Expressed emotion, perceived criticism and 10-year outcome of depression

被引:13
|
作者
Kronmueller, Klaus-Thomas [1 ]
Backenstrass, Matthias [1 ]
Victor, Daniela [1 ]
Postelnicu, Ilinca [1 ]
Schenkenbach, Caroline [1 ]
Joest, Katharina [1 ]
Fiedler, Peter [2 ]
Mundt, Christoph [1 ]
机构
[1] Heidelberg Univ, Dept Psychiat, D-69115 Heidelberg, Germany
[2] Heidelberg Univ, Dept Psychol, D-69115 Heidelberg, Germany
关键词
affective disorders; interpersonal behavior; long-term course; relapse prediction;
D O I
10.1016/j.psychres.2007.07.009
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Outcome studies of patients suffering from depression indicate a high relapse rate and a tendency towards chronicity. A family atmosphere characterised by expressed emotion (EE) and perceived criticism (PC) was reported to be a robust predictor of outcome in affective disorders. The aim of the study was to analyze the association between EE, PC and long-term outcome of depression. Fifty inpatients with major depression were followed up 1, 2 and 10 years after discharge from the hospital. After 10 years, 26 patients (56.5%) had at least one recurrence. Spousal EE, assessed with the Five-Minute Speech Sample (FMSS), and the Perceived Criticism Index (PCI) were not significant prognostic factors for depression outcome. The significance of EE and PC for the long-term course of depression has to be questioned. The findings indicate a need to examine factors that may partly mediate the effect of EE and PC on the outcome of depression. (c) 2007 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:50 / 55
页数:6
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