Insight and perceived expressed emotion among adult outpatients with obsessive-compulsive disorder.
OBJECTIVE
To elucidate the relationships between insight and perceived expressed emotion (EE) in a sample of adult outpatients with obsessive-compulsive disorder (OCD).


METHODS
The study involved 75 subjects with OCD. Subjects were assessed with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), with the score on item 11 used as a measure of insight level. Perceived EE was evaluated using the Family Emotional Involvement and Criticism Scale (FEICS). The Montgomery Asberg Depression Rating Scale (MADRS) was used to evaluate depressive symptoms.


RESULTS
Poor or absent insight was found to be associated with higher perceived EE and significantly higher OCD severity, as well higher familial perceived criticism and more compulsions and depressive symptoms.
De Berardis
Domenico
D
Institute of Psychiatry, University G. d'Annunzio of Chieti, and Mental Health Service, ASL Teramo, Italy.
Campanella
Daniela
D
Serront
Nicola
N
Gambi
Francesco
F
Carano
Alessandro
A
La Rovere
Raffaella
R
Nardella
Elena
E
Pizzorno
Anna Maria
AM
Cotellassa
Carla
C
Salerno
Rosa Maria
RM
Ferro
Filippo Maria
FM
D000328:Adult; D000553:Ambulatory Care; D000786:Anger; D001364:Awareness; D003131:Combined Modality Therapy; D003142:Communication; D003469:Culture; D019260:Expressed Emotion; D005190:Family / Q000523:psychology*; D005196:Family Therapy; D005260:Female; D006791:Hostility; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D010555:Personality Inventory; D012938:Social Perception