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Expressed emotion across cultures

  • Dinesh Bhugra and Kwame McKenzie
Abstract

Expressed emotion has been used as a construct in understanding the interaction between patients and their carers and families. A considerable amount of data from Western cultures suggests that high expressed emotion can lead to relapse in vulnerable individuals, even when they are on medication. However, the data from other cultures are less solid. This paper reviews some of the existing findings and recommends that various components of expressed emotion must be seen in the cultural context and embedded in the normative data of the population before the concept can be considered in association with the pathogenesis of relapse.

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References
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Ball, R. E., Moore, E. & Kuipers, L. (1992) Expressed emotion in community care staff. Social Psychiatry and Psychiatric Epidemiology, 27, 3539.
Bebbington, P. & Kuipers, E. (1994) The predictive utility of expressed emotion in schizophrenia: an aggregate analysis. Psychological Medicine, 24, 707712.
Brown, G. (1959) Experiences of discharged chronic schizophrenic mental hospital patients in various types of living groups. Millbank Memorial Fund Quarterly, 37, 105131.
Brown, G. (1985) The discovery of expressed emotion: induction or deduction? In Expressed Emotion in Families (eds Leff, J. & Vaughn, C.) pp. 725. New York: Guilford Press.
Brown, G., Carstairs, M. & Topping, G. (1958) Post-hospital adjustment of chronic mental patients. Lancet, ii, 685689.
Brown, G., Monck, E., Carstairs, M. et al (1962) Influence of family life on the course of schizophrenic illness. British Journal of Preventive and Social Medicine, 16, 5568.
Brown, G., 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.
Butzlaff, R. L. & Hooley, J. M. (1998) Expressed emotion and psychiatric relapse: a meta-analysis. Archives of General Psychiatry, 55, 547552.
Hashemi, A. H. & Cochrane, R. (1999) Expressed emotion and schizophrenia: a review of studies across cultures. International Review of Psychiatry, 11, 219224.
Heresco-Levy, U., Greenberg, D. & Dasberg, H. (1990) Family expressed emotion: concepts, dilemmas and Israeli perspectives. Israeli Journal of Psychiatry and Related Sciences, 27, 204215.
Jenkins, J. (1992) Too close for comfort: schizophrenia and emotional overinvolvement among Mexicano families. In Ethnopsychiatry (ed. Gaines, A.) pp. 203221. Albany, NY: SUNY Press.
Kamal, A. (1995) Variables in expressed emotion associated with relapse: a comparison between depressed and schizophrenic samples in an Egyptian community. Current Psychiatry, 2, 211216.
Karno, M., Jenkins, J., Delaselva, A. et al (1987) Expressed emotion and schizophrenic outcome among Mexican American families. Journal of Nervous and Mental Disease, 175, 143151.
Kuipers, E. (1992) Expressed emotion in 1991. Social Psychiatry and Psychiatric Epidemiology, 27, 13.
Kuipers, E. & Bebbington, P. (1990) Working in Partnership. Oxford: Heinemann Medical.
Leff, J. & Vaughn, C. (1985) Expressed Emotion in Families. New York: Guilford Press.
Leff, J., Wig, N. N., Ghosh, A. et al (1987) Expressed emotion and schizophrenia in north India. III: Influence of relatives' expressed emotion on the course of schizophrenia in Chandigarh. British Journal of Psychiatry, 151, 166173.
Magana, A. B., Goldstein, M., Karno, M. et al (1986) A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatric Research, 17, 203213.
Mino, Y., Tanaka, S., Inoue, S. et al (1995) Expressed emotion components in families of schizophrenic patients in Japan. International Journal of Mental Health, 24, 3849.
Moore, E., Kuipers, E. & Ball, R. (1992) Staff–patient relationships in the care of the long term mentally ill. Social Psychiatry and Psychiatric Epidemiology, 27, 2834.
Okasha, A., El-Akabawi, A., Snyder, K. et al (1994) Expressed emotion, perceived criticism and relapse in depression: a replication in an Egyptian community. American Journal of Psychiatry, 151, 10011005.
Phillips, M. & Xiang, W. (1995) Expressed emotion in mainland China: Chinese families with schizophrenic patients. International Journal of Mental Health, 24, 5475.
Vaughan, K., Doyle, M., McConaghy, N. et al (1992) The relationship between relative's expressed emotion and schizophrenic relapse: an Australian replication. Social Psychiatry and Psychiatric Epidemiology, 27, 1015.
Vaughn, C. E. & Leff, J. P. (1976) The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125137.
Wig, N. N., Menon, D. K., Bedi, H. et al (1987a) Expressed emotion and schizophrenia in north India. I: Cross-cultural transfer of ratings of relatives' expressed emotion. British Journal of Psychiatry, 151, 156160.
Wig, N. N., Menon, D. K., Bedi, H. et al (1987b) Expressed emotion and schizophrenia in north India. II: Distribution of expressed emotion components among relatives of schizophrenic patients in Aarhus and Chandigarh. British Journal of Psychiatry, 151, 160165.
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BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
  • URL: /core/journals/bjpsych-advances
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Expressed emotion across cultures

  • Dinesh Bhugra and Kwame McKenzie
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