The impact of familial expressed emotion on clinical and personal recovery among patients with psychiatric disorders: The mediating roles of self-stigma content and process
| Autor: | Chun Bun Ian Lam, Ka Shing Kevin Chan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Social stigma Social Stigma Self-concept MEDLINE PsycINFO Structural equation modeling 03 medical and health sciences 0302 clinical medicine Arts and Humanities (miscellaneous) Negatively associated Developmental and Educational Psychology medicine Humans Expressed emotion Family Psychiatry Mental Disorders Middle Aged Self Concept 030227 psychiatry Expressed Emotion Psychiatry and Mental health Female Psychology (miscellaneous) Self stigma Psychology 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Orthopsychiatry. 88:626-635 |
| ISSN: | 1939-0025 0002-9432 |
| DOI: | 10.1037/ort0000327 |
| Popis: | The present study examined the associations of familial expressed emotion (EE) with clinical and personal recovery among patients with psychiatric disorders, as well as the potential mechanisms underlying these associations. Guided by the content-process theory of self-stigma, we hypothesized that EE would be negatively associated with clinical and personal recovery and that these associations would be mediated by self-stigma content and process. A total of 311 patients with psychiatric disorders completed questionnaires on their perceptions of EE, self-stigma, and recovery. Structural equation modeling demonstrated that EE was positively associated with self-stigma content and process, which were in turn negatively associated with clinical and personal recovery. The indirect effects of EE on clinical and personal recovery, via self-stigma content and process, were also significant. Multigroup analyses further demonstrated that the impact of EE on self-stigma and recovery was generalizable across patients with psychotic and nonpsychotic disorders. Theoretically, our findings revealed the potential pathways through which EE may adversely affect psychiatric recovery. Practically, our findings highlighted the importance of designing multipronged intervention programs to reduce familial EE and its potential harmful impact on psychiatric patients. In addition to helping family members improve their knowledge about psychiatric disorders and adjust their communication styles, practitioners should help psychiatric patients develop resilience against EE, mitigate self-stigma, and achieve recovery. (PsycINFO Database Record (c) 2018 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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