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Expressed Emotion and the Course of Schizophrenia in Japan

Published online by Cambridge University Press:  02 January 2018

Shuichi Tanaka ,
Yoshio Mino  and
Shimpei Inoue
Shuichi Tanaka
Affiliation:
Department of Neuropsychiatry, Kochi Medical School, Kochi, Japan
Yoshio Mino
Affiliation:
Department of Hygiene and Preventive Medicine, Okayama University Medical School, Okayama, Japan
Shimpei Inoue*
Affiliation:
Department of Neuropsychiatry, Kochi Medical School, Kochi, Japan
*
Professor Shimpei Inoue, Department of Psychiatry, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, Kochi, 783, Japan
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Abstract

Background

We examined whether expressed emotion (EE) influenced the course of schizophrenia in Japan.

Method

We conducted a cohort study. Of 73 subjects with schizophrenia meeting the diagnostic criteria of ICD–9 or DSM–III–R, 52 participated in the study. The Camberwell Family Interview was conducted to evaluate EE. The subjects had been followed up for nine months and psychiatrists who were blind to the EE status evaluated their symptoms with the Brief Psychiatric Rating Scale.

Results

The relapse rate in the high-EE group was 58% and that in the low-EE group 21 % (P < 0.01). Nine-month relapse risk ratio was 2.72 (95% CI 1.24 to 5.97).

Conclusion

In Japan, as elsewhere, EE is a good predictor of schizophrenic relapse.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 6 , December 1995 , pp. 794 - 798
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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