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Related Experiment Videos

Expressed emotion and social function

S Inoue1, S Tanaka, S Shimodera

  • 1Department of Neuropsychiatry, Kochi Medical School, Nankoku, Japan. inoues@kochi-ms.ac.jp

Psychiatry Research
|August 29, 1997
PubMed
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High expressed emotion (EE) in families negatively impacts social functioning in schizophrenia patients. Low EE families showed significant improvements in patients

Area of Science:

  • Psychiatry and Behavioral Sciences
  • Clinical Psychology

Background:

  • Schizophrenia significantly impairs social functioning.
  • Expressed emotion (EE) in family environments is a known factor influencing relapse in schizophrenia.
  • The specific impact of EE on the trajectory of social functioning requires further elucidation.

Purpose of the Study:

  • To investigate the influence of familial expressed emotion (EE) levels on the social functioning of individuals diagnosed with schizophrenia.
  • To compare the changes in social functioning over a 9-month period between schizophrenia patients from high EE and low EE families.

Main Methods:

  • Recruited 29 subjects meeting ICD-9 or DSM-III-R criteria for schizophrenia.
  • Assessed familial expressed emotion (EE) using the Camberwell Family Interview.

Related Experiment Videos

  • Categorized subjects into high EE and low EE groups.
  • Evaluated social functioning using the Katz Adjustment Scales at baseline and after a 9-month follow-up.

    • Main Results:

    • Subjects in the high EE group exhibited a slight decline in the performance of socially-expected activities and free-time activities.
    • Subjects in the low EE group demonstrated improvement in social functioning.
    • The improvement in the performance of socially-expected activities was statistically significant (P < 0.05) in the low EE group.

    Conclusions:

    • Familial expressed emotion (EE) status is significantly associated with the social functioning outcomes in individuals with schizophrenia.
    • A low EE environment is linked to improved social functioning in schizophrenia patients.
    • Interventions aimed at reducing EE within families may positively impact social recovery in schizophrenia.