Çağdaş Öykü MEMİŞ
(Adnan Menderes Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Aydın, Türkiye)
BİLGE DOĞAN
(Adnan Menderes Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Aydın, Türkiye)
Müge BULUT
(Adnan Menderes Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Aydın, Türkiye)
Yaşan Bilge ŞAİR
(Adnan Menderes Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Aydın, Türkiye)
Levent SEVİNÇOK
(Adnan Menderes Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Aydın, Türkiye)
Yıl: 2020Cilt: 7Sayı: 1ISSN: 2147-9607 / 2147-9607Sayfa Aralığı: 1 - 7İngilizce

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The Relationship Between Expressed Emotion and Temperament Traits in Caregivers of Schizophrenic Patients
Intoduction: In the present study, we were primarily interested in determining whether some temperamenttraits of the caregivers would be associated withtheir expressed emotion levels. We also examined the relationship of EE levels of the caregivers with some care and illness characteristics of the patients. Material and Method: Seventy-six consecutive schizophrenic patients (aged between 18 and 65) according to the Psychotic Symptoms module of the Structured Clinical Interview for DSM-IV Axis I Disorders Patient Edition (SCIDI/P, Version 2.0) and their primary caregivers who had no current DSM-IV diagnoses of schizophrenia, bipolar disorder, major depression, and any anxiety disorders were included in the study. Expressed Emotion Scale, Temperament Evaluation of Memphis, Pisa, Paris and San Diego auto-questionnaire (TEMPS-A), Positive and Negative Syndrome Scale, The Calgary Depression Scale for Schizophrenia tools were used for evaluation during study. Results: The total and criticism/hostility subscale scores of EES were significantly correlated with depressive (r=0.35, p=0.002; r=0.36, p=0.001, respectively), cyclothymic (r=0.26, p=0.019; r=0.26, p=0.022, respectively), hyperthymic (r=0.28, p=0.014; r=0.26, p=0.022, respectively), and anxious temperament traits (r=0.31, p=0.006; r=0.30, p=0.007, respectively). Irritable temperament scores had a significant association with total EES scores (r=0.23, p=0.037). We have found that duration of the illness and patient care had significant inverse associations with total (r= -0.24,p=0.03;r= -0.29, p=0.009, respectively) and warmth subscale scores of EES (r= -0.34, p=0.002; r= -0.31, p=0.006, respectively). Conclusion: Depressive (β=0.287, t=2.737, p=0.008) and hyperthymic temperaments (β=0.223, t=2.138, p=0.036), and duration of patient care(β= -0.268, t= -2.609, p=0.011) were significantly associated with improved expressed emotion scores.
DergiAraştırma MakalesiErişime Açık
  • 1. Cutting, L.P, Aakre, J.M, Docherty, N.M, Schizophrenic patients' perceptions of stress, expressed emotion, and sensitivity to criticism, Schizophrenia Bulletin, 2006, 32, 743-50.
  • 2. Hooley, J.M. Expressed emotion and relapse of psychopathology, Annual Review of Clinical Psychology, 2007, 3, 329-52.
  • 3. Miklowitz, D.J, The role of family systems in severe and recurrent psychiatric disorders: a developmental psychopathology view, Development and Psychopathology, 2004, 16, 667-88.
  • 4. Hahlweg, K, Goldstein, M.J, Nuechterlein, K.H, Magaña, A.B, Mintz, J, Doane, J.A, et al, Expressed emotion and relapse of psychopathology, Annual Review of Clinical Psychology, 2007, 3, 329-52.
  • 5. Cook, W.L, Strachan, A.M, Goldstein, M.J, Miklowitz, D.J, Expressed emotion and reciprocal affective relationships in families of disturbed adolescents, Family Process, 1989, 28, 337- 34.
  • 6. Miklowitz, D.J, Goldstein, M.J, Doane, J.A, Nuechterlein, K.H, Strachan, A.M, Snyder, K.S, et al, Is expressed emotion an index of a transactional process? I.Parents' affective style, Family Process, 1989, 28, 153-67.
  • 7. Strachan, A.M, Feingold, D, Goldstein, M.J, Miklowitz, D.J, Nuechterlein, K.H, Is expressed emotion an index of a transactional process? II. Patient's coping style, Family Process, 1989, 28, 169- 18.
  • 8. Wuerker, A.M, Relational control patterns and expressed emotion in families of persons with schizophrenia and bipolar disorder, Family Process, 1994, 33, 389-407.
  • 9. Hahlweg, K, Goldstein, M.J, Nuechterlein, K.H, Magana, A.B, Mintz, J, Doane, J.A, et al, Expressed emotion and patient-relative interaction in families of recent onset schizophrenics, Journal of Consulting and Clinical Psychology, 989, 57, 11-8.
