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. 2017 Sep 6:11:1505-1511.
doi: 10.2147/PPA.S143873. eCollection 2017.

Effect of caregivers' expressed emotion on the care burden and rehospitalization rate of schizophrenia

Xia Wang  1 , Qiongni Chen  2 , Min Yang  1
Affiliations

Effect of caregivers' expressed emotion on the care burden and rehospitalization rate of schizophrenia

Xia Wang et al. Patient Prefer Adherence. .

Abstract

Background: This study assessed the effect of expressed emotion (EE) among caregivers of schizophrenia patients on their care burden and the illness rehospitalization rate.

Subjects and methods: A total of 64 schizophrenia patients hospitalized for the first time and their key caregivers were recruited. The Chinese version of the Camberwell Family Interview (CFI-CV) was used to evaluate the EE of the key caregivers. A family burden questionnaire was used to evaluate the care burden. The patients' rehospitalization rate and medication compliance were evaluated by the self-designated criteria. The data collection was carried out at the first meeting in the hospital, at 6 months and 12 months after hospital discharge by using the same instruments.

Results: The subjective stress burden and subjective demand burden scores were higher in caregivers before and after discharge with statistical difference between the various observation time points (P<0.05). Significant differences were observed in the rehospitalization rate between patients with high medication adherence and low medication adherence at 12 months (P<0.01) and between patients with high expressed emotion (HEE) and low expressed emotion (LEE; P<0.05). The rehospitalization rate in patients with HEE caregivers was higher than that in those with LEE caregivers. The subjective stress burden scores were statistically significant between HEE and LEE caregivers (P<0.05).

Conclusion: HEE is a predictor of rehospitalization rate in schizophrenic patients. The burdens of care scores are high in caregivers of schizophrenic patients. The caregivers with HEE have a high score in burden of care compared with those with LEE.

Keywords: care burden; caregivers; expressed emotion; rehospitalization rate; schizophrenia.

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Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
The correlation analysis. Notes: (A) The association between objective burden and time. (B) The association between subjective stress burden and time. (C) The association between subjective demand burden and time. (D) The association between rehospitalization rate and time. Abbreviations: LEE, low expressed emotion; HEE, high expressed emotion.
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References

    1. Di Lorenzo R, Sagona M, Landi G, Martire L, Piemonte C, Del Giovane C. The revolving door phenomenon in an Italian acute psychiatric ward: a 5-year retrospective analysis of the potential risk factors. J Nerv Ment Dis. 2016;204(9):686–692. - PubMed
    1. Brown GW, Birley JL, Wing JK. Influence of family life on the course of schizophrenic disorders: a replication. Br J Psychiatry. 1972;121(562):241. - PubMed
    1. Brown GW, Rutter M. The measurement of family activities and relationships: a methodological study. Human Relat. 1966;2(suppl 3):241–263.
    1. Li Z. Research progress in emotional expression of family members of patients with schizophrenia. Chin J Nurs. 2002;37(12):927–929.
    1. Leff JP, Vaughn C. Expressed Emotion in Families: Its Significance for Mental Illness. New York: Guilford Press; 1985.

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