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Recent developments in expressed emotion and schizophrenia.

Kavanagh, David J. (1992) Recent developments in expressed emotion and schizophrenia. British Journal of Psychiatry, 160(5), pp. 601-620.

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Abstract

Reviews outcome studies on the course of schizophrenia as predicted by expressed emotion (EE) and considers methodological issues. The nature of EE and the mechanism for the predictive results are explored. EE probably determines relapse through its effect on emotions and symptom control. A stress-vulnerability model of relapse is advanced that incorporates biological factors and cycles of mutual influence between symptomatic behavior, life events, and EE. A social interaction model of schizophrenia may help to alleviate concerns that EE represents an attempt to blame families for schizophrenic relapse. Aversive types of behavior in patients and their relatives are seen as understandable reactions to stress that are moderated by social perceptions and coping skills. Families have made positive achievements, including the provision of noninvasive support.

Impact and interest:

344 citations in Scopus
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357 citations in Web of Science®

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ID Code: 29335
Item Type: Journal Article
DOI: 10.1192/bjp.160.5.601
ISSN: 0007-1250
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Psychiatry (incl. Psychotherapy) (110319)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Deposited On: 17 Dec 2009 12:04
Last Modified: 10 Jun 2010 00:15

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