Age, expressed emotion, and interpersonal control patterning in families of persons with schizophrenia

Psychiatry Research
Anne K WuerkerAlan S Bellack

Abstract

Expressed emotion (EE) is a measure of a relative's attitude toward a person with a mental disorder as reflected by comments made to an interviewer. Over the years, an impressive body of research has been generated in attempts to explain the relationship of EE and course of illness, particularly in regard to schizophrenia. Past analyses have demonstrated two common patterns of interpersonal control in families with high-EE relatives. The first was that the relative and patient competed for 'who's in charge', with both rigidly asserting control. The other was that the relatives responded rigidly in one control mode no matter what the offspring was saying. In this study, we tested whether the difference in patterning was due to the patients being older. Study participants were 71 relative-patient dyads. EE was measured with the Five-Minute Speech Sample, the Family Problem-Solving Task was used to generate interaction, and interaction data were coded with the Relational Control Coding System. Multilevel modeling was used to estimate a model with verbal exchanges as Level 1, relatives' EE as Level 2, and age of the patient as Level 3. Results showed that age attenuated the relationship between the patient's message and the parent'...Continue Reading

References

Aug 1, 1976·The British Journal of Psychiatry : the Journal of Mental Science·C E Vaughn, J P Leff
Mar 1, 1989·Social Psychiatry and Psychiatric Epidemiology·T Hubschmid, M Zemp
Jun 1, 1989·Family Process·D J MiklowitzA Magaña-Amato
Jun 1, 1989·Family Process·A M StrachanK H Nuechterlein
Feb 1, 1989·Journal of Consulting and Clinical Psychology·K HahlwegK S Snyder
Mar 1, 1986·Psychiatry Research·A B MagañaI R Falloon
Jul 1, 1994·Journal of Child Psychology and Psychiatry, and Allied Disciplines·J B McGuire, F Earls
Aug 17, 2000·The British Journal of Psychiatry : the Journal of Mental Science·A H CrispO J Rowlands
Nov 4, 2000·The British Journal of Psychiatry : the Journal of Mental Science·A S BellackJ D Flory

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