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Titolo:
A diathesis-stress conceptualization of expressed emotion and clinical outcome
Autore:
Hooley, JM; Gotlib, IH;
Indirizzi:
Harvard Univ, Dept Psychol, Cambridge, MA 02138 USA Harvard Univ Cambridge MA USA 02138 Dept Psychol, Cambridge, MA 02138 USA Stanford Univ, Stanford, CA 94305 USA Stanford Univ Stanford CA USA 94305Stanford Univ, Stanford, CA 94305 USA
Titolo Testata:
APPLIED & PREVENTIVE PSYCHOLOGY
fascicolo: 3, volume: 9, anno: 2000,
pagine: 135 - 151
SICI:
0962-1849(200022)9:3<135:ADCOEE>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEXAMETHASONE SUPPRESSION TEST; BORDERLINE PERSONALITY-DISORDER; MULTIPLE-FAMILY GROUPS; SCHIZOPHRENIC-PATIENTS; PSYCHOPHYSIOLOGICAL RESPONSES; DEPRESSED INDIVIDUALS; PSYCHIATRIC-ILLNESS; BIPOLAR DISORDER; LIFE EVENTS; RELAPSE;
Keywords:
diathesis-stress; expressed emotion; relapse;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
121
Recensione:
Indirizzi per estratti:
Indirizzo: Hooley, JM Harvard Univ, Dept Psychol, 33 Kirkland St, Cambridge, MA 02138USA Harvard Univ 33 Kirkland St Cambridge MA USA 02138 MA 02138 USA
Citazione:
J.M. Hooley e I.H. Gotlib, "A diathesis-stress conceptualization of expressed emotion and clinical outcome", APPL PREV P, 9(3), 2000, pp. 135-151

Abstract

A sizeable body of research has demonstrated that expressed emotion (EE) predicts clinical relapse in a number of distinct psychiatric disorders. These findings have provided the impetus for the development of interventions that attempt to reduce patients' relapse rates by modifying aspects of the family environment believed to be associated with high levels of EE. Despite the efficacy of these treatments, however, we know little about how EE develops in relatives of psychiatric patients or about the mechanisms throughwhich high EE leads to relapse. Moreover, there is not a coherent theory that attempts to integrate findings concerning the impact of high EE on relapse in different disorders. The purpose of this article is to elucidate a diathesis-stress conceptualization of EE to explain both the development andmanifestation of high EE in relatives of disordered patients and the impact of high EE on the course of patients' disorders. In this context, we use a diathesis-stress perspective to examine why EE predicts symptom relapse and poor clinical outcome in schizophrenia, depressive disorders, and borderline personality disorder. We conclude by discussing treatment implicationsof the diathesis-stress perspective and by outlining what we believe are fruitful directions for future research.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 18:38:28