The relationship of case managers’ expressed emotion to clients’ outcomes

Solomon, Phyllis; Alexander, Leslie B.; Uhl, Stacey

doi:10.1007/s00127-009-0051-3

Cited by 17 publications

(19 citation statements)

References 44 publications

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“…For example, it has been noted that EE research has been a strong impetus in the creation of both family therapies and hospital-staff interventions that focus on the role EE plays in interacting with persons with psychopathological problems [33, 34]. While some studies have demonstrated that high EE is related to the negative illness perceptions of caretakers toward their patients [11], not all studies have been able to replicate these findings [35].…”

Section: Discussionmentioning

confidence: 99%

The predictive capacity of perceived expressed emotion as a dynamic entity of adolescents from the general community

Hale

Raaijmakers

Hoof

et al. 2010

Soc Psychiatry Psychiatr Epidemiol

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BackgroundIn previous studies, it has been demonstrated that high parental expressed emotion (EE) is predictive of depressive, aggressive and delinquency symptoms of adolescents. Two issues have received much less prominence in EE research, these being studies of adolescent perceived EE and the measurement of the EE as a dynamic, developmental construct. This 4-year, three-wave, longitudinal study of perceived EE of adolescents from the general community examines if adolescent perceived EE measured with the traditional, one-measurement EE approach as well as adolescent perceived EE measured with a repeated measured, dynamic EE approach can predict adolescent depressive, aggressive and delinquency symptoms.MethodsDutch adolescents (N = 285; 51% girls; M = 13 years) from the general community were prospectively studied annually for 4 years. At all waves, the adolescents completed the Level of Expressed Emotion (LEE) questionnaire and at the final wave also completed self-rated measures of depressive, aggressive and delinquent symptoms. Growth models were used to predict adolescent symptoms from adolescent perceived EE.ResultsGrowth models significantly predicted adolescent depressive, aggressive and delinquency symptoms from adolescent perceived EE.ConclusionsThis study of the LEE demonstrates that developmental characteristics of EE are predictive of adolescents’ symptoms. These findings hold implications for current EE intervention therapies and the conceptualization of EE.

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Section: Discussionmentioning

confidence: 99%

The predictive capacity of perceived expressed emotion as a dynamic entity of adolescents from the general community

Hale

Raaijmakers

Hoof

et al. 2010

Soc Psychiatry Psychiatr Epidemiol

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“…(4) There is high incidence of inappropriate communication stereotypes in the families, leading to increased expression of emotion (expressed emotion). Expressed emotion (EE) has been studied in families of a relative with schizophrenia as well as other psychiatric disorders; and high EE (hostile, critical, and over involved) families have been found to be strongly related to relapse 24 . When the families in this sudy were divided into two groups, families with high EE and those with low EE, it was found that discharged patients returning to a high EE family had a 3-4-fold higher risk of relapse than patients who returned to a low EE family 86 .…”

Section: The Psychoeducational Program At the Department Of Psychiatrmentioning

confidence: 99%

“…Further, the difficulty in engaging patients and their carers during PEP has made the outcomes of the programs inconclusive [21][22][23] . In the United States, family psychoeducation interventions are currently considered one of five evidence-based psychosocial interventions for persons with severe mental illness, particularly those with schizophrenia 24 . As many as 65% of discharged psychiatric patients return to live with a family member 25 .…”

Section: Introductionmentioning

confidence: 99%

Psychoeducation for Psychotic Patients

Praško¹,

Vrbová²,

Látalová³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background. Psychoeducation programs have been shown in the last two decades to significantly improve the post-hospital discharge care of individuals with schizophrenia by demonstrated effects on rehospitalization rates, compliance with medication and knowledge. The benefits of psychoeducation can be sustained for up to seven years although most studies have not shown such enduring benefit. Psychoeducation is a type of psychotherapeutic support that aims to provide broad and adequate information on psychotic disorders for both patients and their families.Method. The purpose of the group psychoeducational program at the Psychiatric clinic in Olomouc is to familiarize patients with the core of the disorder, explain the part played by pharmacotherapy, teach recognition of the warning signs of relapse, to advise on communication problems within families, and finally the training of social skills.Results. Patients perceive the program as meaningful and helpful in better understanding their lives. INTRODUCTIONSchizophrenia is a chronic psychiatric illness affecting 1% to 2% of the population. Unfortunately, suboptimal follow-through with treatment too often leads to a classic revolving-door pattern of relapse and rehospitalization. While the core intervention in schizophrenia remains antipsychotic medication; the limitations of medication alone in symptomatic, relapse prevention, and satisfaction/quality of life terms have long prompted interest in wider forms of management. This aside, in the CATIE study 1 , a naturalistic randomized-controlled trial comparing five antipsychotic compounds, 74% of all patients discontinued their original medication before the end of the 18 months of the first phase of the trial.One inherent deficit in schizophrenicia is an inability to engage appropriately in social and occupational activities. The debilitating effect of this is often a lasting feature of the illness, despite adequate psychopharmacological intervention, often isolating them and making it difficult for them to advocate appropriate social support or community services. Further, studies have found that there is a correlation between poor social functioning and relapse. One of the challenges of this area, is also wide interindividual variability although standardized measures have been developed to rate the social deficits. These assessments have become important tools in the determination of effective non-pharmacological treatment strategies. In addition to long-term pharmacotherapy, quality education is considered an additional important form of assistanc.Family caregivers report high levels of burden related to caring for their mentally ill family members 2 . They may not have the knowledge and skills necessary to take on the caring responsibilities. As a result, patient relapse and readmission are common 3 .Although no evidence of a definitive cause of schizophrenia is yet available, it can be reasonably controlled though the use of pharmacotherapy and psychosocial interventions. Relapse rates (measured by number of h...

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“…Health care providers' attitudes towards psychosis play a key role in access to services and client prognosis. Research supports the hypothesized role of provider attitudes in mediating the relationship between therapeutic alliance and outcomes (Solomon et al, 1995(Solomon et al, , 2010Fenton et al, 1997;Sartorius, 2002). Similarly, practitioner behaviors also moderate client outcomes, beyond the effect of their attitudes towards psychosis.…”

Section: Introductionmentioning

confidence: 85%

Training service-providers regarding youth at risk for psychosis

Golembo-Smith

Denenny

Kishimoto

et al. 2011

Asia-Pacific Psychiatry

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Introduction: This study assessed the effectiveness of a provider training on signs of early‐onset psychosis and early intervention treatments. Additional goals of the training were to strengthen provider intention to apply this knowledge to clinical practice, decrease stigma of providers towards clients with psychosis, and bolster perceived competence in providing services for youth with psychosis. Methods: The training was presented to 22 providers in the state of Hawai'i responsible for services coordination for youth receiving mental health services. Participants completed questionnaires designed to measure domains relevant for early identification and treatment implementation. Results: Pre‐test and post‐test scores suggest increases in (1) specific knowledge, (2) behavioral expectation, and (3) perceived competence in identifying and providing services for youth at risk for psychosis, as well as a decrease in (4) stigma towards this population. Discussion: Brief, structured trainings may increase skills and alter attitudes needed to effectively assist youth at risk for psychosis and their families.

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The relationship of case managers’ expressed emotion to clients’ outcomes

Cited by 17 publications

References 44 publications

The predictive capacity of perceived expressed emotion as a dynamic entity of adolescents from the general community

The predictive capacity of perceived expressed emotion as a dynamic entity of adolescents from the general community

Psychoeducation for Psychotic Patients

Training service-providers regarding youth at risk for psychosis

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