The family and compliance in schizophrenia: the influence ofclinical variables, relatives' knowledge and expressedemotion.

W Sellwood, N Tarrier, J Quinn, C. Barrowclough

    Research output: Contribution to journalArticlepeer-review

    Abstract

    BACKGROUND:. A variety of factorsare related to compliance with medication in schizophrenia, but littleattention has been paid to the role of families. Carers' knowledge orexpressed emotion (EE) may be related to compliance. The aim of thepresent study was to evaluate the relevance of these two factors, as wellas their relationships with other variables for the prediction ofcompliance. METHOD: A sample of patient-carer pairs (N = 79) involved in afamily intervention for schizophrenia trial was recruited. Compliance,symptoms, social functioning and attitudes to their carers were assessedin patients. Carers' EE, knowledge and psychopathology were alsoevaluated. RESULTS: A number of factors were related to compliance,including carers' EE and patients' psychotic symptoms, which contributedindependently to not taking medication. Carers' knowledge aboutschizophrenia and other groups of symptoms was not related to compliance.CONCLUSIONS: EE may be an important factor to account for in theunderstanding of patients' compliance and the direction of therelationship between EE and compliance should be the subject of furtherstudy.
    Original languageEnglish
    JournalPsychol Med
    Volume33( 1)
    Publication statusPublished - Jan 2003

    Keywords

    • Adolescent
    • Adult
    • Aged
    • psychology: Caregivers
    • Comparative Study
    • Expressed Emotion
    • psychology: Family
    • Female
    • Human
    • Knowledge, Attitudes, Practice
    • Male
    • Middle Age
    • Patient Compliance
    • Psychiatric Status Rating Scales
    • Randomized Controlled Trials
    • diagnosis: Schizophrenia
    • Schizophrenic Psychology
    • Support, Non-U.S. Gov't
    • Treatment Outcome

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