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Lithium Prophylaxis and Expressed Emotion

Published online by Cambridge University Press:  02 January 2018

Stefan Priebe ,
Christiane Wildgrube  and
Bruno Müller-Oerlinghausen
Stefan Priebe*
Affiliation:
Department of Social Psychiatry, Freie Universitat Berlin (West), Platanenallee 19, D-1000 Berlin 19
Christiane Wildgrube
Affiliation:
Laboratory of Clinical Pharmacology and Lithium Clinic
Bruno Müller-Oerlinghausen
Affiliation:
Laboratory of Clinical Psychopharmacology and Lithium Clinic, Psychiatrische Klinik und Poliklinik der Freien Universität Berlin (West), Eschenallee 3, D-1000 Berlin 19
*
∗Correspondence
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Abstract

Expressed emotion (EE) in key relatives of 21 patients with bipolar affective or schizoaffective psychoses was assessed by the CFI. All patients had been on prophylactic lithium for at least three years and were without psychotic symptoms at interview. The relationship between relatives' EE status and patients' course of illness was studied both retrospectively and prospectively. Two critical remarks designated high EE. The relatives' EE status was not related to number of hospital admissions or to severity and length of recurrences if the entire period of lithium treatment is considered as a whole. However, patients living with high-EE relatives showed a significantly poorer response during the three years before interview, and an even poorer response in the nine-month follow-up.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 3 , March 1989 , pp. 396 - 399
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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Footnotes

∗

The findings presented here are part of the thesis of CW.

References

Angst, J., Weis, P., Grof, P., et al (1970) Lithium prophylaxis in recurrent affective disorders. British Journal of Psychiatry, 116, 604–614.Google Scholar
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241–258.CrossRefGoogle ScholarPubMed
Coppen, A., Peet, M., Bailey, J., et al (1973) Double-blind and open prospective studies of lithium prophylaxis in affective disorders. Psychiatry, Neurology and Neurosurgery, 76, 501–510.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1982) Family management in the prevention of exacerbations of schizophrenia. New England Journal of Medicine, 306, 1437–1440.Google Scholar
Falloon, I. R. H., Boyd, J. L. & McGill, C. W. (1984) Family Care of Schizophrenia. New York: Guilford Press.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., et al (1985) Family management in the prevention of morbidity in schizophrenia: clinical outcome of a two-year longitudinal study. Archives of General Psychiatry, 42, 887–896.CrossRefGoogle ScholarPubMed
Hatfield, A. B., Spanibol, L. & Zipple, A. M. (1987) Expressed emotion: a family perspective. Schizophrenia Bulletin, 13, 221–226.Google Scholar
Hogarty, G. E. (1984) Depot neuroleptics: the relevance of psychosocial factors – a United States perspective. Journal of Clinical Psychiatry, 45, 36–42.Google ScholarPubMed
Hogarty, G. E., Anderson, C. M., Reiss, D. J., et al (1986) Family psycho-education, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia. Archives of General Psychiatry, 43, 633–642.Google Scholar
Hooley, J. M. (1985) Expressed emotion: a review of the critical literature. Clinical Psychology Review, 5, 119–139.CrossRefGoogle Scholar
Hooley, J. M. (1986) Expressed emotion in depression: interactions between patients and high- vs. low-expressed emotion spouses. Journal of Abnormal Psychology, 95, 237–246.CrossRefGoogle Scholar
Hooley, J. M., Orley, J. & Teasdale, J. D. (1986) Levels of expressed emotion and relapse in depressed patients. British Journal of Psychiatry, 148, 642–647.Google Scholar
Kanter, J., Lamp, H. R. & Loeper, C. (1987) Expressed emotion in families: a critical review. Hospital and Community Psychiatry, 38, 374–380.Google Scholar
Koenigsberg, H. W. & Handley, R. (1986) Expressed emotion: from predictive index to clinical construct. American Journal of Psychiatry, 143, 1361–1373.Google ScholarPubMed
Leff, J. & Vaughn, C. (1980) The interaction of life events and relatives' expressed emotion in schizophrenia and depressive neuroses. British Journal of Psychiatry, 136, 146–153.Google Scholar
Leff, J. & Vaughn, C. (1981) The role of maintenance therapy and relatives' expressed emotion in relapse of schizophrenia: a 2-year follow-up. British Journal of Psychiatry, 139, 102–104.CrossRefGoogle Scholar
Leff, J., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.Google Scholar
Miklowitz, D. J., Goldstein, M. J., Nuechterlein, K. H., et al (1987) The family and the course of recent/onset mania. In Understanding of Major Mental Disorder. The Contribution of Family Interaction Research (eds Hahlweg, K. & Goldstein, M. J.), pp 195–211. New York: Family Process Press.Google Scholar
Prien, R. F., Kupfer, D. J., Mansky, P. A., et al (1984) Drug therapy in the prevention of recurrences in unipolar and bipolar affective disorders. Archives of General Psychiatry, 1096 1104.Google Scholar
Smulevitch, A. B., Zavidovskaya, G. I., Igonin, A. K., et al (1974) The effectiveness of lithium in affective and schizoaffective psychoses. British Journal of Psychiatry, 125, 65–72.Google Scholar
Vaughn, C. E., Snyder, K. S., Jones, S., et al (1984) Family factors in schizophrenic relapse. Archives of General Psychiatry, 41, 1169–1177.CrossRefGoogle ScholarPubMed
Volk, J. & Müller-Oerlinghausen, B. (1988) Quality of inter-episodic periods in manic-depressive patients under long-term lithium treatment. Pharmacopsychiatry, 21, 426–427.CrossRefGoogle Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD-9). Geneva: WHO.Google Scholar
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