Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Lithium prophylaxis and expressed emotion.

S Priebe1, C Wildgrube, B Müller-Oerlinghausen

  • 1Department of Social Psychiatry, Freie Universitat Berlin, West.

The British Journal of Psychiatry : the Journal of Mental Science
|March 1, 1989
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Correction: Non-Response to Antidepressants: Risk Factors and Therapeutic Possibilities.

Pharmacopsychiatry·2026
Same author

Acceptability of a resource-oriented approach (DIALOG+) among patients with chronic physical illnesses in primary health care-Uganda, a qualitative study.

BMC primary care·2024
Same author

Letter of response to Nabi Z, Stansfeld J, Plöderl M, Wood L, Moncrieff J. Effects of lithium on suicide and suicidal behaviour: a systematic review and meta-analysis of randomised trials. <i>Epidemiol Psychiatr Sci</i>. 2022 Sep 16;31:e65. doi: 10.1017/S204579602200049X.

Epidemiology and psychiatric sciences·2022
Same author

Covid-19-related stressors, mental disorders, depressive and anxiety symptoms: a cross-sectional, nationally-representative, face-to-face survey in Serbia.

Epidemiology and psychiatric sciences·2022
Same author

Correction to: Multifamily groups for patients with schizophrenia: an exploratory randomised controlled trial in Bosnia and Herzegovina.

Social psychiatry and psychiatric epidemiology·2022
Same author

Multifamily groups for patients with schizophrenia: an exploratory randomised controlled trial in Bosnia and Herzegovina.

Social psychiatry and psychiatric epidemiology·2022
Same journal

The pressurised leaky funnel: rethinking recruitment, selection and retention in the UK psychiatry workforce.

The British journal of psychiatry : the journal of mental science·2026
Same journal

Cutting through stigma: psychiatry and neurosurgery working together.

The British journal of psychiatry : the journal of mental science·2026
Same journal

A fourth pillar for evidence-based medicine: implications for psychiatry - CORRIGENDUM.

The British journal of psychiatry : the journal of mental science·2026
Same journal

Understanding negative perceptions of psychiatrists on social media: lessons from public discourse and professional self-reflection.

The British journal of psychiatry : the journal of mental science·2026
Same journal

Attachment-informed psychopharmacology in psychiatric care.

The British journal of psychiatry : the journal of mental science·2026
Same journal

Acceptability and accuracy of point-of-care monitoring of lithium levels.

The British journal of psychiatry : the journal of mental science·2026
See all related articles

High expressed emotion (EE) in relatives of bipolar disorder patients correlates with poorer outcomes. This finding highlights the impact of family environment on patient recovery, even during lithium treatment.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Family Studies

Background:

  • Expressed emotion (EE) is a measure of the emotional atmosphere within a family.
  • High EE has been linked to relapse in various psychiatric conditions.
  • The role of EE in bipolar affective or schizoaffective psychoses during long-term lithium treatment requires further investigation.

Purpose of the Study:

  • To investigate the relationship between expressed emotion (EE) in key relatives and the course of illness in patients with bipolar affective or schizoaffective psychoses.
  • To assess if EE status influences patient outcomes during prophylactic lithium treatment.

Main Methods:

  • Assessed expressed emotion (EE) using the Camberwell Family Interview (CFI) in relatives of 21 patients.
  • Patients were on prophylactic lithium for at least three years and symptom-free at interview.

Related Experiment Videos

  • Studied the relationship between relatives' EE status and patients' illness course retrospectively and prospectively.

    • Main Results:

    • High EE, defined by two critical remarks, was not associated with the number of hospital admissions or recurrence severity over the entire lithium treatment period.
    • Patients living with high-EE relatives demonstrated a significantly poorer response in the three years preceding the interview.
    • A poorer response was also observed in the nine-month follow-up period for patients with high-EE relatives.

    Conclusions:

    • While long-term lithium treatment may stabilize patients, the family environment, specifically high expressed emotion (EE), can still negatively impact the course of bipolar affective or schizoaffective psychoses.
    • High EE in relatives is a significant predictor of poorer patient response, even in patients on prophylactic lithium.
    • These findings underscore the importance of family-focused interventions in managing these chronic conditions.