Levels of Expressed Emotion and Relapse in Depressed Patients

1986 ◽  
Vol 148 (6) ◽  
pp. 642-647 ◽  
Author(s):  
Jill M. Hooley ◽  
John Orley ◽  
John D. Teasdale
Keyword(s):  
Psychiatric Hospital ◽  
Predictive Validity ◽  
Expressed Emotion ◽  
Depressed Patients ◽  
Hospital Patients ◽  
The Relationship

The relationship between spouses' levels of expressed emotion (EE) and relapse was examined in a sample of 39 depressed psychiatric hospital patients. Over a nine-month follow-up, 59% of patients with high-EE spouses relapsed, although no patients living with low-EE spouses did so. The results replicate the association found by Vaughn & Left between EE and depression, and suggest that the EE construct has predictive validity in both schizophrenic and depressed populations.

Expressed emotion and early onset schizophrenia: a one year follow-up

1991 ◽  
Vol 21 (3) ◽  
pp. 675-685 ◽  
Author(s):  
John Stirling ◽  
Digby Tantam ◽  
Philip Thomas ◽  
David Newby ◽  
Linda Montague ◽  
...  
Keyword(s):  
Early Onset ◽  
Expressed Emotion ◽  
Acute Onset ◽  
Work Study ◽  
Early Onset Schizophrenia ◽  
Early Admission ◽  
Elapsed Time ◽  
One Year ◽  
The Relationship

SYNOPSISKey relatives of 33 first or early admission psychotic patients (mainly schizophrenics) were interviewed to determine household levels of expressed emotion (EE). The patients were followed up for 12 months from index admission, during which time 13 (39%) experienced psychotic relapse. There was no association between relapse rate and household EE, but correlations between individual components of EE and pre-morbid measures suggest that level of criticism may be related to less acute onset of index episode, greater elapsed time since first signs of illness, and poor adjustment in the realm of work/study. The results are discussed in the context of continuing uncertainties about the precise nature of the relationship between EE and relapse.

The Influence of Family Expressed Emotion on the Course of Schizophrenia in a Sample of Spanish Patients

1992 ◽  
Vol 161 (2) ◽  
pp. 217-222 ◽  
Author(s):  
I. Montero ◽  
M. Gómez-Beneyto ◽  
I. Ruiz ◽  
E. Puche ◽  
A. Adam
Keyword(s):  
Expressed Emotion ◽  
Schizophrenic Patients ◽  
The Relationship

A sample of 60 Spanish schizophrenic patients was studied to ascertain the relationship between their relatives' expressed emotion (EE) and relapse at follow-up. The relatives' EE and patients' relapse were operationalised following Leff & Vaughn's criteria. At nine months a significant association was not found between the relatives' EE and relapse, but this association became significant on reclassifying the relatives' EE scores after decreasing to four points the cut-off point for critical comments. At 24 months no association was found between EE and relapse. There was a tendency for patients who interrupted their medication or who did not work to relapse more frequently, particularly among the high-EE group.

Expressed emotion and schizophrenia: the ontogeny of EE during an 18-month follow-up

1993 ◽  
Vol 23 (3) ◽  
pp. 771-778 ◽  
Author(s):  
J. Stirling ◽  
D. Tantam ◽  
P. Thomas ◽  
D. Newby ◽  
L. Montague ◽  
...  
Keyword(s):  
Expressed Emotion ◽  
Psychiatric Morbidity ◽  
Index Admission ◽  
Initial Assessment ◽  
Early Admission ◽  
Psychiatric Status ◽  
The Relationship ◽  
Interim Period

SynopsisKey relatives of 30 first or early admission psychotic patients (mainly with a diagnosis of schizophrenia) were interviewed (for a second time) 18 months after participating in an initial assessment of expressed emotion (EE). The patients were followed up throughout the interim period, during which time 17 experienced a psychotic relapse. Although there continued to be a negligible association between initial EE rating (established during the index admission) and relapse, a significant association between EE rating at 18 months and psychiatric status of the patient during the follow-up period emerged. Results are discussed in the context of recent interactional theories of the relationship between household EE and psychiatric morbidity.

The Two-Year Predictive Validity of the Clifton Assessment Schedule and the Shortened Stockton Geriatric Rating Scale

1978 ◽  
Vol 133 (5) ◽  
pp. 457-460 ◽  
Author(s):  
A. H. Pattie ◽  
C. J. Gilleard
Keyword(s):  
Cognitive Impairment ◽  
Predictive Validity ◽  
Rating Scale ◽  
Unfavourable Outcome ◽  
Psychiatric Admissions ◽  
The Relationship

SummaryAssessment of cognitive and behavioural disability on 100 elderly psychiatric admissions was carried out by means of the Clifton Assessment Schedule and the Shortened Stockton Geriatric Rating Scale. The results provided useful predictive indices, confirming the relationship between cognitive impairment and unfavourable outcome at two-year follow up.

