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. 2006 Nov 21;16(1):1–10. doi: 10.1002/mpr.194

Toward specifying the nature of the relationship between expressed emotion and schizophrenic relapse: the utility of curvilinear models

Nicholas J K Breitborde 1,✉, Steven R López 2, Thomas D Wickens 3, Janis H Jenkins 4, Marvin Karno 5
PMCID: PMC6878245  PMID: 17425243

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REFERENCES

  1. Aiken LS, West SG. Multiple Regression: Testing and Interpreting Interactions. Newbury Park: Sage, 1991. [Google Scholar]
  2. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 3 edn Washington, DC: APA, 1980. [Google Scholar]
  3. Bertrando P, Beltz J, Bressi C, Clerici M, Farma T, Invernizzi G, Cazzullo CL. Expressed emotion and schizophrenia in Italy: a study of an urban population. Brit J Psychiat 1992; 161: 223–9. [DOI] [PubMed] [Google Scholar]
  4. Brown GW, Rutter M. The measurement of family activities and relationships: a methodological study. Hum Relat 1966; 19: 241–63. [Google Scholar]
  5. Butzlaff RL, Hooley JM. Expressed emotion and psychiatric relapse: a meta‐analysis. Arch Gen Psychiat 1998; 55: 547–52. [DOI] [PubMed] [Google Scholar]
  6. Cooper JE, Kendell RE, Gurland BJ, Sharpe L, Copeland JRM, Simon R. Psychiatric Diagnosis in New York and London. London: Oxford University Press, 1972. [Google Scholar]
  7. Cortina JM. Interaction, nonlinearity, and multicollinearity: implications for multiple regression. J Manage 1993; 19: 915–22. [Google Scholar]
  8. Falloon IRH, Boyd JL, McGill CW, Williamson M, Razani J, Moss HB, Gilderman AM, Simpson GM. Family management in the prevention of morbidity of schizophrenia: clinical outcome of a two‐year longitudinal study. Arch Gen Psychiat 1985; 42: 887–96. [DOI] [PubMed] [Google Scholar]
  9. Ganzach Y. Misleading interaction and curvilinear terms. Psychol Methods 1997; 2: 235–47. [Google Scholar]
  10. Hogarty GE, Anderson CM, Reiss DJ, Kornblith SJ, Greenwald DP, Javna CD, Madonia MJ. Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia: I. one‐year effects of a controlled study on relapse and expressed emotion. Arch Gen Psychiat 1986; 43, 633–42. [DOI] [PubMed] [Google Scholar]
  11. Hosmer DW, Lemeshow S. Applied Logistic Regression. New York: John Wiley & Sons, 2000. [Google Scholar]
  12. Ivanović M, Vuletić Z, Bebbington P. Expressed emotion in the families of patients with schizophrenia and its influence on the course of illness. Soc Psych Psych Epid 1994; 29: 61–5. [DOI] [PubMed] [Google Scholar]
  13. Jenkins JH. Anthropology, expressed emotion, and schizophrenia. Ethos 1991; 19: 387–431. [Google Scholar]
  14. Jenkins JH. Too close for comfort: schizophrenia and emotional overinvolvement among Mexicano families In Gaines AD. (ed.) Ethnopsychiatry: The Cultural Construction of Professional and Folk Psychiatries. Albany: State University of New York Press, 1992, pp. 203–21. [Google Scholar]
  15. Jenkins JH, Karno M. The meaning of expressed emotion: theoretical issues raised by cross‐cultural research. Am J Psychiat 1992; 149: 9–21. [DOI] [PubMed] [Google Scholar]
  16. Karno M, Jenkins JH, De la Selva A, Santana F, Telles C, López S, Mintz J. Expressed emotion and schizophrenic outcome among Mexican‐American families. J Nerv Ment Dis 1987; 175: 143–51. [DOI] [PubMed] [Google Scholar]
  17. Kavanagh DJ. Recent developments in expressed emotion and schizophrenia. Brit J Psychiat 1992; 160: 601–20. [DOI] [PubMed] [Google Scholar]
  18. Kendell RE, Everitt B, Cooper JE, Sartorius N, David ME. Reliability of the Present State Examination. Soc Psychiatr 1968; 3: 123–9. [Google Scholar]
  19. King S, Dixon MJ. Expressed emotion and relapse in young schizophrenia outpatients. Schizophrenia Bull 1999; 25: 377–86. [DOI] [PubMed] [Google Scholar]
