Mod2 Art6 - Module 2 Article 6 TREATMENT HIGHLIGHTS...

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Unformatted text preview: Module 2 --- Article 6 TREATMENT HIGHLIGHTS Schizophrenia / mood diSorderS / eating diSorderS the level of expressed emotion (ee) by patients’ relatives is associated with relapse in schizophrenia, mood disorders, and eating disorders. The authors reviewed 27 studies of the association between expressed emotion and relapse. The primary measure of EE is the Camberwell Family Interview (CFI), which collects information on the attitudes and feelings of a patient’s relatives while asking questions regarding the patient’s home life during the 3 months preceding hospitalization.* The 3 key components that are measured in order to create an index of EE are hostility, emotional overinvolvement, and the number of critical comments made about the patient (this being the best single predictor of relapse).* Also, it has been found that interviewing the relative alone, rather than with the patient, yields a more accurate prediction of relapse.* The authors found that EE is a reliable predictor of relapse in schizophrenia, particularly for patients with more chronic illness (ie, more than 3 prior hospitalizations or an average duration of the illness of at least 5 years). In addition, the authors found that EE is an even better predictor of relapse in mood disorders and eating disorders than it is in schizophrenia. The authors conclude that the link between EE and relapse appears to have been well-established over the 40-year period during which it has been studied, and recommend that the focus of future research be on the reasons why EE has such a strong impact. The authors also recommend that research be conducted on how relapse rates are affected by family intervention that includes a focus on expressed emotion. *From Brown GW, Birley JL, & Wing JK. Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121:241-258, 1972. Butzlaff rL & hooley Jm. Expressed emotion and psychiatric relapse. Archives of General Psychiatry, 55:547-552, 1998. © Copyright 2011 MWK Publishing LLC; from The Complete Practitioner: Mental Health Applications (Vol. 1, No. 8 -- August 1998) For next article, go to next page. ...
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