[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 21, Number 3 (Bimonthly 2017) ::
Feyz 2017, 21(3): 265-271 Back to browse issues page
Impact of acceptance and commitment–based psychoeducation on the adjustment of expressed emotion in families of patients with bipolar disorder
Seyyed Ali Sazvar, Robabeh Nouri, Rezvan Saei , Mohammad Hatami
Department of Clinical Psychology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, I. R. Iran. , rezvan.saei@gmail.com
Abstract:   (130 Views)
Background: Expressed emotion is one of the key factors resulting in  relapse of psychiatric disorders. Expressed emotion is  a critical, hostile and emotionally over-involved attitude that relatives have toward a family member with such disorder. Since stress from the expressed emotion leads to relapse in person with a disorder, the present study aimed to investigate the effect of mental training based  on the acceptance and commitment on the regulation of expressed emotion in families of patients with bipolar disorder.
Materials and Methods: This quasi-experimental study was carried out on families of patients with bipolar disorder referring to Kargarnejad hospital (Kashan, Iran). The purposive sampling method was used to select the participants. As an intervention acceptance and commitment-based psychoeducation of the families  was held in 10 sessions. Expressed emotion questionnaire was completed by relatives pre- and post-intervention.
Results: The results showed that the level of expressed emotion  reduced after the  intervention in families of patients with bipolar disorder (P<0.001). A significant reduction was observed in the level of expressed emotion in all four subscales (negative attitudes, tolerance/expectations, harassment and intervention and emotional response) (P<0.001).
Conclusion: Family psychoeducation based on the acceptance and commitment can be effective in the regulation of expressed emotion in families of patients  suffering from bipolar disorder.
Keywords: Bipolar disorder, Acceptance and commitment, Expressed emotion, Family
Full-Text [PDF 255 kb]   (66 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/12/25 | Accepted: 2017/07/4 | Published: 2017/07/30
1. Miklowitz DJ, Goldstein MJ, Doane JA, Nuechterlein KH, Strachan AM, Snyder KS, et al. Is expressed emotion an index of a transactional process? I. Parents' affective style. Fam Process 1989; 28(2): 153-67.
2. Wuerker AM. Relational control patterns and expressed emotion in families of persons with schizophrenia and bipolar disorder. Fam Process 1994; 33(4): 389-407.
3. Butzlaff RL, Hooley JM. Expressed emotion and psychiatric relapse: a meta-analysis. Arch Gen Psychiatry 1998; 55(6): 547-52.
4. Amaresha AC, Venkatasubramanian G. Expressed emotion in schizophrenia: an overview. Indian J Psychol Med 2012; 34(1): 12-20.
5. Hooley JM, Hiller JB. Personality and expressed emotion. J Abnorm Psychol 2000; 109(1): 40-4.
6. Kavanagh DJ. Recent developments in expressed emotion and schizophrenia. Br J Psychiatry 1992; 160: 601-20.
7. Mottaghipour Y, Pourmand D, Maleki H, Davidian L. Expressed emotion and the course of schizophrenia in Iran. Soc Psychiatry Psychiatr Epidemiol 2001; 36(4): 195-9.
8. Khanipour H, Golzari M, Shams J, Zare H, Karamlou S. Relationship Between Shame Attitude Towards Mental Disorders and Expressed Emotion in Family Members of People with Bipolar and Schizophrenia. J Famil Res 2013; 9(2): 241-54.
9. Pompili M, Harnic D, Gonda X, Forte A, Dominici G, Innamorati M, et al. Impact of living with bipolar patients: Making sense of caregivers' burden. World J Psychiatry 2014; 4(1): 1-12.
10. Wyatt RJ, Henter I. An economic evaluation of manic-depressive illness--1991. Soc Psychiatry Psychiatr Epidemiol 1995; 30(5): 213-9.
