Does group intervention have benefits on expressed emotion and social support in carers of persons with first episode psychosis?

2016 ◽  
Vol 15 (5) ◽  
pp. 524-537 ◽  
Author(s):  
Anvar Sadath ◽  
D. Muralidhar ◽  
Shivarama Varambally ◽  
Bangalore N. Gangadhar
Keyword(s):  
Social Support ◽  
Group Intervention ◽  
Expressed Emotion ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis

Effects of Family Psychoeducation on Expressed Emotion and Burden of Care in First-Episode Psychosis: A Prospective Observational Study

2010 ◽  
Vol 13 (1) ◽  
pp. 389-395 ◽  
Author(s):  
César González-Blanch ◽  
Vanessa Martín-Muñoz ◽  
Gema Pardo-García ◽  
Obdulia Martínez-García ◽  
Mario Álvarez-Jiménez ◽  
...  
Keyword(s):  
Group Intervention ◽  
Expressed Emotion ◽  
First Episode Psychosis ◽  
Family Burden ◽  
First Episode ◽  
Psychoeducational Groups ◽  
Psychoeducational Group ◽  
Episode Psychosis ◽  
Before And After ◽  
Objective Burden

The present study aimed to examine the levels and interactions of family burden (FB) and expressed emotion (EE) in first episode psychosis (FEP) patients and, secondly, to observe the potential change after a brief psychoeducational group intervention implemented in a real world clinical setting. Twenty-three key relatives of FEP patients received a brief psychoeducational group intervention. FB and EE were assessed before and after the intervention. EE-change and correlations between variables were examined. Half of the sample of key-relatives showed high levels of EE. No severe family burden was observed. FB and EE did not change after the intervention. Family subjective and objective burden were correlated with emotional overinvolvement, but not with criticism. Brief psychoeducational groups may not be sufficient to reduce FB and EE associated to the experience of caregiving for a family member with a first-episode psychotic disorder.

scholarly journals Expressed emotion as an adaptation to loss

2005 ◽  
Vol 187 (S48) ◽  
pp. s59-s64 ◽  
Author(s):  
Paul Patterson ◽  
Max Birchwood ◽  
Ray Cochrane
Keyword(s):  
Expressed Emotion ◽  
Family Intervention ◽  
First Episode Psychosis ◽  
First Episode ◽  
Strongly Correlated ◽  
Duration Of Untreated Psychosis ◽  
Subjective Burden ◽  
Episode Psychosis ◽  
Adaptive Reactions

BackgroundThe factors influencing the development of expressed emotion (EE) are still unclear. Understanding the carer and patient appraisals operating during the initial adaptation to psychosis may help to clarify the early ontogenesis of EE.MethodFifty patients and key carers were followed-up over 9 months and their appraisals of loss and burden were measured in relation to the evolution of high emotional overinvolvement (EOI) and critical (CC) relationships.ResultsThe appraisal of loss was linked to high EOI but not high CC relationships at baseline. Loss reduced by 9-month follow-up in those changing from high EOI to high CC or low EE. Subjective burden of carers was linked to loss but not to EE status. Patients' and relatives' appraisals of loss were strongly correlated, particularly in high EOI relationships. Longer duration of untreated psychosis was associated with high CC.ConclusionsThe results are consistent with Bowlby's attachment theory, where EOI and coercive criticism maybe understood as adaptive reactions to perceived loss. Implications for family intervention in first-episode psychosis and the prevention of high EE are discussed.

Preventing the Entrenchment of High Expressed Emotion in First Episode Psychosis: Early Developmental Attachment Pathways

2000 ◽  
Vol 34 (1_suppl) ◽  
pp. A191-A197 ◽  
Author(s):  
Paul Patterson ◽  
Max Birchwood ◽  
Ray Cochrane
Keyword(s):  
Expressed Emotion ◽  
Resistance To Change ◽  
Family Intervention ◽  
First Episode Psychosis ◽  
Early Ontogeny ◽  
First Episode ◽  
Episode Psychosis ◽  
Early Developmental ◽  
Stable Index

Objective As part of a strategy to consider the options for preventing the developmental entrenchment of expressed emotion (EE), we examine the early ontogeny of EE in a first-episode sample of individuals with psychosis and its links with the process of adaptation to change. Methods The key relatives of 50 first-episode psychosis patients from two locations were interviewed soon after patient referral and again 9 months later using measures of expressed emotion and loss. Results The developmental pathways of components of expressed emotion, particularly criticism and emotional over-involvement, were independent despite having a similar effect on outcome for patients. Initially, high levels of emotional over-involvement were reduced by follow up, with 37% resolving into high criticism. Overall expressed emotion status changed in 28.2% of key relatives (all parental), predominantly from high to low. High emotional over-involvement and low criticism are associated with significantly high levels of perceived loss in relatives. The metamorphosis of emotional over-involvement to criticism was linked to a reduction in perceived loss. Conclusions Expressed emotion is not a stable index in relatives of first-episode psychosis samples. Appraisals of loss by relatives may be driving high emotional over-involvement with implications for family intervention programs. Attachment theory may help to explain some of the processes underlying resistance to change in some of the high-EE behaviours measured by expressed emotion.

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