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Expressed emotion and the course of schizophrenia in Pakistan
Sadiq, Sarosh Suhail, Kausar Gleeson, John Alvarez-Jimenez, Mario
Sadiq, Sarosh
Suhail, Kausar
Gleeson, John
Alvarez-Jimenez, Mario
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
Date
2017
Type
Journal article
Journal
Social Psychiatry and Psychiatric Epidemiology
Book
Volume
52
Issue
5
Page Range
587-593
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled