Related Experiment Video
Updated: Aug 25, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
Expressed emotion at first-episode psychosis: investigating a carer appraisal model
D Raune1, E Kuipers, P E Bebbington
1Department of Adult Clinical Psychology, Ealing Locality, John Connelly Wing, West London Mental Health Trust, London, UK.
Background:
Even at the first episode of psychosis, high expressed emotion (EE) characterises over half of patient-carer relationships. This study compared a carer appraisal model of EE with the ability of illness factors to predict EE at the first episode.
Aims:
To investigate the utility of a carer appraisal model of EE in first-episode psychosis.
Method:
We compared high- and low-EE carers of people who had first-episode psychosis (n=46).
Results:
High EE in carers was associated with higher avoidant coping, higher subjective burden and lower perceived patient interpersonal functioning. Patient illness factors and carers' distress levels were not associated with EE.
Conclusions:
Even at the first episode, carers' psychological appraisal, not patient illness factors, is influential in determining high EE. Carers' appraisal of their situation should be a primary target to lower or prevent high EE in early intervention for psychosis.
More Related Videos
Related Concept Videos
Coping Strategies: Emotion Focused
Lazarus's Cognitive Appraisal Theory
Primary Appraisal:...
Emotional Expression
Universal Facial Expressions
Psychologist Paul Ekman identified seven basic...
Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Rational Emotive Behavior Therapy
Psychodynamic Therapy

