Impaired family functioning in psychosis and its relevance to relapse: a two-year follow-up study

Comprehensive Psychiatry
Katerina KoutraAlexandros N Vgontzas

Abstract

The aim of the present study was to investigate whether dysfunctional family functioning contributes to relapse over a two-year follow-up period in patients experiencing their first episode of psychosis (FEP) and chronic patients with psychosis. The sample consisted of 100 remitted patients (50 FEP and 50 chronic) diagnosed with schizophrenia (82%) or bipolar disorder with most recent episode manic severe with psychotic features (18%) recruited from the Inpatient Psychiatric Unit of the University Hospital of Heraklion, Crete, Greece, and their family caregivers. Family functioning was assessed in terms of cohesion and flexibility (FACES-IV), expressed emotion (FQ), family burden (FBS) and caregivers' psychological distress (GHQ-28). Relapse was defined as patient rehospitalisation due to acute psychotic exacerbation, while number, length, and type of hospitalisations were also evaluated. Dysfunctional family functioning in terms of cohesion and flexibility was not found to be a significant risk factor for relapse in psychosis. High expressed emotion, as indexed primarily by increased levels of criticism rather than emotional over-involvement, was associated with increased risk of relapse and shorter time to relapse (HR=0.48, 9...Continue Reading

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Citations

May 28, 2016·The Nursing Clinics of North America·Deborah Antai-Otong
Dec 23, 2017·Journal of Nursing Measurement·Ana Carolina G ZanettiSueli Aparecida Frari Galera
Nov 20, 2016·Early Intervention in Psychiatry·Alicia LuckstedLisa B Dixon
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Sep 4, 2020·Current Psychiatry Reports·Philip HensonJohn Torous
Jul 15, 2021·Clinical Psychology & Psychotherapy·Lídia Hinojosa-MarquésNeus Barrantes-Vidal

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