1976
DOI: 10.1192/bjp.129.2.125
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The Influence of Family and Social Factors on the Course of Psychiatric Illness

Abstract: This study is a replication and extension of past work carried out by Brown, Birley and Wing (1972) concerning the influence of family life on the course of schizophrenia. In the original research the index of emotion expressed by a key relative about the patient at the time of key admission proved to be the best single predictor of symptomatic relapse in the nine months after discharge from hospital. In the present study this main finding of Brown et al has been replicated for two clinically different groups … Show more

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Cited by 1,588 publications
(876 citation statements)
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“…Relapse was much higher for males (50%) than females (21%). These findings were later replicated by Vaughn & Leff 25 in a prospective cohort of 37 schizophrenic patients. The relapse rate was 48% among high EE relatives and 6% among low EE.…”
Section: Introductionsupporting
confidence: 66%
See 1 more Smart Citation
“…Relapse was much higher for males (50%) than females (21%). These findings were later replicated by Vaughn & Leff 25 in a prospective cohort of 37 schizophrenic patients. The relapse rate was 48% among high EE relatives and 6% among low EE.…”
Section: Introductionsupporting
confidence: 66%
“…They also found that ratings of EE were significantly associated with lower social functioning particularly with hostility, but they did not explore the differences between the sexes in their study. Indeed, males and females are expected to be equally distributed in high EE homes 24 but more males return to conflicting environments after hospital discharge 4,25 .…”
Section: Discussionmentioning
confidence: 99%
“…(All families had been assessed on Expressed Emotion. For references see Vaughn and Leff, 1976.) It is likely that it is these families who elicit the strong negative reactions in the teams.…”
Section: Discussionmentioning
confidence: 99%
“…A sceptical interpretation of these data might suggest that the placebo 'relapses', while more frequent, were less severe than the drug 'relapses'-an important distinction for the clinician. The same investigators have pointed out in other publications (Wing, 1968;Vaughn & Leff, 1976) that the decision to admit a patient to hospital is frequently determined by the tolerance of community support systems, especially the family, and is not based exclusively on the severity of illness. This socially mediated effect has not been considered in the presentation of rehospitalization data.…”
Section: (A) Hospital Readmissionmentioning
confidence: 99%