Expressed emotions in patients with obsessive compulsive disorder: a case control study
Sateesh R Koujalgi1, Raghavendra B Nayak1, Nanasaheb M Patil1
1Department of Psychiatry, Karnataka Lingayat Education University's Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
Indian Journal of Psychological Medicine
|May 27, 2014
Summary
Expressed emotion (EE) is significantly higher in obsessive compulsive disorder (OCD) patients compared to controls. This suggests EE may play a role in OCD and warrants regular assessment.
Area of Science:
- Psychiatry
- Clinical Psychology
- Social Psychiatry
Background:
- Expressed emotion (EE) refers to relatives' attitudes towards a patient's illness and is linked to relapse in psychological disorders.
- Limited research exists on EE in anxiety disorders, particularly obsessive compulsive disorder (OCD).
- Understanding EE in OCD can illuminate the influence of social factors on the disorder.
Purpose of the Study:
- To compare levels of expressed emotion (EE) in patients diagnosed with obsessive compulsive disorder (OCD).
- To compare EE levels between OCD patients and a control group.
Main Methods:
- A case-control study involving 30 OCD patients and 30 matched controls.
- OCD diagnosis confirmed using ICD-10 DCR criteria; severity assessed with Yale-Brown Obsessive Compulsive Scale (Y-BOCS).
- Expressed emotion (EE) measured using the Family Emotional Involvement and Criticism Scale (FEICS); controls screened with GHQ.
Main Results:
- OCD patients exhibited significantly higher total FEICS scores compared to controls (P = 0.001).
- Both perceived criticism (PC) and emotional involvement (EI) subscales of FEICS were significantly elevated in OCD patients (P = 0.001).
Conclusions:
- Expressed emotion (EE) is significantly elevated in individuals with obsessive compulsive disorder (OCD).
- Regular assessment of EE is recommended for patients diagnosed with OCD.
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