Abstract
This study investigated whether the Expressed Emotion (EE) status of families is associated with an increased risk of negative and depressive symptoms in schizophrenia. The subjects were 52 schizophrenic patients from mental hospitals in Kochi, Japan, who satisfied the DSM-III-R or ICD-9 criteria for schizophrenia. The Japanese version of the Camberwell Family Interview was administered to 73 key relatives of the patients within 2 weeks after admission. A certified rater evaluated the EE's status of each family, using an audiotaped interview and its transcript. Using cohort study design, the subjects were followed for 9 months after their discharge and were monitored for negative and depressive symptoms. Trained psychiatrists who were blind to the EE status of the patients' households administered the Brief Psychiatric Rating scale (BPRS) at discharge, and 9 months after discharge. Repeated-measures analyses of variance showed that EE effects were significant in Emotional withdrawal in all subjects, Depressive mood and Total depressive symptoms in non-relapsers. A multiple regression analyses revealed that EE's effect was significant only in Depressive mood in non- relapsers controlling confounding factors. In non-relapsers in positive symptoms, high EE families could make patients depressed. EE's effect on negative symptoms remains to be established.
| Original language | English |
|---|---|
| Pages (from-to) | 159-168 |
| Number of pages | 10 |
| Journal | Schizophrenia Research |
| Volume | 34 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Nov 30 1998 |
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Keywords
- Expressed emotion
- Families
- Negative/depressive symptoms
ASJC Scopus subject areas
- Psychiatry and Mental health
- Behavioral Neuroscience
- Biological Psychiatry
- Neurology
- Psychology(all)
Cite this
Expressed emotion of families and negative/depressive symptoms in schizophrenia : A cohort study in Japan. / Mino, Yoshio; Inoue, Shimpei; Shimodera, Shinji; Tanaka, Shuichi; Tsuda, Toshihide; Yamamoto, Eiji.
In: Schizophrenia Research, Vol. 34, No. 3, 30.11.1998, p. 159-168.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Expressed emotion of families and negative/depressive symptoms in schizophrenia
T2 - A cohort study in Japan
AU - Mino, Yoshio
AU - Inoue, Shimpei
AU - Shimodera, Shinji
AU - Tanaka, Shuichi
AU - Tsuda, Toshihide
AU - Yamamoto, Eiji
PY - 1998/11/30
Y1 - 1998/11/30
N2 - This study investigated whether the Expressed Emotion (EE) status of families is associated with an increased risk of negative and depressive symptoms in schizophrenia. The subjects were 52 schizophrenic patients from mental hospitals in Kochi, Japan, who satisfied the DSM-III-R or ICD-9 criteria for schizophrenia. The Japanese version of the Camberwell Family Interview was administered to 73 key relatives of the patients within 2 weeks after admission. A certified rater evaluated the EE's status of each family, using an audiotaped interview and its transcript. Using cohort study design, the subjects were followed for 9 months after their discharge and were monitored for negative and depressive symptoms. Trained psychiatrists who were blind to the EE status of the patients' households administered the Brief Psychiatric Rating scale (BPRS) at discharge, and 9 months after discharge. Repeated-measures analyses of variance showed that EE effects were significant in Emotional withdrawal in all subjects, Depressive mood and Total depressive symptoms in non-relapsers. A multiple regression analyses revealed that EE's effect was significant only in Depressive mood in non- relapsers controlling confounding factors. In non-relapsers in positive symptoms, high EE families could make patients depressed. EE's effect on negative symptoms remains to be established.
AB - This study investigated whether the Expressed Emotion (EE) status of families is associated with an increased risk of negative and depressive symptoms in schizophrenia. The subjects were 52 schizophrenic patients from mental hospitals in Kochi, Japan, who satisfied the DSM-III-R or ICD-9 criteria for schizophrenia. The Japanese version of the Camberwell Family Interview was administered to 73 key relatives of the patients within 2 weeks after admission. A certified rater evaluated the EE's status of each family, using an audiotaped interview and its transcript. Using cohort study design, the subjects were followed for 9 months after their discharge and were monitored for negative and depressive symptoms. Trained psychiatrists who were blind to the EE status of the patients' households administered the Brief Psychiatric Rating scale (BPRS) at discharge, and 9 months after discharge. Repeated-measures analyses of variance showed that EE effects were significant in Emotional withdrawal in all subjects, Depressive mood and Total depressive symptoms in non-relapsers. A multiple regression analyses revealed that EE's effect was significant only in Depressive mood in non- relapsers controlling confounding factors. In non-relapsers in positive symptoms, high EE families could make patients depressed. EE's effect on negative symptoms remains to be established.
KW - Expressed emotion
KW - Families
KW - Negative/depressive symptoms
UR - http://www.scopus.com/inward/record.url?scp=0032583090&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032583090&partnerID=8YFLogxK
U2 - 10.1016/S0920-9964(98)00091-7
DO - 10.1016/S0920-9964(98)00091-7
M3 - Article
VL - 34
SP - 159
EP - 168
JO - Schizophrenia Research
JF - Schizophrenia Research
SN - 0920-9964
IS - 3
ER -