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Master Thesis

Impact pronostique des émotions exprimées des familles dans la schizophrénie

Abstract : This thesis reports on the current state of knowledge regarding the concept of expressed emotions and its prognostic role in schizophrenia. Resulting from Anglo-Saxon work from Brown and his team (1962), expressed emotions (EE) characterize the quality of interactions between the patient and the family based on two main criteria: the critical comments and emotional surimplication. A high level of EE is considered a poor prognostic factor in schizophrenia. Despite the proven effectiveness of family interventions developed with the waning of the work and the obvious care demand, the concept of EE remains little known and used in France. The literature review we conducted aims to improve understanding of EE and optimize taken into current treatment, especially during the first psychotic episodes which represent a crucial period for the emergence of EE and for subsequent development of the disorder. The value of our work lies in the analysis of modifiable prognostic factors associated with different levels of EE underlying the relapse process. The results reveal that the attributions or family beliefs about the disease, the burden of caregiving, some dysfunctional communication patterns (deviant communication), the cultural context to which the patient belongs and ineffective coping strategies are key prognostic variables associated with EE. The therapeutic implications in the initial treatment of patients with schizophrenia and their families are well discussed. Awareness of health professionals in EE concept seems essential to improve the early episodes of care for adolescents and young adults with schizophrenia and improve the prognosis of the disease.
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Master Thesis
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, August 25, 2016 - 2:06:03 PM
Last modification on : Wednesday, August 23, 2017 - 4:29:29 PM
Long-term archiving on: : Saturday, November 26, 2016 - 3:20:26 PM


  • HAL Id : dumas-01356300, version 1



Audrey Labarthe. Impact pronostique des émotions exprimées des familles dans la schizophrénie. Médecine humaine et pathologie. 2016. ⟨dumas-01356300⟩



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