Emotional Overinvolvement in Parents of Patients with Schizophrenia or Related Psychosis: Demographic and Clinical Predictors

Bentsen, Håvard; Boye, Birgitte; Munkvold, Ole Georg; Notland, Tor Helge; Lersbryggen, Annette B.; Oskarsson, K. H.; Ulstein, Ingun; Uren, G.; Bjørge, Heidi; Berg-Larsen, R.; Lingjaerde, O; Malt, Ulrik Fredrik

doi:10.1192/bjp.169.5.622

Cited by 66 publications

(50 citation statements)

References 26 publications

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“…The findings are also in line with the view that emotional over-involvement can be seen as an attempt to reduce the perceived stressfulness of the caring role [21,47]. It has also been argued that this way of coping might benefit some patients in the early stages of illness when they are less able to take care of themselves [1,48]. However, emotional over-involvement seems to have a detrimental effect on the caregivers' own mental wellbeing [18], and possibly on the long-term well-being of the patients [14].…”

Section: Expressed Emotion and Distresssupporting

confidence: 78%

Caregiver distress in first-episode psychosis: the role of subjective appraisal, over-involvement and symptomatology

Jansen

Haahr

Harder

et al. 2014

Soc Psychiatry Psychiatr Epidemiol

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Caregiver distress is significant in the early phase of illness, and this seems to be more related to their subjective appraisal and over-involvement, than to variations in symptoms and global functioning of the person diagnosed with FEP. This lends further support to the stress-appraisal coping model and the cognitive model of caregiving in FEP, and highlights supportive interventions aimed at handling unhelpful cognitions and behaviors.

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Section: Expressed Emotion and Distresssupporting

confidence: 78%

Caregiver distress in first-episode psychosis: the role of subjective appraisal, over-involvement and symptomatology

Jansen

Haahr

Harder

et al. 2014

Soc Psychiatry Psychiatr Epidemiol

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“…On the other hand, the substance use status of the patient, amount of face-to-face contact with the key relative, being the mother and being a single parent have been found to be related to EOI levels. Perceiving the behaviour of the patient as anxious-depressive is related with both higher C/H and EOI (Bentsen et al 1996;Kavanagh 1992). Attributions on patients' disturbed behaviours have also been found to be related to EE levels.…”

Section: Introductionmentioning

confidence: 91%

Predictors of components of expressed emotion in major caregivers of Turkish patients with schizophrenia

Karancı

İnandılar

2002

Social Psychiatry and Psychiatric Epidemiology

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“…Similarly, Bentsen et al (43) could not find a significant relationship between EOI and symptoms assessed by a researcher. On the other side, Breitborde et al (45) indicated that the relationship between the EOI and relapse was curvilinear and that high levels of EOI exerted a toxic effect on the course of illness whereas medium levels of EOI were protective.…”

Section: Discussionmentioning

confidence: 90%

“…Until recently, the importance of patients' perceptions of their families' attitudes were not given the necessary importance. However, although not many, there are some studies in the literature considering the importance of PEE (18,43). Thompson et al (15) found that overall patients' perceptions and caregivers' attitudes nearly overlapped.…”

Section: Discussionmentioning

confidence: 99%

The impact of caregivers’ expressed emotion and the patients’ perception of expressed emotion on the positive and negative symptoms of patients with schizophrenia in a sample from Turkey

Baştuğ¹,

Karancı²

2015

Dusunen Adam

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The impact of caregivers' expressed emotion and the patients' perception of expressed emotion on the positive and negative symptoms of patients with schizophrenia in a sample from TurkeyObjective: Although the effects of caregivers' expressed emotion on the relapse of patients with schizophrenia have been studied widely, there is a relative paucity of research on how the patients' perceived expressed emotion affects outcome in schizophrenia. The main aim of this study was to examine the relative impacts of patients' perceived expressed emotion and the caregivers' expressed emotion on the symptom severity of patients with schizophrenia. Method: In this prospective study, at the first assessment session, 116 stable patients were administered the Perceived Expressed Emotion Scale (PEES), the Positive and Negative Symptom Scale for Schizophrenia (PANSS) as the primary outcome measure. Their caregivers were administered the Expressed Emotion Scale (EES). At the second assessment six months later, PANNS was re-administered to the patients. Results: The patients' perceived expressed emotion was more important than caregivers' expressed emotion on symptom severity. It was found that patients' perceived criticism/hostility (C/H) was a risky element on positive and negative symptoms, and on the total scores of PANSS. Patients' perceptions of emotional over-involvement (EOI) appeared to be stronger protectors against relapse than C/H. Conclusion: Family environments with high EOI may protect against relapse in patients with schizophrenia. This finding can be interpreted in cross-cultural context. Psychosocial interventions should foster and maintain according to the cultural differences. The limitations and clinical implications of the results and directions for future studies were suggested. Key words: Expressed emotion, perceived expressed emotion, positive and negative symptoms, schizophrenia ÖZET Türkiye'den bir örneklemde şizofreni tanısı alan hastaların pozitif ve negatif belirtileri üzerinde bakımverenlerin duygu dışavurumu ve hastaların algıladığı duygu dışavurumunun etkisi Amaç: Şizofreni tanısı alan hastaların hastalıklarının nüks etmesi üzerinde bakım verenlerin duygu dışavurumunun etkisini araştıran çok sayıda araştırma bulunmakla birlikte, hastaların tarafından algılanan duygu dışavurumun hastalık sonucu üzerinde nasıl bir etkisi olduğu konusunda araştırmalar azdır. Bu çalışmanın ana amacı şizofreni tanısı olan hastaların belirti düzeyi üzerinde bakım verenlerin duygu dışavurumu ve hastalar tarafından algılanan duygu dışavurumunun etkisini incelemektir. Yöntem: Yapılan uzunlamasına çalışmanın ilk değerlendirme oturumunda 116 stabil durumda olan hastaya Algılanan Duygu Dışavurumu Ölçeği (ADDÖ), temel sonuç ölçümü olarak Şizofreni için Pozitif ve Negatif Belirti Ölçeği (PANSS) uygulanmıştır. Bakım verenlere ise Duygu Dışavurumu Ölçeği (DDÖ) verilmiştir. Altı ay sonraki ikinci değerlendirme oturumunda, hastalara PANSS yeniden uygulanmıştır. Bulgular: Hastaların algıladıkları duygu dışavurumu bakım verenle...

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Emotional Overinvolvement in Parents of Patients with Schizophrenia or Related Psychosis: Demographic and Clinical Predictors

Abstract: Our analyses indicate that characteristics of the parent and of the parent-patient dyad seem to be the most important determinants of EOI. EOI is probably not linked to psychotic relapse, but rather to affective disturbances in the patient.

Cited by 66 publications

References 26 publications

Caregiver distress in first-episode psychosis: the role of subjective appraisal, over-involvement and symptomatology

Caregiver distress in first-episode psychosis: the role of subjective appraisal, over-involvement and symptomatology

Predictors of components of expressed emotion in major caregivers of Turkish patients with schizophrenia

The impact of caregivers’ expressed emotion and the patients’ perception of expressed emotion on the positive and negative symptoms of patients with schizophrenia in a sample from Turkey

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