The relationship of case managers' expressed emotion to clients' outcomes

School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104, USA.
Social Psychiatry (Impact Factor: 2.54). 05/2009; 45(2):165-74. DOI: 10.1007/s00127-009-0051-3
Source: PubMed


Expressed emotion (EE) has been studied in families of a relative with schizophrenia as well as other psychiatric disorders; and high EE (hostile, critical, and overinvolved) families have been found to be strongly related to relapse among their relatives. EE has been assessed on a limited basis among non-familial care providers and determined that providers can also have high EE which results in poor quality of life and negative consequences for their clients.
The present study assessed 42 case managers serving clients with schizophrenia spectrum disorder regarding their EE for specific clients enrolled in a larger study examining the reliability and validity of two alliance measures. Case managers and clients were personally interviewed at baseline, 3, 6, 6 plus 2 weeks, and 9 months post-client entry into case management. The EE measure was inserted into the 6 months plus 2 week case manager interview. Generalized Estimating Equation analysis was employed to examine predicted outcomes of EE.
High EE was found to be related to client attitudes toward medication compliance and social contact.
Family psychoeducation interventions, an evidence-based practice, have been demonstrated to be effective in reducing relapse of relatives with serious mental illness. Given the clinical evidence that EE is modifiable, it is expected that such educational training for non-familial caregivers will have the same potential as for family caregivers. Providers dealing with challenging clients may also need support and skills to better handle difficult situations, especially direct support providers like case managers who are not clinically trained.

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    • "Knowledge that EE is also a dynamic, developing entity that predicts adolescent depressive symptoms, may lead to future insights into EE clinical interventions. For example, it has been noted that EE research has been a strong impetus in the creation of both family therapies and hospital-staff interventions that focus on the role EE plays in interacting with persons with psychopathological problems [33, 34]. While some studies have demonstrated that high EE is related to the negative illness perceptions of caretakers toward their patients [11], not all studies have been able to replicate these findings [35]. "
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    ABSTRACT: In previous studies, it has been demonstrated that high parental expressed emotion (EE) is predictive of depressive, aggressive and delinquency symptoms of adolescents. Two issues have received much less prominence in EE research, these being studies of adolescent perceived EE and the measurement of the EE as a dynamic, developmental construct. This 4-year, three-wave, longitudinal study of perceived EE of adolescents from the general community examines if adolescent perceived EE measured with the traditional, one-measurement EE approach as well as adolescent perceived EE measured with a repeated measured, dynamic EE approach can predict adolescent depressive, aggressive and delinquency symptoms. Dutch adolescents (N = 285; 51% girls; M = 13 years) from the general community were prospectively studied annually for 4 years. At all waves, the adolescents completed the Level of Expressed Emotion (LEE) questionnaire and at the final wave also completed self-rated measures of depressive, aggressive and delinquent symptoms. Growth models were used to predict adolescent symptoms from adolescent perceived EE. Growth models significantly predicted adolescent depressive, aggressive and delinquency symptoms from adolescent perceived EE. This study of the LEE demonstrates that developmental characteristics of EE are predictive of adolescents' symptoms. These findings hold implications for current EE intervention therapies and the conceptualization of EE.
    Social Psychiatry 04/2010; 46(6):507-15. DOI:10.1007/s00127-010-0218-y · 2.54 Impact Factor
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    ABSTRACT: Introduction: This study assessed the effectiveness of a provider training on signs of early-onset psychosis and early intervention treatments. Additional goals of the training were to strengthen provider intention to apply this knowledge to clinical practice, decrease stigma of providers towards clients with psychosis, and bolster perceived competence in providing services for youth with psychosis. Methods: The training was presented to 22 providers in the state of Hawai'i responsible for services coordination for youth receiving mental health services. Participants completed questionnaires designed to measure domains relevant for early identification and treatment implementation. Results: Pre-test and post-test scores suggest increases in (1) specific knowledge, (2) behavioral expectation, and (3) perceived competence in identifying and providing services for youth at risk for psychosis, as well as a decrease in (4) stigma towards this population. Discussion: Brief, structured trainings may increase skills and alter attitudes needed to effectively assist youth at risk for psychosis and their families.
    Asia-Pacific Psychiatry 03/2011; 3(1). DOI:10.1111/j.1758-5872.2011.00110.x · 0.63 Impact Factor
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    ABSTRACT: Psychoeducation programs have been shown in the last two decades to significantly improve the post-hospital discharge care of individuals with schizophrenia by demonstrated effects on rehospitalization rates, compliance with medication and knowledge. The benefits of psychoeducation can be sustained for up to seven years although most studies have not shown such enduring benefit. Psychoeducation is a type of psychotherapeutic support that aims to provide broad and adequate information on psychotic disorders for both patients and their families. The purpose of the group psychoeducational program at the Psychiatric clinic in Olomouc is to familiarize patients with the core of the disorder, explain the part played by pharmacotherapy, teach recognition of the warning signs of relapse, to advise on communication problems within families, and finally the training of social skills. Patients perceive the program as meaningful and helpful in better understanding their lives.
    Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia 12/2011; 155(4):385-95. DOI:10.5507/bp.2011.008 · 1.20 Impact Factor
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