Expressed emotion in staff working with the long-term adult mentally ill.

Institute of Psychiatry, London.
The British Journal of Psychiatry (Impact Factor: 7.34). 01/1993; 161:802-8. DOI: 10.1192/bjp.161.6.802
Source: PubMed

ABSTRACT Staff-patient relationships in long-term settings were examined in 35 staff and 61 patients. Measures were also taken of the staff's general health, their coping style in relation to work events, and job satisfaction. A range of ratings of EE was evident in staff descriptions of patients under their care. Strain and criticism in the relationship were not associated with identified stressors in the workplace, or the general health of the carer. When patients were grouped according to high-EE and low-EE interviews, there were no significant differences in their symptoms. Criticism was associated with other patient characteristics, including aggressive and attention-seeking behaviour, underactivity, and limited social interaction. The findings have implications for staff training and for the maintenance of optimal staff-patient relationships in services supporting severely disabled patients.

Download full-text


Available from: Elizabeth Kuipers, Jun 26, 2015
  • Source
    Epidemiologia e psichiatria sociale 12/2003; 12(4):232-7. DOI:10.1017/S1121189X00003043 · 3.16 Impact Factor
  • Source
    Care and Treatment of Offenders with a Learning Disability, Edited by Dale, C, Storey, L, 01/2002; Nursing Praxis International, Chichester.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study examined the relationship between characteristics of patients suffering from treatment-refractory schizophrenia and staff rejection and criticism. Subjects were 30 inpatients with treatment-resistant schizophrenia and the 29 staff members treating them. Measures included assessment of the patients' symptoms and aggression risk profile using the Positive and Negative Syndrome Scale (PANSS) and assessment of staff attitudes toward these patients using the Patient Rejection Scale (PRS). Nursing staff completed the Nurses' Observation Scale for Inpatient Evaluation (NOSIE). PRS ratings did not correlate with patients' demographic and treatment characteristics. Significant correlations existed, however, between increased staff rejection and higher scores for PANSS cognitive factor and NOSIE manifest psychosis factor. Negative symptoms, although preponderant in the patient sample, were not significant predictors of staff rejection on the PRS. Older nursing staff tended to view patients as more irritable and manifestly psychotic. These findings suggest that disorganized behavior and impaired cognition dysfunction areas are more likely to be associated with high levels of rejection among staff working with treatment-resistant schizophrenia patients. Incorporation of the relatively new concepts of cognitive dysfunction and treatment resistance in staff training programs and multidisciplinary team reviews may greatly benefit schizophrenia patients and the staff treating them.
    Schizophrenia Bulletin 02/1999; 25(3):457-65. DOI:10.1093/oxfordjournals.schbul.a033393 · 8.61 Impact Factor