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Titolo:
Expressed emotion of families and the course of mood disorders: a cohort study in Japan
Autore:
Mino, Y; Shimodera, S; Inoue, S; Fujita, H; Tanaka, S; Kanazawa, S;
Indirizzi:
Okayama Univ, Sch Med, Dept Hyg & Prevent Med, Okayama 7008558, Japan Okayama Univ Okayama Japan 7008558 & Prevent Med, Okayama 7008558, Japan Kochi Med Sch, Dept Neuropsychiat, Nankoku, Kochi 7838505, Japan Kochi MedSch Nankoku Kochi Japan 7838505 , Nankoku, Kochi 7838505, Japan Watarigawa Hosp, Dept Psychiat, Naka, Ibaraki 787, Japan Watarigawa Hosp Naka Ibaraki Japan 787 Psychiat, Naka, Ibaraki 787, Japan Okayama Univ, Sch Med, Dept Radiol, Okayama 7008558, Japan Okayama Univ Okayama Japan 7008558 , Dept Radiol, Okayama 7008558, Japan
Titolo Testata:
JOURNAL OF AFFECTIVE DISORDERS
fascicolo: 1-3, volume: 63, anno: 2001,
pagine: 43 - 49
SICI:
0165-0327(200103)63:1-3<43:EEOFAT>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
SCHIZOPHRENIA; DEPRESSION; RELAPSE;
Keywords:
expressed emotion; family; mood disorder; depression;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Mino, Y Okayama Univ, Sch Med, Dept Hyg & Prevent Med, 2-5-1 Shikata Cho, Okayama 7008558, Japan Okayama Univ 2-5-1 Shikata Cho Okayama Japan 7008558 08558, Japan
Citazione:
Y. Mino et al., "Expressed emotion of families and the course of mood disorders: a cohort study in Japan", J AFFECT D, 63(1-3), 2001, pp. 43-49

Abstract

Background: Findings on expressed emotion (EE) of the family and the course of mood disorders have not been consistent. There has also been no reporton these problems from Asia. Methods: The subjects were 32 patients diagnosed to have mood disorders on the basis of DSM-IV and ICD-IO and 36 principal members of their families. EE was evaluated using Camberwell Family Interview (CFI). A cohort study was conducted for 9 months after discharge of the patients. The patients were divided into a high-EE group and a low-EE group using a few cut-off points concerning the number of critical comments (CCs) and emotional over-involvement (EOI), the 9-month relapse risks were compared, and the relapse risk ratio and its 95% confidence interval were calculated, Also, the sensitivity, specificity, positive predictive value, and negative predictive value were calculated, and the optimal cut-off point was evaluated. Multiple logistic regression analysis was performed to control the effects of potential confounding factors. Results: When the subjectswith three or more CCs, or an EOI score of three or higher were regarded as a high-EE group, and the others as a low-EE group, the nine-month relapserisks were 83.3% (5/6) and 19.2% (5/26), respectively, and the relapse risk ratio (95% confidence interval) was 4.3 (1.8-12.2). The values of the validity parameters were the highest with these cut-off points. The effect of EE was also significant on multiple logistic regression analysis. Limitations: Small sample size and severity of the patients. Conclusions: Families' EE based on CFI correlated with relapse also in Japan. (C) 2001 Elsevier Science B.V. All rights reserved.

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Documento generato il 19/01/20 alle ore 20:49:13