Expressed Emotion and Social Support in Rehospitalized Psychiatric Patients
DOI:
https://doi.org/10.29120/ijpsw.2018.v9.i2.56Abstract
Background: The phenomenon of hospital readmission of the psychiatric patient has been a matter of concern ever since the concepts of deinstitutionalization and community care of these patients have been emphasized. There are pieces of evidence from the literature that the readmission rate has been increasing substantially. The role of psychiatric hospitals has shifted dramatically. Inpatient programs are now focused on acute stabilization, leaving most treatment to community based providers. Aim: Aim of the study is to assess the psychosocial aspects of re-hospitalization of psychiatric patients namely Bipolar Affective Disorder and Schizophrenia and difference between both the groups. Methods: On the basis of purposive sampling 100 re-hospitalized (50 Bipolar Affective Disorder and 50 Schizophrenia) patients were taken from inpatient IMH, Rohtak. The socio-demographic data sheet was filled-up for assessment of socio-cultural aspects, social support questionnaire was administered for the assessment of the level of social support and attitude questionnaire was applied on the caregivers for assessment of the level expressed emotion. Results: Most of the re-hospitalized Schizophrenia patients face a high level of expressed emotion and poor social support in comparison to Bipolar Affective Disorder patients. Conclusion: The findings of the study illustrate that high expressed emotion and poor social support are associated with rehospitalization.
Keywords: Expressed emotion, social support, rehospitalization
References
Rosenblatt A, Mayer JE. The recidivism of mental patients: a review of past studies. American Journal of Orthopsychiatry. 1974 Oct;44(5):697.
Kirk SA, Therrien ME. Community mental health myths and the fate of former hospitalized patients. Psychiatry. 1975 Aug 1;38(3):209-17.
Rollin HR. ‘De-institutionalization and the community: fact and theory. Psychological medicine. 1977 May;7(2):181-4.
Singh B, Verma AN, Singh AR. Psychosocial characteristics of rehospitalization among bipolar affective disorder patients. Indian Journal of Health and Wellbeing. 2014 Dec 1;5(12):1434.
Sfetcu R, Musat S, Haaramo P, et al. Overview of post-discharge predictors for psychiatric re-hospitalisations: a systematic review of the literature. BMC Psychiatry. 2017;17:227. doi:10.1186/s12888-017-1386-z.
Ayuso-Gutiérrez JL, del Río Vega JM. Factors influencing relapse in the long-term course of schizophrenia. Schizophrenia research. 1997 Dec 19;28(2):199-206.
Marder SR. Facilitating compliance with antipsychotic medication. The Journal of clinical psychiatry. 1998.
Weiden P, Zygmund A. The road back: working with the severely mentally ill. J Pract Psychiatr Behav Health. 1997;3:106-10.
Fenton WS, Blyler CR, Heinssen RK. Determinants of medication compliance in schizophrenia: empirical and clinical findings. Schizophrenia bulletin. 1997 Jan 1;23(4):637-51.
Craig TJ, Fennig S, Tanenberg-Karant M, Bromet EJ. Rapid versus delayed readmission in first-admission psychosis: quality indicators for managed care?. Annals of Clinical Psychiatry. 2000 Jan 1;12(4):233-8.
Eaton WW, Mortensen PB, Herrman H, Freeman H, Bilker W, Burgess P, Wooff K. Long-term course of hospitalization for schizophrenia: Part I. Risk for rehospitalization. Schizophrenia Bulletin. 1992;18(2):217.
Foster EM. Do aftercare services reduce inpatient psychiatric readmissions?. Health Services Research. 1999 Aug;34(3):715.
Lay B, Lauber C, Stohler R, Rossler W. Utilisation of inpatient psychiatric services by people with illicit substance abuse in Switzerland. Swiss medical weekly. 2006 May 27;136(21-22):338-45.
Verdoux H, Lengronne J, Liraud F, Gonzales B, Assens F, Abalan F, Os JV. Medication adherence in psychosis: predictors and impact on outcome. A 2year follow-up of first admitted subjects. Acta Psychiatrica Scandinavica. 2000 Sep 1;102(3):203-10.
Peterson EC, Docherty NM. Expressed emotion, attribution, and control in parents of schizophrenic patients. Psychiatry: Interpersonal and Biological Processes. 2004 Jun 1;67(2):197-207.
