Expressed emotion as predictor of relapse in patients with comorbid psychoses and substance use disorder
Data(s) |
2005
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Resumo |
Objective: Expressed emotion (EE) and substance use disorder predict relapse in psychosis, but there is little research on EE in comorbid samples. The current study addressed this issue. Method: Sixty inpatients with a DSM-IV psychosis and substance use disorder were recruited and underwent diagnostic and substance use assessment. Key relatives were administered the Camberwell Family Interview. Results: Patients were assessed on the initial symptoms and recent substance use, and 58 completed the assessment over the following 9 months. High EE was observed in 62% of households. Expressed emotion was the strongest predictor of relapse during follow up and its predictive effect remained in participants with early psychosis. A multivariate prediction of a shorter time to relapse entered EE, substance use during follow up Q1 and (surprisingly) an absence of childhood attention deficit hyperactivity disorder. Conclusions: Since high EE is a common and important risk factor for people with comorbid psychosis and substance misuse, approaches to address it should be considered by treating clinicians. |
Identificador | |
Publicador |
Blackwell Publishing |
Relação |
DOI:10.1111/j.1440-1614.2005.01606.x Kavanagh, David J., Pourmand, Diba, & Vaughan, Kevin (2005) Expressed emotion as predictor of relapse in patients with comorbid psychoses and substance use disorder. Australian and New Zealand Journal of Psychiatry, 39(6), pp. 473-478. |
Fonte |
Faculty of Health; Institute of Health and Biomedical Innovation; School of Psychology & Counselling |
Palavras-Chave | #110319 Psychiatry (incl. Psychotherapy) #Comorbidity #Expressed emotion #Relapse #Schizophrenia #Substance use disorder |
Tipo |
Journal Article |