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Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
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Expressed emotions in obsessive compulsive disorder.

A Shanmugiah1, Mathew Varghese, Sumant Khanna

  • 1SHANMUGIAH A, D.P.M, M.D, Senior Research Officer, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore-560029.

Indian Journal of Psychiatry
|January 6, 2011
PubMed
Summary
This summary is machine-generated.

Obsessive compulsive disorder (OCD) patients in India showed higher expressed emotions, including criticism and emotional involvement, compared to general population norms. These factors did not correlate with illness severity or duration.

Keywords:
Expressed emotionsObsessive Compulsive Disorder

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Social Psychiatry

Background:

  • Social factors significantly influence Obsessive Compulsive Disorder (OCD) development and progression.
  • Previous research suggests elevated expressed emotions (EE) in OCD, but this remains understudied in India.
  • EE, encompassing emotional over-involvement and criticism, is a key concept in family dynamics and mental health.

Purpose of the Study:

  • To investigate the levels of Expressed Emotions (EE) in Indian patients diagnosed with Obsessive Compulsive Disorder (OCD).
  • To assess the relationship between EE components (criticism, emotional involvement) and clinical variables in OCD.
  • To establish baseline data on EE in OCD within the Indian cultural context.

Main Methods:

  • A study involving 35 patients diagnosed with OCD according to ICD-10 criteria.
  • Assessment of Expressed Emotions using the Family Emotional Involvement and Criticism Scale.
  • Comparison of patient scores with normative data and correlation analysis with Yale-Brown Obsessive Compulsive Scale (YBOCS), illness duration, and age.

Main Results:

  • OCD patients exhibited significantly higher scores on Expressed Emotions compared to normative data.
  • Elevated scores were observed in both perceived criticism and emotional involvement subscales.
  • No significant correlation was found between EE scores and YBOCS, duration of illness, or patient age.

Conclusions:

  • Indian OCD patients demonstrate heightened levels of expressed emotions within their families.
  • Perceived criticism and emotional involvement are elevated, suggesting a potential role in OCD's family dynamics.
  • Further research is needed to explore the implications of EE in OCD pathogenesis, maintenance, and therapeutic outcomes.