Shame and guilt/self-blame as predictors of expressed emotion in family members of patients with schizophrenia.

Psychiatry Research
Stephanie WassermanGiulia Suro

Abstract

Expressed emotion (EE) is a measure of the family environment reflecting the amount of criticism and emotional over-involvement expressed by a key relative towards a family member with a disorder or impairment. Patients from high EE homes have a poorer illness prognosis than do patients from low EE homes. Despite EE's well-established predictive validity, questions remain regarding why some family members express high levels of EE attitudes while others do not. Based on indirect evidence from previous research, the current study tested whether shame and guilt/self-blame about having a relative with schizophrenia serve as predictors of EE. A sample of 72 family members of patients with schizophrenia completed the Five Minute Speech Sample to measure EE, along with questionnaires assessing self-directed emotions. In line with the hypotheses, higher levels of both shame and guilt/self-blame about having a relative with schizophrenia predicted high EE. Results of the current study elucidate the EE construct and have implications for working with families of patients with schizophrenia.

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Citations

Apr 29, 2014·Psychiatry Research·Tecelli Domínguez-MartínezNeus Barrantes-Vidal
Jan 25, 2017·American Journal of Alzheimer's Disease and Other Dementias·Cory K ChenJoshua Chodosh
Apr 12, 2017·The British Journal of Clinical Psychology·Debora Vasconcelos E SaAlison Wearden
Apr 5, 2014·Qualitative Health Research·Wendy Gale Nordick, Kate van Heugten
Oct 17, 2017·Family Process·Amy Weisman de MamaniCaitlin A Brown
Sep 27, 2018·Issues in Mental Health Nursing·Ek-Uma Imkome, Koson Waraassawapati
May 24, 2019·International Journal of Mental Health Nursing·Keren Gueta, Shosh Tam
Dec 12, 2019·Frontiers in Psychiatry·Lídia Hinojosa-MarquésNeus Barrantes-Vidal
Mar 30, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Júlio Belo FernandesRhona Cruzet Cunningham

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