Effectiveness of family work interventions on schizophrenia: Evidence from a multicentre study in Catalonia

Tomàs, Esther Pousa; Hurtado, G.; Noguer, Sílvia; Domènech, Cristina; García, Montse; López, Núria; Negredo, MaríaCruz; Penadés, Rafael; Reinares, María; Serrano, Dolors; Dolz, Montse; Gallo, Pedro

doi:10.1177/0020764011415595

Cited by 8 publications

(6 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As indicated by the negative associations of EE with symptom remission and functional restoration, EE could hinder clinical recovery. This finding is consistent with those of previous studies showing that EE was positively related to the number of relapses and the duration of rehospitalizations among psychiatric patients (Cechnicki et al, 2013; Domínguez-Martínez et al, 2014; Hooley et al, 1986; Miklowitz et al, 1988) and that EE reduction programs were effective in improving clinical stability and functional competence among psychiatric patients (Leff et al, 1982; Tomás et al, 2012). Given the inhibitory effects of EE on clinical recovery, practitioners should engage patients from high-EE families in treatments that help mitigate their psychiatric symptoms and improve their adaptive functioning.…”

Section: Discussionsupporting

confidence: 93%

“…Cross-sectional studies have found that EE is linked to more relapses, longer hospitalizations, and more severe psychiatric symptoms and functional impairments among psychiatric patients (Cechnicki, Bielańska, Hanuszkiewicz, & Daren, 2013; Domínguez-Martínez, Medina-Pradas, Kwapil, & Barrantes-Vidal, 2014; Hooley, Orley, & Teasdale, 1986; Miklowitz, Goldstein, Nuechterlein, Snyder, & Mintz, 1988). Further, intervention studies have demonstrated that patients whose family members receive EE-related psychoeducation have better clinical outcomes (Leff, Kuipers, Berkowitz, Eberlein-Vries, & Sturgeon, 1982; Tomás et al, 2012).…”

Section: Expressed Emotion and Recoverymentioning

confidence: 99%

See 1 more Smart Citation

The impact of familial expressed emotion on clinical and personal recovery among patients with psychiatric disorders: The mediating roles of self-stigma content and process.

Chan¹,

Lam²

2018

American Journal of Orthopsychiatry

View full text Add to dashboard Cite

The present study examined the associations of familial expressed emotion (EE) with clinical and personal recovery among patients with psychiatric disorders, as well as the potential mechanisms underlying these associations. Guided by the content-process theory of self-stigma, we hypothesized that EE would be negatively associated with clinical and personal recovery and that these associations would be mediated by self-stigma content and process. A total of 311 patients with psychiatric disorders completed questionnaires on their perceptions of EE, self-stigma, and recovery. Structural equation modeling demonstrated that EE was positively associated with self-stigma content and process, which were in turn negatively associated with clinical and personal recovery. The indirect effects of EE on clinical and personal recovery, via self-stigma content and process, were also significant. Multigroup analyses further demonstrated that the impact of EE on self-stigma and recovery was generalizable across patients with psychotic and nonpsychotic disorders. Theoretically, our findings revealed the potential pathways through which EE may adversely affect psychiatric recovery. Practically, our findings highlighted the importance of designing multipronged intervention programs to reduce familial EE and its potential harmful impact on psychiatric patients. In addition to helping family members improve their knowledge about psychiatric disorders and adjust their communication styles, practitioners should help psychiatric patients develop resilience against EE, mitigate self-stigma, and achieve recovery. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Expressed Emotion and Recoverymentioning

confidence: 99%

The impact of familial expressed emotion on clinical and personal recovery among patients with psychiatric disorders: The mediating roles of self-stigma content and process.

Chan¹,

Lam²

2018

American Journal of Orthopsychiatry

View full text Add to dashboard Cite

show abstract

“…There is evidence to suggest that maternal criticism and warmth are dynamic aspects of the family environment amenable to intervention. Interventions have shown positive effects on EE in caregivers of several populations with heightened internalizing and externalizing problems, including individuals with schizophrenia (Lenior, Dingemans, Schene, Hart, & Linszen, 2002; Tomas et al, 2011), depressive disorders (Katsuki et al, 2011), and eating disorders (Sepulveda et al, 2010). Several scholars have argued that similar interventions may effectively reduce parental EE within families of children and adults with ASD (Greenberg et al, 2006; Hastings & Lloyd, 2007).…”

Section: Discussionmentioning

confidence: 99%

Trajectories of internalizing and externalizing symptoms among adults with autism spectrum disorders

2015

View full text Add to dashboard Cite

Individuals with autism spectrum disorder (ASD) experience higher rates of psychopathology than their typically developing peers or peers with other intellectual or developmental disabilities. Little is known about the developmental course of psychiatric symptoms such as internalizing and externalizing behaviors in this population. Individual characteristics and aspects of the family environment may explain variability in outcomes for adults with ASD. The present study extends our current understanding of psychopathology among individuals with ASD by examining group-based trajectories of internalizing and externalizing symptoms in adulthood. Overall, the results showed that symptoms became less severe over time. Distinct patterns of change in psychopathology were observed and associated with differential profiles of psychotropic medication use, comorbid mental health diagnoses, and residential placement. The likelihood of following each developmental trajectory was estimated based on characteristics of the adults with ASD (gender, adaptive behavior, and autistic symptoms) and maternal expressed emotion (criticism and warmth). Maternal criticism and warmth were identified as key risk and protective factors, respectively, with important implications for future research and intervention for individuals with ASD.

show abstract

“…However, it is important to acknowledge that some studies not included in this review because they did not include any physical health components might have achieved physical health improvement in carers. An example of this being a study that used the Family Work Model reported better quality of life in carers’ physical health, although the model focused primarily on addressing expressed emotions (Tomás et al, 2012). It is possible that improving psychological health and reducing caregiving burden may have some impact in improving carers’ physical health, which is supported by the close associations found between these factors (Poon et al, 2015; Thunyadee et al, 2015).…”

Section: Discussion and Applications To Practicementioning

confidence: 99%

Scoping Review of Family Interventions That Support the Physical Health of Caregivers

Poon

Lappin

Cassidy

et al. 2020

Research on Social Work Practice

View full text Add to dashboard Cite

Purpose: Family interventions have been developed to support carers of people with mental illness, but not much is known about how such interventions can improve carers’ physical health. This review aimed to identify and analyze existing family interventions that addressed the physical health of carers. Methods: A scoping review was conducted to identify peer-reviewed journal articles on family interventions with physical health components. A total of six articles were found and analyzed thematically to identify the family interventions, physical health components of the interventions, and associated physical health outcomes. Results: Synthesis of the findings from relevant articles showed that the development of physical health components in family interventions is emerging and at an early stage. However, most studies had physical health as a minor area focusing mainly on stress and sleep. Conclusions: Family interventions would be more holistic if consideration of physical health issues was addressed as a core module.

show abstract

Effectiveness of family work interventions on schizophrenia: Evidence from a multicentre study in Catalonia

Abstract: This is the first study to explore the effectiveness of family intervention in a high-expressed emotion context in Catalonia. The findings add weight to the growing literature supporting these interventions in different cultural settings.

Cited by 8 publications

References 45 publications

The impact of familial expressed emotion on clinical and personal recovery among patients with psychiatric disorders: The mediating roles of self-stigma content and process.

The impact of familial expressed emotion on clinical and personal recovery among patients with psychiatric disorders: The mediating roles of self-stigma content and process.

Trajectories of internalizing and externalizing symptoms among adults with autism spectrum disorders

Scoping Review of Family Interventions That Support the Physical Health of Caregivers

Contact Info

Product

Resources

About