Expressed Emotion and Schizophrenia in North India

Autor: J. Leff, N. N. Wig, D. K. Menon, H. Bedi, L. Kuipers, A. Ghosh, A. Korten, G. Ernberg, R. Day, N. Sartorius, A. Jablensky
Rok vydání: 1987
Předmět:
Zdroj: British Journal of Psychiatry. 151:166-173
ISSN: 1472-1465
0007-1250
DOI: 10.1192/bjp.151.2.166
Popis: We conducted a one-year follow-up of patients who had made a first contact with psychiatric services in Chandigarh, North India, and had been assigned a diagnosis of schizophrenia. The expressed emotion (EE) of the patients' relatives was assessed early on. We found the same associations between the individual components of EE and relapse of schizophrenia as in previous Anglo-American studies, but only the association between hostility and relapse was statistically significant. Applying the same criteria as in the Anglo American studies for ‘high EE’, we found a significant relationship between high EE and relapse. This relationship was not explained by other factors often associated with higher relapse rates. We conclude that the significantly better outcome of Chandigarh first-contact patients compared with a London sample is largely due to the significantly lower proportion of high-EE relatives in the North Indian sample.
Databáze: OpenAIRE