Journal article
Anxiety Interacts With Expressed Emotion Criticism in the Prediction of Psychotic Symptom Exacerbation
Schizophrenia bulletin, Vol.37(3), pp.611-618
05/2011
DOI: 10.1093/schbul/sbp123
PMCID: PMC3080683
PMID: 19892819
Abstract
Psychotic symptoms are exacerbated by social stressors in schizophrenia and schizoaffective disorder patients as a group. More specifically, critical attitudes toward patients on the part of family members and others have been associated with a higher risk of relapse in the patients. Some patients appear to be especially vulnerable in this regard. One variable that could affect the degree of sensitivity to a social stressor such as criticism is the individual’s level of anxiety. The present longitudinal study assessed 27 relatively stable outpatients with schizophrenia or schizoaffective disorder and the single “most influential other” (MIO) person for each patient. As hypothesized, (1) patients with high critical MIOs showed increases in psychotic symptoms over time, compared with patients with low critical MIOs; (2) patients high in anxiety at the baseline assessment showed increases in psychotic symptoms at follow-up, compared with patients low in anxiety, and (3) patients with high levels of anxiety at baseline and high critical MIOs showed the greatest exacerbation of psychotic symptoms over time. Objectively measured levels of criticism were more predictive than patient-rated levels of criticism.
Details
- Title: Subtitle
- Anxiety Interacts With Expressed Emotion Criticism in the Prediction of Psychotic Symptom Exacerbation
- Creators
- Nancy M Docherty - Department of Psychology, Kent State University, Kent, OH 44242Annie St-Hilaire - Department of Psychology, Kent State University, Kent, OH 44242Jennifer M Aakre - Department of Psychology, Kent State University, Kent, OH 44242James P Seghers - Department of Psychology, Kent State University, Kent, OH 44242Amanda McCleery - Department of Psychology, Kent State University, Kent, OH 44242Marielle Divilbiss - Department of Psychology, Kent State University, Kent, OH 44242
- Resource Type
- Journal article
- Publication Details
- Schizophrenia bulletin, Vol.37(3), pp.611-618
- DOI
- 10.1093/schbul/sbp123
- PMID
- 19892819
- PMCID
- PMC3080683
- NLM abbreviation
- Schizophr Bull
- ISSN
- 0586-7614
- eISSN
- 1745-1701
- Publisher
- Oxford University Press
- Language
- English
- Date published
- 05/2011
- Academic Unit
- Psychiatry; Psychological and Brain Sciences; Iowa Neuroscience Institute
- Record Identifier
- 9984065368402771
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