11. Dilsaver SC. An estimate of the minimum economic burden of bipolar I and II disorders in the United States: 2009. J Affect Disord 2011; 129(1-3): 79-83.
12. Dore G, Romans SE. Impact of bipolar affective disorder on family and partners. J Affect Disord 2001; 67(1-3): 147-58.
13. Khazaeili M, Bolhari J. Effect of group training families of schizophrenia patients on the compatibility of everyday functioning. Iran J Psychiatry Clin Psychol 1996; 2(4): 56-64. [in Persian]
14. Eisner LR, Johnson SL. An acceptance-based psychoeducation intervention to reduce expressed emotion in relatives of bipolar patients. Behav Ther 2008; 39(4): 375-85.
15. Dashtbozorgi B, Ghadirian F, Khajeddin N, Karami K. Effect of family psychoeducation on the level of adaption and improvement of patients with mood disorders. Iran J Psychiatry Clin Psychol 2009; 15(2): 193-200.
16. Ghasemi Gh, Najmi B, Asadollahi Gh. The comparison of family psychoeducational intervention on social function of patients with schizophrenia and mood disorder. J Isfahan Med Sch 2000; (1): 52-9.
17. Cole JD, Kazarian SS. The level of expressed emotion scale. J Clin Psychol 1988; 44(3): 392-7.
18. Dehghani SH. [Expressed emotion and sexuality]. J Fundam Ment Health 2003; 6(19-20): 84-91. [in Persian]
19. Graell M. The spanish validation of level of expressed emotion scale for relatives of people with eating disorders. Span J Psychol 2012; 15(2): 825-39.
20. Bach P, Hayes SC. The use of Acceptance and Commitment therapy to prevent the rehospitalisation of psychotic patients: A randomized controlled trial. 2002. J Consul ClinPsychol 70(5): 1129-39.
21. Abramowitz IA, Coursey RD. Impact of an educational support group on family participants who take care of their schizophrenic relatives. J Consul Clin Psychol 1989; 57(2): 232–6.
22. Cozolino LJ, Goldstein MJ, Nuechterlein KH, West KL, Snyder KS. The impact of education about schizophrenia on relatives varying in expressed emotion. Schizophr Bull 1988; 14(4): 675–687.
23. Dixon L, Adams C, Lucksted A. Update on family psychoeducation for schizophrenia. Schizophr Bull 2000; 26(1): 5–20.
24. Pitschel-Walz G, Leucht S, Baeuml J, Kissling W, Engel RR. The effect of family interventions on relapse and rehospitalization in schizophrenia: A meta-analysis. Schizophr Bull 2001; 27(1): 73–92.
25. Solomon P, Draine J, Mannion E, Meisel M. Impact of brief family psychoeducation on self-efficacy. Schizophr Bull 1996; 22(1): 41–50.
26. Honig A, Hofman A, Rozendaal N, Dingemans P. Psycho-education in bipolar disorder: effect on expressed emotion. Psychiatry Res 1997; 72(1): 17-22.
27. Shimodera S, Inoue S, Mino Y, Tanaka S, Kii M, Motoki Y. Expressed emotion and psychoeducational intervention for relatives of patients with schizophrenia: a randomized controlled study in Japan. Psychiatry Res 2000; 96(2): 141-8.
28. González-Blanch C, Martín-Muñoz V, Pardo-García G, Martínez-García O, Alvarez-Jiménez M, Rodríguez-Sánchez JM, et al. Effects of family psychoeducation on expressed emotion and burden of care in first-episode psychosis: a prospective observational study. Span J Psychol 2010; 13(1): 389-95.
29. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther 2006; 44(1): 1-25.
Send email to the article author

Add your comments about this article
Your username or email:

Write the security code in the box >

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sazvar S A, Nouri R, Saei R, Hatami M. Impact of acceptance and commitment–based psychoeducation on the adjustment of expressed emotion in families of patients with bipolar disorder. Feyz. 2017; 21 (3) :265-271
URL: http://feyz.kaums.ac.ir/article-1-3213-en.html
Volume 21, Number 3 (Bimonthly 2017) Back to browse issues page
مجله علمی پژوهشی فیض ::: دانشگاه علوم پزشکی کاشان KAUMS Journal ( FEYZ )
Persian site map - English site map - Created in 0.047 seconds with 820 queries by yektaweb 3461