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Predictors of criticism and emotional over-involvement in relatives of early psychosis patients

dc.creatorHinojosa-Marqués, Lídiaes_ES
dc.creatorDomínguez-Martínez, Tecellies_ES
dc.creatorKwapil, Thomas R.es_ES
dc.creatorBarrantes-Vidal, Neuses_ES
dc.date2020
dc.date.accessioned2023-10-18T18:22:38Z
dc.date.available2023-10-18T18:22:38Z
dc.date.issued2020
dc.identifierJC54DIEP20es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7787
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0234325
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295211/
dc.descriptionMechanisms underlying the manifestation of relatives' expressed emotion (EE) in the early stages of psychosis are still not properly understood. The present study aimed to examine whether relatives' psychological distress and subjective appraisals of the illness predicted EE dimensions over-and-above patients' poor clinical and functional status. Baseline patient-related variables and relatives attributes comprising criticism, emotional over-involvement (EOI), psychological distress, and illness attributions were assessed in 91 early psychosis patients and their respective relatives. Relatives were reassessed regarding EE dimensions at a 6-month follow-up. Relatives' psychological distress and illness attributions predicted criticism and EOI over-and-above patients' illness characteristics at both time points. Relatives' increased levels of anxiety, attributions of blame toward the patients, an emotional negative representation about the disorder, and decreased levels of self-blame attributions predicted EE-criticism at baseline. Relatives' anxiety and negative emotional representation of the disorder were the only significant predictors of EE-criticism at follow-up, whereas anxiety, attributions of control by the relative and an emotional negative representation about the disorder predicted EE-EOI both at baseline and follow-up assessments. Understanding the components that comprise and maintain EE attitudes should guide early psychosis caregivers in family interventions, enhancing proper management of psychological distress and reduction of negative appraisals about the illness. The prevention of high-EE attitudes over time in a sensitive period such as early psychosis might be critical in shaping the health of caregivers and the outcome of the affected relatives.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherPublic Library of Sciencees_ES
dc.relation15(6):e0234325
dc.rightsAcceso Cerradoes_ES
dc.titlePredictors of criticism and emotional over-involvement in relatives of early psychosis patientses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartament de Psicologia Clínica i de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain
dc.contributor.emailneus.barrantes@uab.cat
dc.relation.jnabreviadoPLOS ONE
dc.relation.journalPloS One
dc.identifier.placeEstados Unidos
dc.date.published2020
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1932-6203
dc.identifier.doi10.1371/journal.pone.0234325


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