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Relationship of Expressed Emotion with Burden of Care and Health of Caregivers of Patients with Schizophrenia

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Abstract of the Article

The present study is the pioneering attempt to examine the effects of high Expressed Emotion (EE) on health and the burden of care among primary caregivers of patients with schizophrenia in Pakistan. Fifty-two caregivers of inpatients, diagnosed with schizophrenia using Structured Clinical Interview for DSM- IV Axis 1 (SCID-1), were assessed for EE through Camberwell Family Interview (CFI).

Relationship of Expressed Emotion with Burden of Care and Health of Caregivers of Patients with Schizophrenia
Relationship of Expressed Emotion with Burden of Care and Health of Caregivers of Patients with Schizophrenia
Three health measures including the burden of care (Burden Assessment Scale, BAS), general health (General Health Questionnaire-12, GHQ-12) and physical health (Physical Health Checklist, PHC) were used to assess the health status of caregivers. Burden Assessment Scale (BAS) was used to assess the link of the burden of care with EE and the health of the caregivers. High EE was found to have a significant negative effect on health and the burden of care. Further analysis revealed high Emotional over Involvement (EOI) as a robust predictor of poor health and cause of high burden of care among primary caregivers of patients.
Considering the negative impact of high EOI on the burden of care and the health status of the caregivers, there is a need for intervention programs aimed at reducing EOI and in turn EE for improving health and reducing the burden of care in caregivers of patients with severe mental illnesses. Considering a higher frequency of mothers on all EE components, they require greater attention from mental health professionals.

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