Recent Developments in Expressed Emotion and Schizophrenia
Expressed emotion (EE) has substantial scientific support as a predictor of relapse of positive symptoms. The median relapse rate in a high-EE environment is 48%, compared with 21% in a low-EE environment. This effect does not seem to be due to confounding with other variables, but it is subject to...
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| Published in | British journal of psychiatry Vol. 160; no. 5; pp. 601 - 620 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
Cambridge, UK
Cambridge University Press
01.05.1992
RCP |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0007-1250 1472-1465 |
| DOI | 10.1192/bjp.160.5.601 |
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| Abstract | Expressed emotion (EE) has substantial scientific support as a predictor of relapse of positive symptoms. The median relapse rate in a high-EE environment is 48%, compared with 21% in a low-EE environment. This effect does not seem to be due to confounding with other variables, but it is subject to limitations in its scope of application. EE probably determines relapse through its effect on emotions and symptom control. A stress-vulnerability model of relapse is advanced that incorporates biological factors as well as cycles of mutual influence between symptomatic behaviour, life events, and EE. Aversive types of behaviour in patients and their relatives are seen as understandable reactions to stress that are moderated by social perceptions and coping skills. Families have made positive achievements, including the provision of non-invasive support. |
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| AbstractList | Expressed emotion (EE) has substantial scientific support as a predictor of relapse of positive symptoms. The median relapse rate in a high-EE environment is 48%, compared with 21% in a low-EE environment. This effect does not seem to be due to confounding with other variables, but it is subject to limitations in its scope of application. EE probably determines relapse through its effect on emotions and symptom control. A stress-vulnerability model of relapse is advanced that incorporates biological factors as well as cycles of mutual influence between symptomatic behaviour, life events, and EE. Aversive types of behaviour in patients and their relatives are seen as understandable reactions to stress that are moderated by social perceptions and coping skills. Families have made positive achievements, including the provision of non-invasive support. Expressed emotion (EE) has substantial scientific support as a predictor of relapse of positive symptoms. The median relapse rate in a high-EE environment is 48%, compared with 21% in a low-EE environment. This effect does not seem to be due to confounding with other variables, but it is subject to limitations in its scope of application. EE probably determines relapse through its effect on emotions and symptom control. A stress-vulnerability model of relapse is advanced that incorporates biological factors as well as cycles of mutual influence between symptomatic behaviour, life events, and EE. Aversive types of behaviour in patients and their relatives are seen as understandable reactions to stress that are moderated by social perceptions and coping skills. Families have made positive achievements, including the provision of non-invasive support.Expressed emotion (EE) has substantial scientific support as a predictor of relapse of positive symptoms. The median relapse rate in a high-EE environment is 48%, compared with 21% in a low-EE environment. This effect does not seem to be due to confounding with other variables, but it is subject to limitations in its scope of application. EE probably determines relapse through its effect on emotions and symptom control. A stress-vulnerability model of relapse is advanced that incorporates biological factors as well as cycles of mutual influence between symptomatic behaviour, life events, and EE. Aversive types of behaviour in patients and their relatives are seen as understandable reactions to stress that are moderated by social perceptions and coping skills. Families have made positive achievements, including the provision of non-invasive support. |
| Author | Kavanagh, David J. |
| Author_xml | – sequence: 1 givenname: David J. surname: Kavanagh fullname: Kavanagh, David J. organization: Department of Psychology, Building A16, University of Sydney, NSW 2006, Australia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/1591571$$D View this record in MEDLINE/PubMed |
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| Snippet | Expressed emotion (EE) has substantial scientific support as a predictor of relapse of positive symptoms. The median relapse rate in a high-EE environment is... |
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| SubjectTerms | Activities of Daily Living - psychology Aversive Child of Impaired Parents - psychology Coping strategies Emotions Expressed emotion Family - psychology Follow-Up Studies Humans Life events Mental disorders Non-invasive Psychiatric Status Rating Scales Relapse Review Article Risk Factors Schizophrenia Schizophrenia - genetics Schizophrenia - rehabilitation Schizophrenic Psychology Social Environment Social perception Social skills Social Support Vulnerability |
| Title | Recent Developments in Expressed Emotion and Schizophrenia |
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