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Updated: May 21, 2026

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Published on: May 15, 2016
Expressed emotion in schizophrenia: an overview.
Anekal C Amaresha1, Ganesan Venkatasubramanian
1Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Expressed emotion (EE), an adverse family environment, strongly predicts schizophrenia relapse. Understanding EE
Area of Science:
- Psychiatry
- Clinical Psychology
- Family Studies
Background:
- Expressed emotion (EE) describes adverse family environments impacting patient-caregiver interactions.
- High EE is a significant predictor of relapse in schizophrenia and other psychiatric disorders.
Purpose of the Study:
- To review the origins and evolution of the expressed emotion construct.
- To explore factors modulating EE and its implications for patient care.
Main Methods:
- Literature review of existing studies on expressed emotion.
- Analysis of factors influencing EE, including caregiver personality and patient vulnerability.
Main Results:
- EE is influenced by caregiver attributions, personality, and patient stress vulnerability.
- Family psychoeducation interventions can reduce high EE and symptom relapse.
Conclusions:
- EE is a critical factor in schizophrenia relapse, influenced by multiple variables.
- Future research should investigate both protective and vulnerable factors within EE for comprehensive care.
- Current EE theories may overlook positive caregiver attitudes, necessitating a balanced perspective.
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