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Carers' attributions about positive events in psychosis relate to expressed emotion

Grice, SJ; Kuipers, E; Bebbington, P; Dunn, G; Fowler, D; Freeman, D; Garety, P; (2009) Carers' attributions about positive events in psychosis relate to expressed emotion. Behaviour Research and Therapy , 47 (9) 783 - 789. 10.1016/j.brat.2009.06.004. Green open access

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Abstract

Background: Relapse is increased in people with psychosis who live with carers with high expressed emotion (EE). Attributional style has been used to understand EE at a psychological level. Previous studies have investigated carer appraisals for negative events in the patient's life. We therefore aimed to examine spontaneous carer attributions for both negative and positive events. Further, we distinguished between high EE based on critical comments, and that based on emotional-overinvolvement.Method: Audiotapes of the Camberwell Family Interview (CFI) (N = 70) were rated using the Leeds Attributional Coding System (LACS). Raters were blind to previous ratings of EE.Results: In our sample, low EE carets made significantly more attributions about positive events, and less about negative events than high EE carets. This is because criticism, but not overinvolvement, was strongly associated with responsibility attributions for negative events, while overinvolvement, but not criticism, was inversely associated with responsibility attributions for positive events.Conclusion: Carets' attributions for both positive and negative events may be a useful target for improving family interventions in psychosis. (C) 2009 Elsevier Ltd. All rights reserved.

Type: Article
Title: Carers' attributions about positive events in psychosis relate to expressed emotion
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.brat.2009.06.004
Publisher version: http://dx.doi.org/10.1016/j.brat.2009.06.004
Language: English
Additional information: © Elsevier 2009. This article is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/'.
Keywords: Attribution, Carets, Expressed emotion, LACS, Schizophrenia, Psychosis, Randomized controlled-trial, casual attributions, patient relapse, schizophrenia, families, illness, burden model.
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/166904
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