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Carers' attributions about positive events in psychosis relate to expressed emotion |
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| Authors: | S.J. Grice P. Bebbington |
| Affiliation: | a Department of Psychology, Institute of Psychiatry, Kings College London, P.O. Box 77, London SE5 8AF, UK b Department of Mental Health Sciences, UCL, UK c Health Methodology Research Group, School of Community Based Medicine, University of Manchester, UK d School of Medicine, Health Policy and Practice, University of East Anglia, UK |
| Abstract: | BackgroundRelapse is increased in people with psychosis who live with carers with high expressed emotion (EE). Attributional style has been used to understand EE at a psychological level. Previous studies have investigated carer appraisals for negative events in the patient's life. We therefore aimed to examine spontaneous carer attributions for both negative and positive events. Further, we distinguished between high EE based on critical comments, and that based on emotional-overinvolvement.MethodAudiotapes of the Camberwell Family Interview (CFI) (N = 70) were rated using the Leeds Attributional Coding System (LACS). Raters were blind to previous ratings of EE.ResultsIn our sample, low EE carers made significantly more attributions about positive events, and less about negative events than high EE carers. This is because criticism, but not overinvolvement, was strongly associated with responsibility attributions for negative events, while overinvolvement, but not criticism, was inversely associated with responsibility attributions for positive events.ConclusionCarers' attributions for both positive and negative events may be a useful target for improving family interventions in psychosis. |
| Keywords: | Attribution Carers Expressed emotion LACS Schizophrenia Psychosis |
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