Determinants of expressed emotion in mothers of schizophrenia patients

King, Suzanne; Ricard, Nicole; Rochon, Vicky; Steiger, Howard; Nelis, Sharon M.

doi:10.1016/s0165-1781(03)00018-0

Cited by 33 publications

(19 citation statements)

References 39 publications

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“…It is also possible that more specific elements linked to the psychology of the fathers might then emerge as being implicated in their levels of EE. While studies along these lines are being conducted in the area of schizophrenia [80], it would likewise be valuable to explore these themes in AN.In addition, lower social status was associated with a significantly higher level of parental criticism [31]. This could be explained by insufficient knowledge about the disorders because of lesser access to appropriate care provision.…”

Section: Discussionmentioning

confidence: 99%

Expressed Emotion in Families of Patients with Eating Disorders: A Review of the Literature

Duclos

Vibert²,

Mattar³

et al. 2012

CPSR

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Section: Discussionmentioning

confidence: 99%

Expressed Emotion in Families of Patients with Eating Disorders: A Review of the Literature

Duclos

Vibert²,

Mattar³

et al. 2012

CPSR

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“…In those studies, an attribution model of EE (Brewin et al, 1991;Butzlaff and Hooley, 1998) was used and criticism and emotional over-involvement towards the patient were found the key components of EE. Higher levels of criticism were correlated with families' perceptions that patients' problem/behaviours are controllable by the patients themselves (Weisman et al, 1998), while more disturbed behaviour by a schizophrenic patient was perceived as the patient's failure to engage in productive activities King et al, 2003). As described by Leff and Vaughn (1985), emotional over-involvement reflects a set of feelings and behaviour of a family member towards the patient, indicating evidence of over-protectiveness or self-sacrifice, excessive displays of emotion with the use of praise or blame, preconceptions and statements of attitude.…”

Section: Literature Reviewmentioning

confidence: 98%

Further validation of the Chinese version of the Level of Expressed Emotion Scale for research and clinical use

Chien

Chan

2010

International Journal of Nursing Studies

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Background: Expressed emotion is a construct that has been used for the past three decades to describe family members' criticism, hostility and emotional involvement with a mentally ill relative within the context of family interactions and care-giving. In Western countries this construct is used as an outcome measure of interventions for families of people with schizophrenia or other psychotic disorders, but the use of this construct in Chinese populations is somewhat limited.Objective: To test the reliability and validity of a refined Chinese version of the 52-item Level of Expressed Emotion Scale (LEE).Methods: A convenience sample of 405 outpatients with psychotic disorders in Hong Kong and one of their family caregivers were recruited. Patients were asked to complete a set of questionnaires twice over a six-month period, including the Chinese version of the LEE, the Specific Level of Functioning scale and the Brief Psychiatric Rating Scale; while their caregivers completed the Family Assessment Device twice and a demographic data sheet at recruitment. This study was aimed at establishing the internal consistency, reproducibility, responsiveness, and construct validity of the LEE.  This study also provides evidence that similar to Western studies, the construct of expressed emotion of family members in Chinese population consists of four factor solutions, including intrusiveness, expectations of the patient, attitude towards the illness, and emotional involvement.

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“…EOI may be a response by the parent trying to cope with the particular clinical states of the patient [51], and it may be considered as a typical familial reaction [52]. Likewise, criticism could be a result of parental difficulties in coping with the pathology, exacerbating the symptoms [50,51,52,53]. EE has also been hypothesized as a reflection of parental psychological distress (depression and anxiety) [50], which could lead parents to be reluctant to give their children any autonomy.…”

Section: Discussionmentioning

confidence: 99%

Bonding and Expressed Emotion: Two Interlinked Concepts?

Duclos

Maria²,

Dorard³

et al. 2012

Psychopathology

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Background: Bonding and expressed emotion (EE) are two concepts modeling family relationships. Two studies, with contradictory results, have explored whether these concepts and their corresponding instruments [the Parental Bonding Instrument (PBI) and the Camberwell Family Interview] do indeed measure the same aspects of family relationships. Our first objective was to compare the adolescents' perceptions of family relationships using the PBI, and the parental viewpoint using the Five-Minute Speech Sample (FMSS-EE). Secondly, we compared the PBI scores and EE levels of the parents. Sampling and Methods: Sixty adolescent girls with anorexia nervosa completed the PBI. The FMSS and a modified version of the PBI were administered to parents separately. Results: No significant link was identified between adolescent PBI scores and parental EE levels. However, a link between maternal ‘modified' PBI scores and maternal EE was observed: when mothers registered a high Final EE, they were more likely to deny their daughter's psychological autonomy compared to mothers with lower EE. Conclusions: Our empirical results do not support the hypothesis of an overlap between the two concepts. Indeed bonding and EE measure the same object, i.e. the quality of family relationships, but time scales differ and so do the perspectives (patient vs. parental viewpoint).

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Determinants of expressed emotion in mothers of schizophrenia patients

Cited by 33 publications

References 39 publications

Expressed Emotion in Families of Patients with Eating Disorders: A Review of the Literature

Expressed Emotion in Families of Patients with Eating Disorders: A Review of the Literature

Further validation of the Chinese version of the Level of Expressed Emotion Scale for research and clinical use

Bonding and Expressed Emotion: Two Interlinked Concepts?

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