Expressed emotion concept

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The Expressed Emotion Concept (EE) is a theory that empirically proves statements about the course of therapy in psychiatric diseases such as schizophrenia within family ties. Relatives therefore have a decisive influence on the course of the disease. A test procedure can be used to determine whether the relatives belong to a high-expressed-emotion or low-expressed-emotion status; the Camberwell Family Interview is used for this.

High-Expressed-Emotions (HEE) means that the family members express criticism of the patient excessively , show hostility or are characterized by an emotional over-engagement.

The adverse impact of HEE on the relapse rate of schizophrenia, depression , bipolar disorder and eating disorders has been demonstrated in a number of studies and is considered to be well established. On the other hand, there is still no established theory on the mechanism of action.

Individual evidence

  1. a b Butzlaff RL, Hooley JM: Expressed emotion and psychiatric relapse: a meta-analysis . In: Arch. Gen. Psychiatry . 55, No. 6, June 1998, pp. 547-52. doi : 10.1001 / archpsyc.55.6.547 . PMID 9633674 .
  2. a b Andrew TA Cheng: Expressed emotion: a cross-culturally valid concept? . In: The British Journal of Psychiatry . 181, 2002, pp. 466-467. doi : 10.1192 / bjp.181.6.466 .