Expressed emotion and family burden in relatives of patients in first-episode psychosis

A relação entre emoção expressa e variáveis sociodemográficas, estresse precoce e sintomas de estresse em cuidadores informais de pessoas com transtornos mentais

“…The concept of Express Emotion (EE) is one of the ways to investigate the impact of mental disorders on the family, developed from the 1950s at the London Institute of Psychiatry (BROWN et al, 1962). EE is the quality of social interaction between family members, that is, the feelings that family members express about the person with a mental disorder (ZANETTI et al, 2018a). It is a qualitative measure of the emotions expressed daily in the family environment, by the family or by the caregivers (ZANETTI et al, 2018a).…”

“…EE is the quality of social interaction between family members, that is, the feelings that family members express about the person with a mental disorder (ZANETTI et al, 2018a). It is a qualitative measure of the emotions expressed daily in the family environment, by the family or by the caregivers (ZANETTI et al, 2018a). EE consists of critical comments (CC), emotional overdevelopment (EOD), and hostility.…”

“…EE consists of critical comments (CC), emotional overdevelopment (EOD), and hostility. The CS component is the negative evaluations of family members about the behavior of the person with mental disorder; the EOD component is the feelings and attitudes of self-sacrifice, overprotection and hopelessness of family members for the person with mental disorder; and the hostility component, usually associated with CC, is the negative evaluations or contempt as a human being of the mentally ill person (BROWN;BIRLEY;WING, 1972;ZANETTI et al, 2018a).…”

“…Thus, the expressed emotion, the early stress, and the stress symptoms are important variables to consider in the care for family caregivers in the context of mental health. In Brazil, studies on EE are still scarce (ZANETTI et al, 2018a;MARTINS;LEMOS;BEBBINGTON, 1992), and no studies were identified investigating these variables in an articulated way in caregivers of people with mental disorders. Investigating how caregivers deal with the periods before a psychiatric crisis to be stabilized requiring hospitalization may provide important insights to plan new strategies to support this population, especially in outpatient services.…”

Adaptação cultural e validação da versão brasileira da Family Nursing Practice Scale (FNPS) para a população de enfermeiros do contexto hospitalar

“…No que concerne à saúde mental, a correlação entre a qualidade do ambiente familiar e o desenvolvimento e/ou manutenção de desordens psiquiátricas emergiu como um tema relevante em pesquisas tanto nacionais como internacionais após o início do processo de desinstitucionalização (LIPPI, 2016), investigando, principalmente, os construtos chamados de Sobrecarga Familiar (SF) e Emoção Expressa (EE) da família (ZANETTI et al, 2018;REINARES et al, 2016;FIORILLO et al, 2015;PERIS;MIKLOWITZ, 2015;CASACCHIA, RONCONE, 2014;ENNIS;BUNTING, 2013;ZANETTI, GIACON, GALERA, 2012;GALERA et al, 2011).…”