Abstract
Background: Findings on expressed emotion (EE) of the family and the course of mood disorders have not been consistent. There has also been no report on these problems from Asia. Methods: The subjects were 32 patients diagnosed to have mood disorders on the basis of DSM-IV and ICD-10 and 36 principal members of their families. EE was evaluated using Camberwell Family Interview (CFI). A cohort study was conducted for 9 months after discharge of the patients. The patients were divided into a high-EE group and a low-EE group using a few cut-off points concerning the number of critical comments (CCs) and emotional over-involvement (EOI), the 9-month relapse risks were compared, and the relapse risk ratio and its 95% confidence interval were calculated. Also, the sensitivity, specificity, positive predictive value, and negative predictive value were calculated, and the optimal cut-off point was evaluated. Multiple logistic regression analysis was performed to control the effects of potential confounding factors. Results: When the subjects with three or more CCs, or an EOI score of three or higher were regarded as a high-EE group, and the others as a low-EE group, the nine-month relapse risks were 83.3% (5/6) and 19.2% (5/26), respectively, and the relapse risk ratio (95% confidence interval) was 4.3 (1.8-12.2). The values of the validity parameters were the highest with these cut-off points. The effect of EE was also significant on multiple logistic regression analysis. Limitations: Small sample size and severity of the patients. Conclusions: Families' EE based on CFI correlated with relapse also in Japan.
| Original language | English |
|---|---|
| Pages (from-to) | 43-49 |
| Number of pages | 7 |
| Journal | Journal of Affective Disorders |
| Volume | 63 |
| Issue number | 1-3 |
| DOIs | |
| Publication status | Published - 2001 |
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Keywords
- Depression
- Expressed emotion
- Family
- Mood disorder
ASJC Scopus subject areas
- Psychiatry and Mental health
- Behavioral Neuroscience
- Biological Psychiatry
- Neurology
- Psychology(all)
Cite this
Expressed emotion of families and the course of mood disorders : A cohort study in Japan. / Mino, Yoshio; Shimodera, Shinji; Inoue, Shimpei; Fujita, Hirokazu; Tanaka, Shuichi; Kanazawa, Susumu.
In: Journal of Affective Disorders, Vol. 63, No. 1-3, 2001, p. 43-49.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Expressed emotion of families and the course of mood disorders
T2 - A cohort study in Japan
AU - Mino, Yoshio
AU - Shimodera, Shinji
AU - Inoue, Shimpei
AU - Fujita, Hirokazu
AU - Tanaka, Shuichi
AU - Kanazawa, Susumu
PY - 2001
Y1 - 2001
N2 - Background: Findings on expressed emotion (EE) of the family and the course of mood disorders have not been consistent. There has also been no report on these problems from Asia. Methods: The subjects were 32 patients diagnosed to have mood disorders on the basis of DSM-IV and ICD-10 and 36 principal members of their families. EE was evaluated using Camberwell Family Interview (CFI). A cohort study was conducted for 9 months after discharge of the patients. The patients were divided into a high-EE group and a low-EE group using a few cut-off points concerning the number of critical comments (CCs) and emotional over-involvement (EOI), the 9-month relapse risks were compared, and the relapse risk ratio and its 95% confidence interval were calculated. Also, the sensitivity, specificity, positive predictive value, and negative predictive value were calculated, and the optimal cut-off point was evaluated. Multiple logistic regression analysis was performed to control the effects of potential confounding factors. Results: When the subjects with three or more CCs, or an EOI score of three or higher were regarded as a high-EE group, and the others as a low-EE group, the nine-month relapse risks were 83.3% (5/6) and 19.2% (5/26), respectively, and the relapse risk ratio (95% confidence interval) was 4.3 (1.8-12.2). The values of the validity parameters were the highest with these cut-off points. The effect of EE was also significant on multiple logistic regression analysis. Limitations: Small sample size and severity of the patients. Conclusions: Families' EE based on CFI correlated with relapse also in Japan.
AB - Background: Findings on expressed emotion (EE) of the family and the course of mood disorders have not been consistent. There has also been no report on these problems from Asia. Methods: The subjects were 32 patients diagnosed to have mood disorders on the basis of DSM-IV and ICD-10 and 36 principal members of their families. EE was evaluated using Camberwell Family Interview (CFI). A cohort study was conducted for 9 months after discharge of the patients. The patients were divided into a high-EE group and a low-EE group using a few cut-off points concerning the number of critical comments (CCs) and emotional over-involvement (EOI), the 9-month relapse risks were compared, and the relapse risk ratio and its 95% confidence interval were calculated. Also, the sensitivity, specificity, positive predictive value, and negative predictive value were calculated, and the optimal cut-off point was evaluated. Multiple logistic regression analysis was performed to control the effects of potential confounding factors. Results: When the subjects with three or more CCs, or an EOI score of three or higher were regarded as a high-EE group, and the others as a low-EE group, the nine-month relapse risks were 83.3% (5/6) and 19.2% (5/26), respectively, and the relapse risk ratio (95% confidence interval) was 4.3 (1.8-12.2). The values of the validity parameters were the highest with these cut-off points. The effect of EE was also significant on multiple logistic regression analysis. Limitations: Small sample size and severity of the patients. Conclusions: Families' EE based on CFI correlated with relapse also in Japan.
KW - Depression
KW - Expressed emotion
KW - Family
KW - Mood disorder
UR - http://www.scopus.com/inward/record.url?scp=0035097241&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035097241&partnerID=8YFLogxK
U2 - 10.1016/S0165-0327(00)00185-3
DO - 10.1016/S0165-0327(00)00185-3
M3 - Article
C2 - 11246079
AN - SCOPUS:0035097241
VL - 63
SP - 43
EP - 49
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
IS - 1-3
ER -