Predictors of criticism and emotional over-involvement in relatives of early psychosis patients

• DOI: 10.1371/journal.pone.0234325
• Publication Date: 2020-06-15T17:27:04Z
• Authors: Lídia Hinojosa-Ma...; Tecelli Domínguez...; Thomas R. Kwapil; Neus Barrantes-Vidal
• Keywords: Expressed emotion; Blame

Mechanisms underlying the manifestation of relatives' expressed emotion (EE) in early stages psychosis are still not properly understood. The present study aimed to examine whether psychological distress and subjective appraisals illness predicted EE dimensions over-and-above patients' poor clinical functional status. Baseline patient-related variables relatives attributes comprising criticism, emotional over-involvement (EOI), distress, attributions were assessed 91 patients their respective relatives. Relatives reassessed regarding at a 6-month follow-up. Relatives' criticism EOI characteristics both time points. increased levels anxiety, blame toward patients, an negative representation about disorder, decreased self-blame EE-criticism baseline. anxiety disorder only significant predictors follow-up, whereas control by relative EE-EOI baseline follow-up assessments. Understanding components that comprise maintain attitudes should guide caregivers family interventions, enhancing proper management reduction illness. prevention high-EE over sensitive period such as might be critical shaping health outcome affected