[Stability and predictive role of emotions, expressed by families in the development of a cohort of schizophrenic patients in the course of 5 years].
A prospective study of 44 first admission schizophrenic patients was conducted in Geneva, in order to evaluate the prognostic value of Expressed Emotion (EE), as well as its stability. The predictive power of the EE index was tested on three variables of outcome: relapse rate, social adaptation and hospital stay. At intake, the patients presenting more premorbid features lived in high EE households. The EE index and the outcome measures tended to be associated. After the third year, patients living with high EE relatives were significantly more maladjusted and relapsed more than those living with low EE relatives. The EE index was stable during the five years. Our results show that initial measure of EE in a first episode cohort is predictive of outcome over a five year period. This may not be causal as it cannot be excluded that poorer premorbid functioning alone may result in poorer outcome, and may also elicit high EE in relative.
Huguelet
P
P
Médecin chef de service adjoint, Institutions universitaires de Psychiatrie, Clinique de Psychiatrie II, Geneva/Switzerland.
Favre
S
S
Binyet
S
S
Gonzalez
C
C
Zabala
I
I
D000328:Adult; D000339:Affect; D005190:Family / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D007902:Length of Stay; D008137:Longitudinal Studies; D008297:Male; D011446:Prospective Studies; D012559:Schizophrenia / Q000534:rehabilitation; D012565:Schizophrenic Psychology; D012917:Social Adjustment
Stabilité et rôle pronostique de l'émotion exprimée des familles dans l'évolution d'une cohorte de patients schizophrènes suivis durant cinq ans.