Expressed emotion and the course of schizophrenia in Pakistan
Journal article
Sadiq, Sarosh, Suhail, Kausar, Gleeson, John and Alvarez-Jimenez, Mario. (2017). Expressed emotion and the course of schizophrenia in Pakistan. Social Psychiatry and Psychiatric Epidemiology. 52(5), pp. 587 - 593. https://doi.org/10.1007/s00127-017-1357-1
Authors | Sadiq, Sarosh, Suhail, Kausar, Gleeson, John and Alvarez-Jimenez, Mario |
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Abstract | Purpose: Aim of the study is to evaluate the predictive power of Expressed Emotion in Schizophrenia relapse in Pakistan. Method: A longitudinal study was conducted comprising 53 in-patients’ sample diagnosed with Schizophrenia and their 101 key carers. Participants fulfilled DSM-IV-TR criteria for Schizophrenia based on Structural Clinical Interview for the DSM-IV diagnosis. Symptomatic status was measured through Brief Psychiatric Rating Scales-Expanded (BPRS-E). Caregivers’ level of EE was assessed through Camberwell Family Interview (CFI). Patients were followed up for 9 months after hospital discharge. Results: Relapse rate for patients with high-EE household was 72% as compared with 36% in the low-EE household. Logistic Regression showed a positive relationship between high-EE and relapse (CI 0.06–0.80; p < 0.05). Both hostility and critical comments emerged as significant predictors of relapse. The odds ratio showed that a one unit increase in caregivers’ score on the CCs and hostility scales were associated with a 1.29 (CI 1.06–1.56; p < 0.05) and 1.89 (CI 1.14–3.13; p < 0.05) times increased rate of relapse, respectively. Conversely, a non-significant relationship was observed between EOI and relapse. Conclusions: The findings from this study confirmed the validity of EE construct in predicting schizophrenia relapse in a Pakistani sample. However, medication compliance has not been experimentally controlled and that is one of the limitations of the study. |
Keywords | expressed emotion; follow-up; relapse; schizophrenia |
Year | 2017 |
Journal | Social Psychiatry and Psychiatric Epidemiology |
Journal citation | 52 (5), pp. 587 - 593 |
Publisher | Dr. Dietrich Steinkopff Verlag GmbH and Co. KG |
ISSN | 0933-7954 |
Digital Object Identifier (DOI) | https://doi.org/10.1007/s00127-017-1357-1 |
Scopus EID | 2-s2.0-85027891504 |
Page range | 587 - 593 |
Publisher's version | File Access Level Controlled |
Place of publication | Germany |
https://acuresearchbank.acu.edu.au/item/852zy/expressed-emotion-and-the-course-of-schizophrenia-in-pakistan
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