  • 10. Hubschmid, T, Zemp, M, Interactions in high- and low-EE families, Social psychiatry and psychiatric epidemiology, 1989, 24, 113-19.
  • 11. Wuerker, A.K, Long, J.D, Haas, G.L, Bellack, A.S, Interpersonal control, expressed emotion, and change in symptoms in families of persons with schizophrenia, Schizophrenia Research, 2002, 58, 281-92.
  • 12. Barrowclough, C, Hooley, J.M, Attributions and expressed emotion: a review, Clinical Psychology Review, 2003, 23, 849-80.
  • 13. Kopelowicz, A, Zarate, R, Gonzalez, V, Lopez, S.R, Ortega, P, Obregon, N, et al. Evaluation of expressed emotion in schizophrenia: a comparison of Caucasians and MexicanAmericans, Schizophrenia research, 2002, 55, 179-86.
  • 14. Cechnicki, A, Bielańska, A, Hanuszkiewicz, I, Daren, A, The predictive validity of expressed emotions in schizophrenia. A 20- year prospective study, Journal of psychiatric research, 2013, 47, 208-14.
  • 15. Grandon, P, Jenaro, C, Lemos, S, Primary caregivers of schizophrenia outpatients: burden and predictor variables, Psychiatry research, 2008, 158, 335-43.
  • 16. Caqueo, U.A, Gutiérrez, M.J, Burden of care in families of patients with schizophrenia, Quality of life research, 2006, 15, 719-24.
  • 17. Brown, C, O’Brien, K.M, Understanding stress and burnout in shelter workers, Professional Psychology: Research and Practice 1998, 29(4), 383-85.
  • 18. Levert, T, Lucas, M, Ortlepp, K, Burnout in psychiatric nurses: Contributions of the work environment and a sense of coherence, South African Journal of Psychology, 2000, 30(2), 36-43.
  • 19. Docherty, N.M, Cutting, L.P, Bers, S.A, Expressed emotion and differentiation of self in the relatives of stable schizophrenia outpatients, Psychiatry 1998, 61, 269-78.
  • 20. Hooley, J.M, Hiller, J.B, Personality and expressed emotion, Journal of Abnormal Psychology, 2000, 109, 40-4.
  • 21. Sanger, L.J, Personality characteristics associated with the expressed emotion in family members of schizophrenic individuals, Diss. Abstr. Intern. Section B: Scienc Eng, 1997, 58, 2137.
  • 22. Scazufca, M, Kuipers, E, Links between expressed emotion and burden of care in relatives of patients with schizophrenia, The British Journal of Psychiatry, 1996, 168, 580-7.
  • 23. Roseliza, M.A, Oei, T,P, Fatimah, Y, Asmawati, D, Schizophrenia relapse in Kuala Lumpur, Malaysia: do relatives' expressed emotion and personality traitsmatter?, Comprehensive psychiatry, 2014, 55, 188-98.
  • 24. West, A.E, Schenkel, L.S, Pavuliri, M.N, Early Childhood Temperament in Pediatric Bipolar Disorder and Attention Deficit Hyperactivity Disorder, Journal of Clinical Psychology, 2008, 64, 402-21.
  • 25. Goldsmith, H.H, Buss, A.H, Plomin, R, Rothbart, M.K, Thomas, A, Chess, S, et al, Roundtable: what is temperament? Four approaches, Child Development, 1987, 58, 505-29.
  • 26. Rothbart, M.K, Bates, J.E, Temperament. Handbook of child psychology, Vol. 3. Social, emotional, and personality development, 6th edn. Wiley & Sons. New York, 2006, pp. 99-166
  • 27. Akiskal, H.S, Hirschfeld, R.M.A, Yerevanian, B.I, “The relationship of personality to affective disorders. A critical review”, Archive of General Psychiatry, 1983, 40, 801-10.
  • 28. Elovainio, M, Kivimäki, M, Puttonen, S, Heponiemi, T, Pulkki, L, Keltikangas, J.L, Temperament and depressive symptoms: a population-based longitudinal study on Cloninger’s psychobiological temperament model, Journal of Affective Disorder, 2004, 83, 227-32.
  • 29. Kendler, K.S, Gardner, C.O, Prescott, C.A. Personality and the experience of environmental adversity, Psychological medicine, 2003, 33, 1193-202.
  • 30. Kampman, O, Poutanen, O, Can onset and recovery in depression be predicted by temperament? A systematic review and metaanalysis, Journal of Affective Disorder,2011, 135(1-3), 20-7.
