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Levels of Expressed Emotion and Relapse in Depressed Patients

Published online by Cambridge University Press:  29 January 2018

Jill M. Hooley*
Affiliation:
Department of Psychology and Social Relations, Harvard University, Cambridge, Massachusetts, 02138
John Orley
Affiliation:
Division of Mental Health, World Health Organization, Geneva
John D. Teasdale
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford
*
Correspondence

Abstract

The relationship between spouses' levels of expressed emotion (EE) and relapse was examined in a sample of 39 depressed psychiatric hospital patients. Over a nine-month follow-up, 59% of patients with high-EE spouses relapsed, although no patients living with low-EE spouses did so. The results replicate the association found by Vaughn & Left between EE and depression, and suggest that the EE construct has predictive validity in both schizophrenic and depressed populations.

Type
Papers
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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References

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.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, 241258.Google Scholar
Cadoret, R., Widner, R. B. & North, C. (1980) Depression in family practice: Long-term prognosis and somatic complaints. Journal of Family Practice, 10, 625629.Google Scholar
Goldthorpe, J. H. & Hope, K. (1974) The Social Grading of Occupation: A New Approach and Scale. Oxford: Clarendon Press.Google Scholar
Hooley, J. M. (1985) Expressed emotion: A review of the critical literature. Clinical Psychology Review, 5, 119139.Google Scholar
Jacobson, N. S., Follette, W. C. & McDonald, D. W. (1982) Reactivity to positive and negative behavior in distressed and nondistressed married couples. Journal of Consulting and Clinical Psychology, 50, 706714.Google Scholar
Jacobson, N. S., Waldron, H. & Moore, D. (1980). Toward a profile of marital distress. Journal of Consulting and Clinical Psychology, 48, 676703.Google Scholar
Keller, M. B. & Shapiro, R. W. (1981) Major depressive disorder: Initial results from a one-year prospective naturalistic follow-up study. Journal of Nervous and Mental Disease, 169, 761768.Google Scholar
Kerr, T. A., Roth, M. & Shapira, K. (1974). Prediction of outcome in anxiety states and depressive illness. British Journal of Psychiatry, 124, 125133.Google Scholar
Leff, J., Kuipers, L., Berkowttz, R., Eberletn-Vries, R. & Sturgeon, D. (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121134.Google Scholar
Spanier, G. B. (1976) Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 1528.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978). Research Diagnostic Criteria for a Selected Group of Functional Disorders. New York: Biometric Research Unit, New York State Psychiatric Institute.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976) The influence of family and social factors on the course of psychiatric illness: A comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125137.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976). The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology. 15, 157165.Google Scholar
Vaughn, C. E., Snyder, K. S., Jones, S., Freeman, W. B., Falloon, I. R. H. (1984) Family factors in schizophrenic relapse: Replication in California of British research on expressed emotion. Archives of General Psychiatry, 41, 11691177.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Description of Psychiatric Symptoms: An Introduction Manual for the PSE and Catego System. London: Cambridge University Press.Google Scholar
Wing, J. K., & Sturt, E. (1978). The PSE-ID-CA TEGO System. Supplementary Manual. London: MRC Social Psychiatry Unit.Google Scholar
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