Journal ArticleDOI
Family factors and the course of bipolar affective disorder.
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TLDR
Levels of intrafamilial EE and AS were found to predict likelihood of patient relapse at follow-up, especially when used as conjoint predictors of patient outcome status.Abstract:
• Measures of family attitudes (expressed emotion [EE]) and interactional behaviors (affective style [AS]), both of which have been found to predict relapse in schizophrenia, were obtained from key relatives of 23 hospitalized recently manic bipolar patients. Patients were then followed up for a period of nine months after hospital discharge and rated on measures of clinical course, social adjustment, and medication compliance. Levels of intrafamilial EE and AS were found to predict likelihood of patient relapse at follow-up, especially when used as conjoint predictors of patient outcome status. Levels of AS also predicted degree of social adjustment at follow-up. The predictive relationships observed were independent of patient medication compliance, treatment regimen, baseline symptoms, demographics, and illness history. Results suggest that the emotional atmosphere of the family during the postdischarge period may be an important predictor of the clinical course of bipolar disorder.read more
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Journal ArticleDOI
Families as systems
Martha J. Cox,Blair Paley +1 more
TL;DR: It is suggested that theoretical and conceptual models that use an organismic or systems metaphor for understanding families are important for stimulating new research and organizing existing data, and that advances in these theories over the past few decades have expanded the potential for understanding child development and adult adaptation.
Journal ArticleDOI
Expressed Emotion and Psychiatric Relapse: A Meta-analysis
TL;DR: A meta-analysis of all available EE and outcome studies in schizophrenia confirmed that EE is a significant and robust predictor of relapse in schizophrenia and demonstrated that the EE-relapse relationship was strongest for patients with more chronic schizophrenic illness.
Journal ArticleDOI
Mental health stigma as social attribution: Implications for research methods and attitude change.
TL;DR: In this article, the authors describe how an attribution model advances research questions related to mental health stigma in three areas: (1) Stigma research needs to examine signaling events related to psychiatric stigma including the label of mental illness, behaviors associated with psychiatric symptoms, and physical appearance; (2) Research into mediating knowledge structures needs to bridge information about controllability attributions with public attitudes about dangerousness and self-care.
BookDOI
Antisocial behavior in children and adolescents: A developmental analysis and model for intervention.
TL;DR: A Brief History of the Oregan Model, Gerald R. Patterson et al. as discussed by the authors The Early Development of Coercive Family Process, G.R. Patterson Social Contextual Factors and Competence in Early Development, Leslie D. Leve et al Reinforcement and Coercion Mechanisms in the Development of Antisocial Behaviour - The Family, James Snyder and Mike Stoolmiller.
Journal ArticleDOI
Practice Guideline for the Treatment of Patients With Bipolar Disorder (Revision)
Robert M. A. Hirschfeld,Charles L. Bowden,Michael J. Gitlin,Paul E. Keck,Roy H. Perlis,Trisha Suppes,Michael E. Thase,Karen Dineen Wagner +7 more
TL;DR: This guideline is more than 5 years old and has not yet been updated to Ensure that it reflects current knowledge and practice, and can no longer be assumed to be current.
References
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A Coefficient of agreement for nominal Scales
TL;DR: In this article, the authors present a procedure for having two or more judges independently categorize a sample of units and determine the degree, significance, and significance of the units. But they do not discuss the extent to which these judgments are reproducible, i.e., reliable.
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Journal ArticleDOI
The Brief Psychiatric Rating Scale
John E. Overall,Donald R. Gorham +1 more
TL;DR: The Brief Psychiatric Rating Scale (BRS) as mentioned in this paper was developed to provide a rapid assessment technique particularly suited to the evaluation of patient change, and it is recommended for use where efficiency, speed, and economy are important considerations.
Journal ArticleDOI
Statistical Methods for Rates and Proportions
R. L. Plackett,Joseph L. Fleiss +1 more
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