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Psychophysiological Responses of Schizophrenic Patients to High and Low Expressed Emotion Relatives: A Follow-up Study

Published online by Cambridge University Press:  29 January 2018

David Sturgeon ,
Graham Turpin ,
Liz Kuipers ,
Ruth Berkowitz  and
Julian Leff
David Sturgeon
Affiliation:
Department of Mental Health, School of Medicine, University College, London, WC1
Graham Turpin
Affiliation:
M.R.C. Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5
Liz Kuipers
Affiliation:
M.R.C. Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5
Ruth Berkowitz
Affiliation:
M.R.C. Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5
Julian Leff
Affiliation:
M.R.C. Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5
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Summary

Measurements of skin conductance response frequencies (SCRf) were obtained from 30 acutely ill schizophrenic patients during a standardised videotaped interview, conducted with the patient's key relative present. Significant differences in SCRf's were demonstrated between patients whose relatives had high and low Expressed Emotion (EE) respectively. Patients at high risk of relapse were allocated either to a control or an experimental group, the latter being offered a number of social interventions in order to reduce the relative's EE and/or contact with the patient. Follow-up measurements were obtained on 19 patients nine months after discharge. Although social intervention was highly successful in reducing relapse rates, its effects did not appear to be directly mediated via SCRf, which was found to be independently related to relapse.

Information

Type
Research Article
Information
The British Journal of Psychiatry , Volume 145 , Issue 1 , July 1984 , pp. 62 - 69
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Brown, G. W. 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, 241–58.CrossRefGoogle ScholarPubMed
Cooklin, R. Sturgeon, D. A. Leff, J. P. (1983). The relationship between auditory hallucinations and spontaneous fluctuations of skin conductance in schizophrenia. British Journal of Psychiatry, 142, 47–52.CrossRefGoogle ScholarPubMed
Creer, C. & Wing, J. K. (1975). Living with a schizophrenic. British Journal of Hospital Medicine, 14, 73–82.Google Scholar
Frith, C. D. Stevens, M. Johnstone, E. C. & Crow, T. J. (1979). Skin conductance responsivity during acute episodes of schizophrenia as a predictor of symptomatic improvement. Psychological Medicine, 9, 101–6.Google Scholar
Iacono, W. G. (1982). Bilateral electrodermal habituationdishabituation and resting EEG remitted schizophrenics. The Journal of Nervous and Mental Disease, 170, 91–101.CrossRefGoogle ScholarPubMed
Kuipers, L. (1983) Characteristics of expressed emotion: Its relationship to speech and looking in schizophrenic patients and their relatives. British Journal of Clinical Psychology, 22, 257–64.CrossRefGoogle ScholarPubMed
Leff, J. P. Kuipers, L. Berkowitz, R. Eberlein-Vries, R. & Sturgeon, D. A. (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–34.Google Scholar
Leff, J. P. & Vaughn, C. E. (1980). The intereaction of life events and relatives expressed emotion in schizophrenia and depressive neurosis. British Journal of Psychiatry, 136, 146–53.CrossRefGoogle Scholar
Leff, J. P., Kuipers, L. Berkowitz, R. & Sturgeon, D. A. A controlled trial of social intervention in the families of schizophrenic patients: Two-year follow-up. Submitted to British Journal of Psychiatry.Google Scholar
Ohman, A. (1981). Electrodermal activity & vulnerability to schizophrenia: a review. Biological Psychology, 12, 87–145.CrossRefGoogle ScholarPubMed
Sturgeon, D. A. Kuipers, L. Berkowitz, R. Turpin, G. & Leff, J. P. (1981) Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives. British Journal of Psychiatry, 138, 40–5.Google Scholar
Tarrier, N. Vaughn, C. E. Lader, M. H. & Leff, J. P. (1979) Bodily reactions to people and events in schizophrenics. Archives of General Psychiatry, 36, 311–15.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976) The influence of family & social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125–37.CrossRefGoogle ScholarPubMed
Wing, J. K. Cooper, J. E. & Sartorius, N. (1974) The Description and Classification of Psychiatric Symptomatology: An instruction manual for the PSE and Catego System. London: Cambridge University Press.Google Scholar
Zahn, T. P. Carpenter, W. T. & McGlashan, T. H. (1979). Autonomic nervous system activity in acute schizophrenia II. Relationships to short-term prognosis and clinical state. Archives of General Psychiatry, 38, 260–66.Google Scholar
Zubin, J. & Spring, B. (1977) Vulnerability: a new view of schizophrenia. Journal of Abnormal Psychology, 86, 103–26.Google Scholar
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