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Patient Perceptions of Caregiver Criticism in Psychosis Links With Patient and Caregiver Functioning

Onwumere, J; Kuipers, E; Bebbington, P; Dunn, G; Freeman, D; Fowler, D; Garety, P; (2009) Patient Perceptions of Caregiver Criticism in Psychosis Links With Patient and Caregiver Functioning. Journal of Nervous and Mental Disease , 197 (2) 85 - 91. 10.1097/NMD.0b013e3181960e57.

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Abstract

Expressed emotion (EE) has been described as a measure of caregivers' appraisals of the quality of their relationship with patients. However, far less is known about how, the perception of their caregivers by patients with psychosis is shaped by caregivers' EE, and nothing about the clinical correlates of perceived EE. The Current study examines the association of patient ratings of carer criticism with patient and carer characteristics. Patient ratings of carer criticism were also compared with the ratings of the carer derived from the Camberwell Family Interview. Sixty-seven patient-carer dyads participated in the cross-sectional study.Perceived carer criticism was associated with general psychopathology in patients, but not with overall levels of positive or negative symptoms of psychosis. Patients with lower levels of social functioning, higher levels of negative affect, and negative schematic beliefs about other people, tended to perceive greater criticism. Perceptions of carer criticism were associated with Camberwell Family Interview ratings of carer criticism, hostility, and high EE. independently of affect, and poorer functioning. High EE was a significant predictor of perceived carer criticism. This study supports the validity of using feedback from patients to assess the emotional climate of the family environment.

Type: Article
Title: Patient Perceptions of Caregiver Criticism in Psychosis Links With Patient and Caregiver Functioning
DOI: 10.1097/NMD.0b013e3181960e57
Publisher version: http://dx.doi.org/10.1097/NMD.0b013e3181960e57
Language: English
Keywords: Psychosis, expressed emotion, perceived criticism, schizophrenic-patients perceptions, expressed emotion, perceived criticism, persecutory delusions, family-members, subclinical psychopathology, psychometric properties, 1st-episode psychosis, behavioral treatment, psychiatric-patients
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > IoN RLW Inst of Neurological Sci
URI: https://discovery.ucl.ac.uk/id/eprint/164688
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