[The relationship between expressed emotion and daily life functioning of families who take care of the schizophrenics members].
The relationship between Expressed Emotion (EE) and daily life functioning of families who took care of the schizophrenics members was analyzed, to make clear the conceptual substance and psycho-social background of EE, and to get the practical guideline how to offer the effective family support programs. The research was conducted at 3 psychiatric hospitals in Chiba. 72 out of 93 cases were followed up after 9 months, and 64 cases were respondents of the inquiry at the discharge which was conducted to get the information of daily life functioning of families. In the inquiry, we used Family Support Behavior Scale (FSB), representing the family support function as a caretaker, and Disfunction in the Ordinary Family Life Scale (DFL), representing the disfunction of the family life function for a caretaker as a subject who realized his/her own self. The results were as followings. DFL had relatively strong correlation to EE. And a distinctive feature of EE subscales' distribution was observed among 4 groups divided by the median of FSB and DFL. That is, "Critical Comments (CC)" and "Hostility (H)" were high in the "loFSB-hiDFL" group in which both family functions did not operate effectively. "Emotional Over-Involvement (EOI)" was extremely high and CC was moderately high in the "hiFSB-hiDFL" group which had the difficulty only in the ordinary family life function. And the relapse rate of both groups, particularly of "loFSB-hiDFL" was high up to 61.5% after the follow-up period. So far, it was suggested that the disfunction of the ordinary family life was closely related to the whole substance of EE scales, which were the congeries of family factors to predict the relapse, and which had not the internal consistency of the scale. Adding the disfunction of family support to that, had the appearance of EE sub-scales changed, and made the family environment severely related to the relapse.
Oshima
I
I
Department of Social Welfare, Tokyo Metropolitan University.
Ito
J
J
Yagihashi
M
M
Okagami
K
K
D004644:Emotions; D005190:Family / Q000523:psychology*; D006701:Home Nursing / Q000523:psychology*; D006801:Humans; D012559:Schizophrenia / Q000451:nursing*; D012944:Social Support