Perception of Expressed Emotion Among Persons with Mental Illness

Gandhi, Sailaxmi; Narayanasamy, Padmavathi; Raveendran, Rajil; Jadhav, Prabhu; Sahu, Maya; Gurusamy, Jothimani; Muliyala, Krishna Prasad

doi:10.1007/s40737-020-00164-x

Cited by 2 publications

(1 citation statement)

References 37 publications

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“…Through in-depth interviews with 22 people with schizophrenia, this study examined their subjective experience of family members' abrasive behaviours. Besides traditional interview with family members, previous research also explored patients' perception of high EE behaviours, revealing that the overt abrasive behaviours from family members might impede patients' interaction with peers and lead to social ostracism ( Gandhi et al., 2020 ). In our study, in addition to the well-researched overt behaviours, we purposively also explored the covert abrasive behaviours experienced by the participants.…”

Section: Discussionmentioning

confidence: 99%

High level of expressed emotions in the family of people with schizophrenia: has a covert abrasive behaviours component been overlooked?

Fung

Gao

2020

Heliyon

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Background: High expressed emotion (EE) in a patient's family is a known risk factor of relapse in schizophrenia. The three components of high EEcriticism, hostility and emotional over-involvementwere developed through a data-driven approach and a focus on overt abrasive behaviours. The influence of covert abrasive behaviours has not been explored. Aims and methods: This study aims to explore both overt and covert abrasive behaviours through semi-structured interviews conducted with 22 people with schizophrenia, who were recruited through iterative purposive sampling. Results: Thematic analysis suggests that participants' experiences of overt abrasive behaviours resonate with the three-factor structure of high EE, except "emotional over-involvement" is renamed to "over-involvement" to focus on behaviours and embrace different levels or types of emotional reactions. Regarding covert abrasive behaviours, two domains are proposed: disassociation and apathy, which focus on family members' disengaging actions and indifferent attitudes respectively. While both overt and covert abrasive behaviours cause psychological distresses and behavioural reactions on the participants, their precise impacts are not entirely the same. Conclusion: People with schizophrenia experience both overt and covert abrasive behaviours with family members. The findings of this study may expand the conceptualization of high EE, enhance its content validity, and provide an extended conceptual framework for developing more comprehensive measures.

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Section: Discussionmentioning

confidence: 99%

High level of expressed emotions in the family of people with schizophrenia: has a covert abrasive behaviours component been overlooked?

Fung

Gao

2020

Heliyon

View full text Add to dashboard Cite

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Expressed Emotion and Health Care Use in Borderline Personality Disorder Patients and Relatives

Rubió¹,

Navarrete

Cebolla

et al. 2022

Journal of Social and Clinical Psychology

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Introduction: Expressed emotion (EE) is a global index of attitudes, emotions, and behaviors of relatives who have family members with a mental or psychiatric disorder. The objective of this cross-sectional study was to study EE in relatives and patients’ perceived EE in a borderline personality disorder (BPD) outpatient sample. Methods: The sample was composed of 134 relatives and 111 BPD outpatients who were receiving psychological treatment. Relevant clinical outcomes, number of medical visits, EE in relatives and perceived EE in BPD patients were measured. Subsequently, descriptive statistical analyses, dependent-samples t tests, and correlation analyses were performed. Results: Relatives' EE was not significantly different than patients' perceived EE. Expressed emotion factors were weakly associated to emergency department visits and hospital admissions. Discussion: Contrary to EE studies in other diagnoses, results show that the BPD patients' emotional climate in their proximate relationships might not influence health care use.

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Perception of Expressed Emotion Among Persons with Mental Illness

Cited by 2 publications

References 37 publications

High level of expressed emotions in the family of people with schizophrenia: has a covert abrasive behaviours component been overlooked?

High level of expressed emotions in the family of people with schizophrenia: has a covert abrasive behaviours component been overlooked?

Expressed Emotion and Health Care Use in Borderline Personality Disorder Patients and Relatives

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