TY - JOUR
T1 - Relatives' expressed emotion, distress and attributions in clinical high-risk and recent onset of psychosis
AU - Domínguez-Martínez, Tecelli
AU - Medina-Pradas, Cristina
AU - Kwapil, Thomas R.
AU - Barrantes-Vidal, Neus
N1 - This study was supported by Ministerio de Economía y Competitividad: Plan Nacional de I+D PSI2014-54009-R and Red de Excelencia PSI2014-56303-REDT (PROMOSAM: Investigación en Procesos, Mecanismos y Tratamientos Psicológicos para la Promoción de la Salud Mental), Fundació La Marató de TV3 ( 091110 ), and Generalitat de Catalunya (Suport als Grups de Recerca 2014SGR1070 ). NBV is supported by the Acadèmia Research Award from the Catalan Government ( Institució Catalana de Recerca i Estudis Avançats , ICREA).
PY - 2017/1/1
Y1 - 2017/1/1
N2 - It has been well-demonstrated that Expressed Emotion (EE) in caregivers of schizophrenia patients is related to their illness attributions, but little is known about relatives' cognitive and emotional appraisals at early stages of psychosis. This study examined differences on the relationships of EE with distress and illness attributions in 78 relatives of At-Risk Mental States (ARMS) and First-Episode of Psychosis (FEP) patients, and which of those variables better predicted EE. Criticism and Emotional Over-Involvement (EOI) were associated with distress and with several illness attributions in both groups. Anxiety was more strongly associated with criticism in ARMS than in FEP-relatives, and it was associated with EOI in the ARMS but not in the FEP-group. No differences on the relationships of EE with depression or attributions were found. Furthermore, distress and attributions of blame toward the patients predicted criticism. Attributions of control by the patient and emotional negative representation about the disorder predicted EOI. Findings highlight the need to focus on early family interventions that provide proper information and psychological support in accordance with the illness stage, to help relatives improve their understanding of the disorder, handle difficult thoughts and emotions, reduce negative appraisals, and prevent high-EE over the psychotic process.
AB - It has been well-demonstrated that Expressed Emotion (EE) in caregivers of schizophrenia patients is related to their illness attributions, but little is known about relatives' cognitive and emotional appraisals at early stages of psychosis. This study examined differences on the relationships of EE with distress and illness attributions in 78 relatives of At-Risk Mental States (ARMS) and First-Episode of Psychosis (FEP) patients, and which of those variables better predicted EE. Criticism and Emotional Over-Involvement (EOI) were associated with distress and with several illness attributions in both groups. Anxiety was more strongly associated with criticism in ARMS than in FEP-relatives, and it was associated with EOI in the ARMS but not in the FEP-group. No differences on the relationships of EE with depression or attributions were found. Furthermore, distress and attributions of blame toward the patients predicted criticism. Attributions of control by the patient and emotional negative representation about the disorder predicted EOI. Findings highlight the need to focus on early family interventions that provide proper information and psychological support in accordance with the illness stage, to help relatives improve their understanding of the disorder, handle difficult thoughts and emotions, reduce negative appraisals, and prevent high-EE over the psychotic process.
KW - Appraisals
KW - Criticism
KW - Distress
KW - Early psychosis
KW - Emotional over-involvement
KW - Family
UR - http://www.scopus.com/inward/record.url?scp=85003811117&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85003811117&partnerID=8YFLogxK
U2 - 10.1016/j.psychres.2016.11.048
DO - 10.1016/j.psychres.2016.11.048
M3 - Article
C2 - 27951481
AN - SCOPUS:85003811117
SN - 0165-1781
VL - 247
SP - 323
EP - 329
JO - Psychiatry Research
JF - Psychiatry Research
ER -