Effectiveness of family interventions on psychological distress and expressed emotion in family members of individuals diagnosed with first-episode psychosis

2017 ◽  
Vol 15 (4) ◽  
pp. 1057-1079 ◽  
Author(s):  
Wilai Napa ◽  
Patraporn Tungpunkom ◽  
Nisakorn Pothimas
Keyword(s):  
Psychological Distress ◽  
Expressed Emotion ◽  
Family Members ◽  
First Episode Psychosis ◽  
First Episode ◽  
Family Interventions ◽  
Episode Psychosis

scholarly journals Introducing a family intervention to elderly with first episode psychosis

2018 ◽  
Vol 30 (12) ◽  
pp. 1899-1900
Author(s):  
Tuula Saarela ◽  
Monica Johansson ◽  
Ullamarja Louhija ◽  
Björn Appelberg ◽  
Kati Juva
Keyword(s):  
Family Communication ◽  
Family Intervention ◽  
First Episode Psychosis ◽  
First Episode ◽  
Family Interventions ◽  
Episode Psychosis ◽  
The Family

Schizophrenia guidelines list family interventions as an efficient means in reducing relapses. Interventions aim to help families cope with their relative's problems more effectively, provide support and education, and reduce levels of distress and improve the family communication (see deHaanet al., 2002).

Concerns reported by family members of individuals with first-episode psychosis

2011 ◽  
Vol 5 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Srividya N. Iyer ◽  
Heleen Loohuis ◽  
Nicole Pawliuk ◽  
Ridha Joober ◽  
Ashok K. Malla
Keyword(s):  
Family Members ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis

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.

Predictors of Expressed Emotion in First Episode Psychosis

2020 ◽  
Vol 41 (10) ◽  
pp. 908-915
Author(s):  
Amanda Heloisa Santana da Silva ◽  
Larissa de Souza Tressoldi ◽  
João Mazzoncini de Azevedo-Marques ◽  
Rosana Shuhama ◽  
Cristina Marta Del-Ben ◽  
...  
Keyword(s):  
Expressed Emotion ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis

scholarly journals Developing and implementing a culturally informed FAmily Motivational Engagement Strategy (FAMES) to increase family engagement in first episode psychosis programs: mixed methods pilot study protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e036907
Author(s):  
Oladunni Oluwoye ◽  
Dennis Dyck ◽  
Sterling M McPherson ◽  
Roberto Lewis-Fernández ◽  
Michael T Compton ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Advisory Committee ◽  
Phase 1 ◽  
Intervention Mapping ◽  
Family Members ◽  
First Episode Psychosis ◽  
First Episode ◽  
Culturally Informed ◽  
Episode Psychosis

IntroductionDespite the proven effectiveness of coordinated specialty care (CSC) programmes for first episode psychosis in the USA, CSC programmes often have low levels of engagement in family psychoeducation, and engagement of racial and ethnic minority family members is even lower than that for non-Latino white family members. The goal of this study is to develop and evaluate a culturally informed FAmily Motivational Engagement Strategy (FAMES) and implementation toolkit for CSC providers.Methods and analysisThis protocol describes a mixed methods, multi-phase study that blends intervention mapping and the Promoting Action on Research in Health Services framework to develop, modify and pilot-test FAMES and an accompanying implementation toolkit. Phase 1 will convene a Stakeholder Advisory Committee to inform modifications based on findings from phases 1 and 2. During phase 1, we will also recruit approximately 200 family members to complete an online survey to assess barriers and motivation to engage in treatment. Phase 2 we will recruit five family members into a 3-month trial of the modified FAMES and implementation toolkit. Results will guide the advisory committee in refining the intervention and implementation toolkit. Phase 3 will involve a 16-month non-randomised, stepped-wedge trial with 50 family members from five CSC programmes in community-based mental health clinics to examine the acceptability, feasibility and initial impact of FAMES and the implementation toolkit.Ethics and disseminationThis study received Institutional Review Board approval from Washington State University, protocol #17 812–001. Results will be disseminated via peer review publications, presentations at national and international conferences, and to local community mental health agencies and committees.Trial registration numberClinicalTrials.gov Registry (NCT04188366).

Longitudinal relationship between expressed emotion and cannabis misuse in young people with first-episode psychosis

2015 ◽  
Vol 30 (1) ◽  
pp. 20-25 ◽  
Author(s):  
C. González-Blanch ◽  
J.F. Gleeson ◽  
S.M. Cotton ◽  
K. Crisp ◽  
P.D. McGorry ◽  
...  
Keyword(s):  
Young People ◽  
Family Environment ◽  
Temporal Relationship ◽  
Expressed Emotion ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis ◽  
Substance Involvement ◽  
Over Time

AbstractCarers’ expressed emotion (EE) and patients’ cannabis misuse are two of the most robust predictors of psychotic relapse. We aimed to examine the temporal relationship between EE and cannabis misuse. Sixty-three key carers of young people with first-episode psychosis (FEP) were assessed at baseline and 7-month follow-up. EE was measured in carers using the Family Questionnaire (FQ) and cannabis misuse in patients using the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Correlational and hierarchical logistic regression analyses were conducted to examine the temporal relationship between EE components (i.e. criticism and emotional over involvement) and cannabis misuse. Carers’ criticism at baseline significantly predicted cannabis misuse according to the ASSIST at 7-month follow-up. The association remained significant after controlling for baseline symptom severity and social functioning (B = 0.15, P = .02). Conversely, baseline cannabis misuse was not associated with carers’ criticism at 7-month follow-up. Patients in families with high criticism showed a tendency to increase cannabis misuse over time whereas the opposite trend was observed in those with carers with low criticism. A family environment characterized by high criticism may become a key risk factor for worsening cannabis misuse over time in young people with FEP. Further studies should investigate the potential mechanisms (e.g., patient's anxiety or perceived stress) through which criticism increases cannabis misuse in FEP.

Sign in / Sign up

Export Citation Format

Share Document