  • 31. Clark, L.A, Temperament as a unifying basis for personality and psychopathology, J Abnorm Psychol, 2005, 114, 505-21.
  • 32. Belsky, J, Pluess, M, Genetic moderation of early child-care effects on social functioning across childhood: a developmental analysis, Child Development, 2013, 84, 1209-25.
  • 33. Carver, C.S, Connor, S.J, Personality and coping, Annual Review of Psychology, 2010, 61, 679-704.
  • 34. Greene, R.W, The explosive child. New York: Harper Collins. 2001
  • 35. First, M.B, Spitzer, R.I, Gibbo, M, Williams, J.B.W, Structured Clinical Interview for DSM-IV Axis I Disorder-Patient Edition (SCID-I/P, Version 2.0), Biometrics Research Department, New York State Psychiatric Institute, New York, 1996.
  • 36. Corapcigil, A, Aydemir, O, Yildiz, M, Danaci, E, Koroglu, E, Adaptation into Turkish and Reliability of Structured Clinical Interview for DSM-IV (SCID), Journal of Drug and Treatment, 1999, 12, 233-6.
  • 37. Cole, J.D, Kazarian, S.S, The level of Expressed Motion scale: a new measure of expressed emotion, Journal of Clinical Psychology 1988, 44, 392-7.
  • 38. Ferguson, G.A, Takane, Y, Stastical analysis in psychology and education. 6th edn. McGraw Hill Book Co., Singapore 1989.
  • 39. Berksun, O.E, Family factor in schizophrenia: Development and adaptation of expressed emotion scale, Unpublished postgraduate Thesis, University of Ankara, Ankara (Turkish).1992
  • 40. Vahip, S, Kesebir, S, Alkan, M, Yazıcı, O, Akiskal, K, Akiskal, H.S, Affective temperaments in clinically-well subjects in Turkey: initial psychometric data on the TEMPS-A, Journal of Affective Disorder, 2005, 85, 113-25.
  • 41. Akiskal, H.S, Akiskal, K.K, Haykal, R.F, Manning, J.S, Connor, P.D, TEMPS-A: progress towards validation of a self-rated clinical version of the Temperament Evaluation of the Memphis, Pisa, Paris, and San Diego autoquestionnaire, Journal of Affective Disorder, 2005, 85, 3-16.
  • 42. Kostakoglu, E, Batur, S, Tiryaki, A, Gögus A. Turkish reliability and validity of the positive and negative syndrome scale (PANSS) for schizophrenia, Turkish Journal of Pschology, 1997, 14, 23-32.
  • 43. Kay, S.R, Fiszbein, A, Opler, L.A, The positive and negative syndrome scale (PANSS) for schizophrenia, Schizophreny Bulletin, 1987, 13, 261-76.
  • 44. Addington, D, Addington, J, Schissel, B.A, depression rating scale for schizophrenics, Schizophreny Research, 1990, 3, 247-51.
  • 45. Oksay, S.E, Aksaray, G, Kaptanoglu, C, Bal C, Validity and Reliability of the Turkish Version of Calgary Depression Scale in Schizophrenic Patients. Türk Psikiyatri Dergisi, 2000, 11, 278-84.
  • 46. Glynn, S.M, Randolph, E.T, Eth, S, Paz, G.G, Leong, G.B, Shaner, A.L & Strachan, A, Patient psychopathology and expressed emotion in schizophrenia, British Journal of Psychiatry, 1990, 157, 877-880
  • 47. Weisman, A.G, Nuechterlein, K.H, Goldstein, M.J, Snyder, K.S, Expressed emotion, attributions, and schizophrenia symptom dimensions, Journal of Abnormal Psychology, 1998, 107, 355-9.
  • 48. Barrowclough, C, Tarrier, N, Johnston, M, Distress, expressed emotion, and attributions in relatives of schizophrenia patients, Schizophr Bull, 1996, 22, 691-702.
  • 49. Jansen, J.E, Gleeson, J, Cotton, S, Towards a better understanding of caregiver distress in early psychosis: a systematic review of the psychological factors involved, Clinical psychology review, 2015, 35, 56-66.
  • 50. Jansen, J.E, Haahr, U.H, Harder, S, Trauelsen, A.M, Lyse, H.G, Pedersen, M, et al, Caregiver distress in first-episode psychosis: the role of subjective appraisal, over-involvement and symptomatology, Social Psychiatry and Psychiatric Epidemiology, 2015b, 50, 371-8.
  • 51. Onwumere, J, Bebbington, P, Kuipers, E, Family interventions in early psychosis: specifity and effectiveness, Epidemiology and psychiatric sciences, 2011, 20(2), 113-9.