Follow-up of Rapists Treated in a Forensic Psychiatric Hospital

1998 ◽  
Vol 13 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Steven R. Clelland ◽  
Lea H. Studer ◽  
John R. Reddon
Keyword(s):  
Psychiatric Hospital ◽  
Sex Offender ◽  
Offender Treatment ◽  
Adult Women ◽  
Sex Offender Treatment ◽  
Hospital Patients ◽  
The Difference ◽  
Forensic Psychiatric ◽  
The Phoenix

Current research examining the effectiveness of sex offender treatment is encouraging, Despite this optimism, research focusing on men who sexually assault adult women is less optimistic. This study examines the preliminary results of 74 rapists admitted into the Phoenix program, a voluntary sex offender treatment program in a forensic psychiatric hospital. Patients were categorized according to whether they completed treatment or not Treated rapists (n = 36) reoffended at a substantially lower rate than untreated rapists who were assessed but not treated (n = 38). Statistically significant differences in reoffense rates were found for violent, nonsexual offenses as well as nonviolent, nonsexual offenses. Although nearly twice as many treatment noncompleters reoffended sexually, the difference between the two groups was not statistically significant. Mean follow-up time was well over four years for both groups. The implications of these findings are discussed.

Lithium Prophylaxis and Expressed Emotion

1989 ◽  
Vol 154 (3) ◽  
pp. 396-399 ◽  
Author(s):  
Stefan Priebe ◽  
Christiane Wildgrube ◽  
Bruno Müller-Oerlinghausen
Keyword(s):  
Expressed Emotion ◽  
Hospital Admissions ◽  
Lithium Treatment ◽  
Entire Period ◽  
Psychotic Symptoms ◽  
Course Of Illness ◽  
The Relationship

Expressed emotion (EE) in key relatives of 21 patients with bipolar affective or schizoaffective psychoses was assessed by the CFI. All patients had been on prophylactic lithium for at least three years and were without psychotic symptoms at interview. The relationship between relatives' EE status and patients' course of illness was studied both retrospectively and prospectively. Two critical remarks designated high EE. The relatives' EE status was not related to number of hospital admissions or to severity and length of recurrences if the entire period of lithium treatment is considered as a whole. However, patients living with high-EE relatives showed a significantly poorer response during the three years before interview, and an even poorer response in the nine-month follow-up.

The Effects of Discharge on Long-Stay Psychiatric Hospital Patients

1975 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Ron Barr ◽  
Gordon Parker
Keyword(s):  
Psychiatric Hospital ◽  
Total Sample ◽  
Hospital Patients ◽  
The Mean ◽  
Park Hospital

One hundred and forty long-stay patients discharged from Callan Park Hospital were followed up. All except nine were accounted for and 90 who were living outside hospital at the time of the study were interviewed. Thirty percent of the total sample were readmitted during the mean follow up period of 20.4 months. Most of those living outside hospital said that they were happier than when living in hospital. They formed a relatively homogeneous socio-economic group with the majority living in boarding houses and convalescent homes and being unemployed.

The Role of Maintenance Therapy and Relatives' Expressed Emotion in Relapse of Schizophrenia: A Two-Year Follow-up

1981 ◽  
Vol 139 (2) ◽  
pp. 102-104 ◽  
Author(s):  
Julian Leff ◽  
Christine Vaughn
Keyword(s):  
Maintenance Therapy ◽  
Protective Effect ◽  
Expressed Emotion ◽  
Prophylactic Effect ◽  
Follow Up Study ◽  
Hospital Patients ◽  
Discharge From Hospital ◽  
Significant Protective Effect

SummaryA two-year follow-up study was conducted, mainly from case notes, of patients who had originally taken part in a study of the influence of relatives' expressed emotion on schizophrenic relapse. It was found that in the two years following discharge from hospital patients from high expressed emotion homes had a significantly greater relapse rate than those from low expressed emotion homes.The prophylactic effect of maintenance drugs was no longer evident for patients from high expressed emotion homes at the two-year follow-up. By contrast, a significant protective effect of maintenance therapy emerged for patients from low expressed emotion homes.The interpretation of these findings is discussed.

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