Russo J, Roy-Byrne P, Jaffe C, Ries R, Dagadakis C, Avery D. Psychiatric status, quality of life, and level of care as predictors of outcomes of acute inpatient treatment. Psychiatric Services. 1997 Nov.
Lyons JS, O'mahoney MT, Miller SI, Neme J, Kabat J, Miller F. Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators. American Journal of Psychiatry. 1997 Mar 3;154(3):337-40.
Bromet EJ, Jandorf L, Fennig S, Lavelle J, Kovasznay B, Ram R, Tanenberg-Karant M, Craig T. The Suffolk County Mental Health Project: demographic, pre-morbid and clinical correlates of 6-month outcome. Psychological Medicine. 1996 Sep;26(5):953-62.
Munk-Jørgensen P, Mortensen PB, Machón RA. Hospitalization patterns in schizophrenia: a 13-year follow-up. Schizophrenia research. 1991 Feb 28;4(1):1-9.
Mortensen PB, Eaton WW. Predictors for readmission risk in schizophrenia. Psychological Medicine. 1994 Feb;24(1):223-32.
Nehra R, Kulhara P, Verma SK. Manual for PGI social support questionnaire. Varanasi: India Rupa Psychological Centre. 1998.
Sethi BB, Chaturvedi PK, Trivedi JK, Saxena NK. Attitude of family and outcome in schizophrenia. Indian Journal of Social Psychiatry. 1985;1:186-93.
Singh, B. Singh, A. R. Quality of life and Expressed Emotion in psychiatric Rehospitalization. Delhi Psychiatry Journal. 2015; 18(1):54-61.
Yussuf AD, Kuranga SA, Balogun OR, Ajiboye PO, Issa BA, Adegunloye O, Parakoyi MT. Predictors of psychiatric readmissions to the psychiatric unit of a tertiary health facility in a Nigerian city-a 5-year study. African journal of psychiatry. 2008 Aug 1;11(3):187-90.
Sinha S. Social support in schizophrenia: A comparative study between relapsed and remitted patients. Industrial Psychiatry Journal, 2006. 15(2), 112-115.
Suzuki Y, Yasumura S, Fukao A, Otani K. Associated factors of rehospitalization among schizophrenic patients. Psychiatry and clinical neurosciences. 2003 Dec 1;57(6):555-61.
Singh B, Singh AR. Social Support and Expressed Emotion in Rehospitalized Bipolar Affective disorder and Schizophrenia Patients. Journal of Rural and Community Psychiatry. 2014,1(2):66.
Brown GW, Birley JL, Wing JK. Influence of family life on the course of schizophrenic disorders: a replication. The British Journal of Psychiatry. 1972 Sep. 121, 241-258.
Barekatain M, Maracy MR, Hassannejad R, Hosseini R. Factors Associated with Readmission of Patients at a University Hospital Psychiatric Ward in Iran. Psychiatry Journal. 2013;2013:685625. doi:10.1155/2013/685625.
Myin-Germeys I, van Os J, Schwartz JE, Stone AA, Delespaul PA. Emotional reactivity to daily life stress in psychosis. Archives of general psychiatry. 2001 Dec 1;58(12):1137-44.
Nuechterlein KH, Dawson ME. A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia bulletin. 1984;10(2):300.
Schmutte T, Dunn CL, Sledge WH. Predicting time to readmission in patients with recent histories of recurrent psychiatric hospitalization: a matched-control survival analysis. The Journal of nervous and mental disease. 2010 Dec 1;198(12):860-3.
Corrigan P. How stigma interferes with mental health care. American psychologist. 2004 Oct;59(7):614.
Corrigan PW, Penn DL. Lessons from social psychology on discrediting psychiatric stigma. American Psychologist. 1999 Sep;54(9):765.
Caseiro O, Pérez-Iglesias R, Mata I, Martínez-Garcia O, Pelayo-Terán JM, Tabares-Seisdedos R, de la Foz VO, Vázquez-Barquero JL, Crespo-Facorro B. Predicting relapse after a first episode of non-affective psychosis: a three-year follow-up study. Journal of psychiatric research. 2012 Aug 31;46(8):1099-105.
Valencia M, Fresan A, Juárez F, Escamilla R, Saracco R. The beneficial effects of combining pharmacological and psychosocial treatment on remission and functional outcome in outpatients with schizophrenia. Journal of psychiatric research. 2013 Dec 31;47(12):1886-92.
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