staff
Magliano, L., Rosa, C. D., Guarneri, M., Cozzolino, P., Malangone, C., Marasco, C., Fiorillo, A., Maj, M., & di Lavoro, G. (2002) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00010137 · Cited by 8 · see citing works
“…e conseguenze psicosociali della schizofrenia: le opinioni degli operatori dei SSM zioni Espresse (EE) dallo staff nei confronti dei pazienti (Moore et al., 1992 a, b; Willets & Leff, 1997; Moore & Kuipers, 1992; 1999), riportano che gli atteggiamenti degli operatori sono influenzati da…”
BackgroundMeasuring Perceived Expressed Emotion of Elderly with Schizophrenia
Fan, B. W. S. (2014) · International Journal of Mental Health · doi:10.2753/imh0020-7411430201 · Cited by 7 · see citing works
“the only difference is that staffs are less vulnerable to emotional overinvolvement toward patients [2, 3].”
BackgroundFamily intervention in psychosis: who needs it?
Kuipers, E., Bebbington, P., Pilling, S., & Orbach, G. (1999) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00008034 · Cited by 7 · see citing works
“Staff in direct interaction with clients showed more (benign) criticism and were less supportive if they had been rated as high on EE (Moore et al., 1992b).”
BackgroundViolence Against Others by Psychiatric Hospital Inpatients with Psychosis
Taylor, P. J., & Schanda, H. (2000) · Springer eBooks · doi:10.1007/978-94-011-4130-7_14 · Cited by 7 · see citing works
Los programas residenciales para personas con trastorno mental severo. Revisión y propuestas
Álvarez, M. L., Palma, L. L., Cuetos, M. L., Portes, L. F., de la Cruz, P. G.-C., & Pardo, A. L. (2004) · Cited by 6 · see citing works
May, H., Millar, J., Griffith, E., Gillmore, C., Kristoffersen, M., Robinson, R., & West, M. (2024) · PLoS ONE · doi:10.1371/journal.pone.0306757 · Cited by 5 · see citing works
dos Santos, A. M., Cardoso, D. A. J., Vieira, D. P. B., et al. (2012) · Revista Baiana Saúde Pública · doi:10.22278/2318-2660.2011.v35.n4.a256 · Cited by 5 · see citing works
“Um turno 22 (37,3) 3,00±0,68 2,90±0,80 2,69±0,73 3,38±0,74 2,91±0,60”
InfluentialCharacteristics of schizophrenia residents and staff rejection in community mental health hostels.
Levy, E., Shefler, G., Loewenthal, U., et al. (2005) · PubMed · Cited by 5 · see citing works
van Oorsouw, W. M. W. J., Embregts, P. J. C. M., & Sohier, J. (2011) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2011.07.019 · Cited by 5 · see citing works
Therapists and Parents Interacting with Schizophrenic Patients
Siol, T., & Stark, F. ‐. (1995) · International Journal of Mental Health · doi:10.1080/00207411.1995.11449315 · Cited by 5 · see citing works
Psychosocial Interventions in Institutional Settings
McKeown, M., McCann, G., & Forster, J. (2002) · doi:10.1007/978-1-4039-3759-9_16 · Cited by 3 · see citing works
Ferentinos, P. P., Douki, S., Kourkouni, Ε., Dragoumi, D., Smyrnis, N., & Douzenis, A. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1322809 · Cited by 2 · see citing works
“…work experience (30), lower education and lower personality openness (31), higher emotional burnout (32, 33), more time spent with patients (31, 34), causal attributions of disease to personal, internal, and controllable factors (35), and higher patients ’ age and disease duration (31), poor…”
BackgroundFerentinos, P. P., Douki, S., Yotsidi, V., Kourkouni, Ε., Dragoumi, D., Smyrnis, N., & Douzenis, A. (2024) · Healthcare · doi:10.3390/healthcare12030375 · Cited by 2 · see citing works
“Therefore, our study highlights pathways potentially underlying EE differences between halfway houses and families; future comparative studies should investigate additional patient and caregiver characteristics as mediators of EE differences across settings.”
BackgroundHappy families: expressed emotions and team dynamics
Whittaker, D., & Stickley, T. (2003) · Mental Health Practice · doi:10.7748/mhp.6.6.34.s23 · Cited by 2 · see citing works
Salameh, N. (2022) · Psychotherapy and Counselling Journal of Australia · doi:10.59158/001c.71210 · Cited by 1 · see citing works
Editorial Expressed Emotion in 1991
Kuipers, L. (1992) · Cited by 1 · see citing works
精神科看護師に対するストレスマネジメント・エンパワメントプログラムの効果 : 予備研究報告
香月, 富., & 真小代, 門. (2011) · 日本精神保健看護学会誌 · doi:10.20719/japmhn.kj00007476747
Pradas, F. B. (2005) · TDX (Tesis Doctorals en Xarxa)
Kinderman, P., Cooke, A., Bentall, R. P., Boyle, M., Chadwick, P., Garety, P. A., Gelsthorpe, S., Goodwin, A. M., Johnstone, L., Kuipers, E., et al. (2000)
and quality of life Residential care in hospital and in the community--quality of care
Shepherd, G., Muijen, M., Dean, R., et al. (2011)
Marudkar, M. (2007) · Figshare
Cole, R. (1998) · UCL Discovery (University College London)
(2013) · CRC Press eBooks · doi:10.1201/b15462-35
(2005) · Wiley eBooks · doi:10.1002/9780470713303.biblio
Pastryk, T. (2022) · Ukrainian Psychological Journal · doi:10.17721/upj.2022.1(17).6
Ferentinos, P. P., Douki, S., Kourkouni, Ε., Dragoumi, D., Smyrnis, N., & Douzenis, A. (2024) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-023-02609-7
Breneman, C. C. (2010) · D-Scholarship@Pitt (University of Pittsburgh)
- Authors
- Moore, E., Ball, R. A., & Kuipers, L.
- Affiliations
- Maudsley Hospital (GB)
- Corresponding author
- Kuipers, L.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1992-12
- Volume
- 161
- Issue
- 6
- Pages
- 802-808
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2116075620
- Semantic Scholar
- b2aef0c2753f613713df50e4674a35e36ea38a4a
- Cited by
- 85
- References
- 45
- Citations by year
- 2024: 4 · 2022: 2 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 6.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- expressed emotion, staff-patient relationship, long-term psychiatric care, severe mental illness, staff stress, coping styles, job satisfaction, employee health, criticism, aggression, attention seeking, social interaction, employee training
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Emotions, Female, Health Personnel, Health Status, Humans, Job Satisfaction, Long-Term Care, Male, Mental Health Services, Middle Aged, Professional-Patient Relations, Stress, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review