  20. Kopelowicz A, López SR, Zarate R, O'Brien M, Gordon J, Chang C, Gonzalez‐Smith V. Expressed emotion and family interactions in Mexican Americans with schizophrenia. J Nerv Ment Dis. 2006; 194: 330–4. [DOI] [PubMed] [Google Scholar]
  21. Kopelowicz A, Zarate R, Gonzalez V, López SR, Ortega P, Obregon N, Mintz J. Evaluation of expressed emotion in schizophrenia: a comparison of Caucasians and Mexican‐Americans. Schizophrenia Res 2002; 55: 179–86. [DOI] [PubMed] [Google Scholar]
  22. Kraemer HC, Blasey CM. Centring in regression analyses: a strategy to prevent errors in statistical inference. Int J Meth Psych Res 2004; 13, 141–51. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Krawiecka M, Goldberg D, Vaughan M. A standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiat Scand 1977; 55: 299–308. [DOI] [PubMed] [Google Scholar]
  24. Leff J, Kuipers L, Berkowitz R, Eberlein‐Vries R, Sturgeon DA. A controlled trial of social intervention in the families of schizophrenic patients. Brit J Psychiat 1982; 141: 121–34. [DOI] [PubMed] [Google Scholar]
  25. López SR, Hipke KN, Polo JA, Jenkins JH, Karno M, Vaughn C, Snyder KS. Ethnicity, expressed emotion, attributions, and course of schizophrenia: family warmth matters. J Abnorm Psychol 2004; 113: 428–39. [DOI] [PubMed] [Google Scholar]
  26. Marom S, Munitz H, Jones PB, Weizman A, Hermesh H. Familial expressed emotion: outcome and course of Israeli patients with schizophrenia. Schizophrenia Bull 2002; 28: 731–43. [DOI] [PubMed] [Google Scholar]
  27. McFarlane WR. Multifamily Groups in the Treatment of Severe Psychiatric Disorders. New York: Guilford Press, 2002. [Google Scholar]
  28. Nuechterlein KH, Dawson ME. A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia Bull 1984; 10: 300–12. [DOI] [PubMed] [Google Scholar]
  29. Overall JE, Gorham DR. The brief psychotic rating scale. Psychol Rep 1962; 10: 799–812. [Google Scholar]
  30. Overall JE, Starbuck, RR . F‐test alternatives to Fisher's exact test and to the chi‐square test of homogeneity in 2 × 2 tables. J Educ Stat 1983; 8: 59–73. [Google Scholar]
  31. Raeff C, Greenfield PM, Quiroz B. Conceptualizing interpersonal relationships in the cultural contexts of individualism and collectivisim In Harkness S. and Raeff C. (eds) Variability in the Social Construction of the Child. New Directions for Child and Adolescent Development, No. 87. San Francisco: Jossey‐Bass/Pfeiffer, 2000. [DOI] [PubMed] [Google Scholar]
  32. Sturgeon D, Kuipers L, Berkowitz R, Turpin G, Leff J. Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives. Brit J Psychiat 1981; 138: 40–5. [DOI] [PubMed] [Google Scholar]
  33. Tabachnick BG, Fidell LS. Using Multivariate Statistics. Boston: Allyn & Bacon, 2001. [Google Scholar]
  34. Tarrier N, Vaughn C, Lader MH, Leff JP. Bodily reactions to people and events in schizophrenics. Arch Gen Psych 1979; 36: 311–15. [DOI] [PubMed] [Google Scholar]
  35. Teague GB, Drake RE, Bartels SJ. Stress and schizophrenia: a review of research models and findings. Stress Med 1989; 5: 153–65. [Google Scholar]
  36. Van Humbeeck G, Van Audenhove Ch, De Hert M, Pieters G, Storms G. Expressed emotions: a review of assessment instruments. Clin Psychol Rev 2002; 22: 321–41. [DOI] [PubMed] [Google Scholar]
  37. Wing JK, Birley JLT, Cooper JE, Graham P, Isaacs A. Reliability of a procedure for measuring and classifying ‘present psychiatric state’. Brit J Psychiat 1967; 113: 499–515. [DOI] [PubMed] [Google Scholar]
  38. Wing JK, Cooper JE, Sartorius N. The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press, 1974. [Google Scholar]

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