Hostname: page-component-6bf8c574d5-mggfc Total loading time: 0 Render date: 2025-02-14T15:21:14.788Z Has data issue: false hasContentIssue false
  • English
  • Français

Daughters of People with Dementia Expressed Emotion, Strain and Coping

Published online by Cambridge University Press:  02 January 2018

K. D. Bledin ,
B. Maccarthy ,
L. Kuipers  and
R. T. Woods
K. D. Bledin*
Affiliation:
Redbridge Health Authority, District Psychology Service, Goodmayes Hospital, Barley Lane, Ilford, Essex IG3 8XJ
B. Maccarthy
Affiliation:
Academic Unit, St Bernard's Wing, Ealing Hospital, Uxbridge Road, Middlesex
L. Kuipers
Affiliation:
The Maudsley Hospital, Denmark Hill, London, and Institute of Psychiatry, London SE5 8AF
R. T. Woods
Affiliation:
Institute of Psychiatry, London SE5 8AF
*
∗Correspondence
Get access Rights & Permissions [Opens in a new window]

Extract

Twenty-five women who were the primary carers for a parent with dementia were rated for expressed emotion (EE) and then divided into two groups: 11 with low-EE ratings and 14 with high-EE ratings. Although there were no differences between these groups in the levels of their parents' cognitive impairment, when such impairment was taken into account, high-EE subjects were found to report higher levels of strain and distress. More efficient coping strategies were reported by subjects who made fewer critical comments and more positive remarks. High-EE subjects more frequently had no living siblings, and were more likely to have had a respite break from caring. EE status was not associated with continuing care in the community at a nine-month follow-up.

Type
Papers
Information
The British Journal of Psychiatry , Volume 157 , Issue 2 , August 1990 , pp. 221 - 227
Copyright
Copyright © Royal College of Psychiatrists, 1990 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bledin, K. D. (1987) Expressed emotion in daughters of people with dementia. Unpublished MPhil dissertation, University of London.Google Scholar
Gilhooly, M. L. M. & Whittick, J. E. (1989) Expressed emotion in caregivers of the dementing elderly. British Journal of Medical Psychology, 62, 265–272.CrossRefGoogle ScholarPubMed
Gilleard, C. J. (1984a) Living with Dementia. Community Care of the Elderly Mentally Infirm. London: Croom Helm.Google Scholar
Gilleard, C. J. (1984b) Problems posed for supporting relatives of geriatric and psychogeriatric day patients. Acta Psychiatrica Scandinavica, 70, 198–208.CrossRefGoogle ScholarPubMed
Gilleard, C. J. (1987) Influence of emotional distress among supporters on the outcome of psychogeriatric day care. British Journal of Psychiatry, 150, 219–223.CrossRefGoogle ScholarPubMed
Goldberg, D. P. (1978) Manual for the General Health Questionnaire. Windsor: NFER-Nelson.Google Scholar
Greedharry, D. (1987) Expressed emotion in the families of the mentally handicapped: a pilot study. British Journal of Psychiatry, 150, 400–402.CrossRefGoogle ScholarPubMed
Greene, J. G., Smith, R., Gardiner, M., et al (1982) Measuring behavioural disturbance of elderly demented patients in the community and its effects on relatives: a factor analytic study. Age and Ageing, 11, 121–126.CrossRefGoogle ScholarPubMed
Hooley, J. M., Orley, J. & Teasdale, J. D. (1986) Levels of expressed emotion and relapse in depressed patients. British Journal of Psychiatry, 148, 642–647.CrossRefGoogle ScholarPubMed
Kuipers, L. & Bebbington, P. (1988) Expressed emotion research in schizophrenia: theoretical and clinical implications. Psychological Medicine, 18, 893–909.CrossRefGoogle ScholarPubMed
Leff, J. & Vaughn, C. (1985) Expressed Emotion in Families. New York: Guilford Press.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.CrossRefGoogle ScholarPubMed
MacCarthy, B. & Brown, R. (1989) Psychosocial factors in Parkinson's disease. British Journal of Clinical Psychology, 28, 41–52.CrossRefGoogle ScholarPubMed
MiKLOwitz, D. J., Goldstein, M. J., Falloon, I. R. H., et al (1984) Interactional correlates of expressed emotion in the families of schizophrenics. British Journal of Psychiatry, 144, 482–487.CrossRefGoogle ScholarPubMed
Morris, R. G., Morris, L. W. & Britton, P. G. (1988) Factors affecting the emotional well-being of the caregivers of dementia sufferers. British Journal of Psychiatry, 153, 147–156.CrossRefGoogle Scholar
Orford, J., O'Reilly, P. & Goonatilleke, A. (1987) Expressed emotion and perceived family interaction in the key relatives of elderly patients with dementia. Psychological Medicine, 17, 963–970.CrossRefGoogle ScholarPubMed
Pattie, A. H. & Gillbard, C. J. (1979) Manual of the Clifton Assessment Procedures for the Elderly (CAPE). Sevenoaks: Hodder & Stoughton.Google Scholar
Szmukler, G. I., Eisler, I., Russell, G. F. M., et al (1985) Anorexia nervosa, parental ‘expressed emotion’ and dropping out of treatment. British Journal of Psychiatry, 147, 265–271.CrossRefGoogle ScholarPubMed
Tarrier, N., Barrowclouoh, C., Vaughn, C., et al (1988) The community management of schizophrenia: a controlled trial of a behavioural intervention with families to reduce relapse. British Journal of Psychiatry, 153, 532–542.CrossRefGoogle ScholarPubMed
Vaughn, C. E. & Leff, J. P. (1976) The influence of family and social factors on the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125–137.CrossRefGoogle ScholarPubMed
Vaughn, C. E., Snyder, K., Jones, S., et al (1984) Family factors in schizophrenic relapse: replication in California of British research in Expressed Emotion. Archives of General Psychiatry, 41, 1169–1177.CrossRefGoogle ScholarPubMed
Whittick, J. E. (1987) Expressed emotion and coping techniques among carers of the demented elderly. Unpublished paper presented to the Annual Conference of Psychologists' Special Interest Group in the Elderly, Edinburgh.Google Scholar
Whittick, J. E. (1988) Dementia and mental handicap: emotional distress in carers. British Journal of Clinical Psychology, 27, 167–172.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.