  • 52. Martens, L, Addington, J, The psychological well-being of family members of individuals with schizophrenia, Social Psychiatry and Psychiatric Epidemiology, 2001, 36(3), 128-33.
  • 53. Addington, J, The prodromal stage of psychotic illness: observation, detection or intervention? Journal of Psychiatry & Neuroscience: JPN, 2003, 28, 93-7. 7
  • 54. Goldsmith, H.H, Buss, A.H, Plomin, R, Rothbart, M.K, Thomas, A, Chess, S, et al, Roundtable: what is temperament? Four approaches, Child Development, 1987; 58: 505-29.
  • 55. Rothbart, M.K, Bates, J.E, Temperament. In W. Damon & R. M. Lerner (Series Eds.), &N. Eisenberg (Vol. Ed.), Handbook of child psychology: Vol. 3. Social, emotional, and personality development, 6th ed. New York, Wiley, 2006, pp. 99-166.
  • 56. Smoller, J.W, Tsuang, M.T, Panic and phobic anxiety: defining phenotypes for genetic studies, American Journal of Psychiatry, 1998, 155, 1152-62.
  • 57. Hirshfeld, B.D.R, Biederman, J, Calltharp, S, Rosenbaum, E.D, Faraone, S.V, Rosenbaum, J.F, Behavioral inhibition and disinhibition as hypothesized precursors to psychopathology: implications for pediatric bipolar disorder, Biological Psychiatry, 2003, 53, 985-99.
  • 58. Bruder, C.B, Warner, V, Talati, A, Nomura, Y, Bruder, G, Weissman, M, Temperament among offspring at high and low risk for depression, Psychiatry Research, 2007, 153, 145-51.
  • 59. Chronis, T.A, Degnan, K.A, Pine, D.S, Perez, E.K, Henderson, H.A, Diaz, Y, et al, Stable early maternal report of behavioral inhibiton predicts lifetime social anxiety disorder in adolescence, Journal of the American Academy of Child and Adolescent Psychiatry, 2009, 48, 928-35.
  • 60. Schwartz, C.E, Snidman, N, Kagan, J, Adolescent social anxiety as an outcome of inhibited temperament in childhood, Journal of the American Academy of Child and Adolescent Psychiatry, 1999, 38, 1008-15.
  • 61. Signoretta, S, Maremmani, I, Liguori, A, Perugi, G, Akiskal, H.S, Affective temperament traits measured by TEMPS-I and emotional-behavioral problems in clinically-well children, adolescents, and young adults, Journal of Affective Disorder, 2005, 85, 169-80.
  • 62. Naragon, G.K, Watson, D, Markon, K.E, Differential relations of depression and social anxiety symptoms to the facets of extraversion/positive emotionality, Journal of Abnormal Psychology, 2009, 118, 299-310
  • 63. Akiskal, H.S, Khani, M.K, Scott, S.A, Cyclothymic temperamental disorders, The Psychiatric Clinics of North America, 1979, 2, 527- 54.
  • 64. Akiskal, H.S, Mallya, G, Criteria for the ‘‘soft’’ bipolar spectrum: treatment implications, Psychopharmacology Bulletin, 1987, 23, 68-73.
  • 65. Perugi, G, Toni, C, Maremmani, I, Tusini, G, Ramacciotti, S, Madia, A, et al, The influence of affective temperaments and psychopathological traits on the definition of bipolar disorder subtypes: a study on bipolar I Italian national sample, Journal of Affective Disorders, 2012, 136, 41-9.
  • 66. Gray, J.A, McNaughton, N, The Neuropsychology of Anxiety. An inquiry into the functions of the septo-hippocampal system. 3rd edn. Oxford University Press, London, 2000.
  • 67. Parker, G, The parental bonding instrument. A decade of research, Social Psychiatry and Psychiatric Epidemiology, 1990, 25, 281- 282
  • 68. Belsky, J, Hsieh, K.H, Crnic, K, Mothering, fathering, and infant negativity as antecedents of boys’ externalizing problems and inhibition at age 3 years: differential susceptibility to rearing experience? Development and Psychopathology, 1998, 10, 301-19.
  • 69. Vasey, M.W, Daleiden, E.L, Williams, L.L, Brown, L.M, Biased attention in childhood anxiety disorders: a preliminary study, Journal of Abnormal Child Psychology, 1995, 23, 267-79.
  • 70. Schippell, P.L, Vasey, M.W, Cravens, B.L.M, Bretvelt, R.A. Suppressed attention to rejection, ridicule, and failure cues: a specific correlate of reactive but not proactive aggression in youth, Journal of Clinical Child and Adolescent Psychology, 2003, 32, 40-55.

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