Ethnicity, expressed emotion, attributions, and course of schizophrenia: family warmth matters.
The authors examined the role of family factors and the course of schizophrenia by carrying out additional assessments and analyses in 2 previously published studies of Mexican American and Anglo American patients and families. The authors found partial support for an attributional model of relapse for families who are low in emotional overinvolvement. Attributions of control, criticism, and warmth together marginally predicted relapse. The data also indicated that for Mexican Americans, family warmth is a significant protective factor, whereas for Anglo Americans, family criticism is a significant risk factor. These findings suggest that the sociocultural context shapes the pathways by which family processes are related to the course of illness. Moreover, the warmth findings suggest that families may contribute to preventing relapse.
Department of Psychology, University of California, Los Angeles, Los Angeles, CA 90095, USA. lopez@psych.ucla.edu
Steven Regeser
SR
López
Kathleen
K
Nelson Hipke
Antonio J
AJ
Polo
Janis H
JH
Jenkins
Marvin
M
Karno
Christine
C
Vaughn
Karen S
KS
Snyder
D000293:Adolescent; D000328:Adult; D002140:California; D003431:Cross-Cultural Comparison; D019260:Expressed Emotion; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D017058:Mexican Americans / Q000523:psychology*; D008875:Middle Aged; D012008:Recurrence; D012306:Risk; D012559:Schizophrenia / Q000175:diagnosis / Q000208:ethnology* / Q000517:prevention & control; D012565:Schizophrenic Psychology; D044465:White People / Q000523:psychology*