Chávez FA

Language: Spanish
References: 14
Page: 123-128
PDF size: 88.27 Kb.

ABSTRACT

The emotional environment in the family has been studied and it has been found out as a predicting factor in psychiatric disorders. Emotion Expressed (EE) is a construct which allows us to understand the relapse mechanisms. Objectives: This study’s goal is to review EE predictive efficiency regarding the clinical course followed by ED patients during a six-month follow-up. To research the correlation existing between the EE level and the symptomatic severity of the ED. Material: Fourty-two patients, fulfilling the DSM-IV diagnostic criteria for some ED. The Yale-Brown-Cornell Scale for ED was used to evaluate the degree of symptomatic severity. Guanilo-Seclén’s Questionnaire-Survey-Evaluation was used to measure the EE level. Method: The diagnostic evaluation and the instruments application were conducted at the onset of the study and after a six-month treatment period, both to patients and responsible relatives. Descriptive statistics, repeated measures analysis, Pearson’s correlation, and the T Test for related samples were used for the statistical analysis. The structural analysis was validated through AMOS. Results: The change in the hostility was correlated with an improvement in the ED symptomatic severity, specially in the eating behavior rituals. Conclusion: EE seems to be a significative predictor in the course followed by ED.

REFERENCES

1. Brown M, Birley J, Wing J. Influence of family life on the course of schizophrenic disorder. Br J Psychiatry 1972; 121: 241-258.

2. Fornari V, Woderezyk K, Bisaga K, Mattew M, Sandberg D, Mandel FS, Katz JL, Perception of family functioning and depressive symptomatology in individuals with anorexia nervosa or bulimia nervosa. Comp Psychiatry 1999; 40(6): 434-444.

3. Guanilo JV, Seclen YM. Relación entre el nivel de conocimientos sobre enfermedad mental y el nivel de emoción expresada de los familiares de pacientes esquizofrénicos de consultorios externos del INSM HD-HN. Tesis para optar el Título profesional de enfermera, Universidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, Perú, 1993.

4. Hodges E, Cochrane C, Brewerton T. Family characteristics of binge eating disorder patient. Int J Eat Disor 1998; 23: 145-151.

5. Koenigsber HW, Klausner E, Pellino D, Rosnick P, Campbell R. Expressed emotion and glucose control in insulin-dependent diabetes mellitus. Am J Psychiatry 1993; 150: 1114-1115.

6. Koenigsber HW, Handley R. Expressed emotion: From predictive index to clinical construct. Am J Psychiatry 1986; 143: 1361-1373.

7. Laliberte M, Boland FJ, Leichner P. Family climates: Family factors specific to disturbed eating and bulimia nervous. J Clin Psychol 1999; 55(9): 1021-1040.

8. Magaña AB, Goldstein MJ, Miklowitz DJ, Karna M, Jenkins J, Fallon RH. A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research 1987; 17: 203-212.

9. Manual Diagnóstico y estadístico de los trastornos mentales. DSM-IV, Masson, Barcelona, 1995.

10. Miklowitz D, Goldstein MJ, Nuechterlein K, Zinder K, Mintz J. Family factors and the course of bipolar affective disorder. Arch Gen Psychiatry 1988; 45: 225-231.

11. Minuchi S, Rossman BL, Becker L. Familias psicosomáticas: Anorexia nervosa en contexto. Barcelona, Gedisa, 1989.

12. Mazure CM, Halmi KA, Sunday SR, Romano SJ, Einhorn AM. The Yale-Brown-Cornell Eating disorder Scale: Development, Use, Reliability and Validity. J Psychiat Res 1994; 28: 425-445.

13. Sunday SR, Halmi KA, Einhorn A. The Yale-Brown-Cornell eating disorder scale: A new scale to assess eating disorder symptomatology. Int J Eat Disord 1995; 3: 237-245.

14. Vaughn C, Zinder K, Jones S, Freeman W, Falloon I. Family factors in schizophrenic relapse: replication in California of British research on expressed emotion. Arch Gen Psychiatry 1984; 41: 1169-1177.